Surgical Coder II, Remote

Davita Inc.; Somerville (MA); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider is seeking a Medical Coder to ensure accurate coding compliance and documentation. The role involves coding patient encounters, ensuring adherence to industry guidelines, and participating in audits. Ideal candidates will have 3-5 years of experience, a strong understanding of coding guidelines, and excellent analytical skills.

Qualifications

• 3-5 years medical coding experience required.
• Certified Professional Coder preferred.
• In-depth knowledge of ICD-10, CPT, and HCPCS.

Responsibilities

• Assign diagnosis and procedure codes based on medical documentation.
• Ensure compliance with coding guidelines from AMA and CMS.
• Participate in coding audits and track productivity.

Skills

Analytical Skills

Attention to Detail

Communication Skills

Education

High School Diploma or Equivalent

Associate's Degree in Medical Billing and Coding

Tools

Coding Software

Electronic Health Record Systems

Job description

Summary:
Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations.
Does this position require Patient Care? No
Essential Functions: Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
-Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
-Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
-Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
-Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
Participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
-Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.

Education
High School Diploma or Equivalent required or Associate's Degree Medical Billing and Coding preferred

Can this role accept experience in lieu of a degree?
No

Licenses and Credentials
Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred

Experience
Medical Coding Experience 3-5 years required

Knowledge, Skills and Abilities
- In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
- Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
- Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
- Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
- Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
- Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.

Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.