Surgical Coder, Remote

MGH Institute of Health Professions; Somerville (MA); Remote; USD 35,000 - 50,000; Full time

Benefits offered by this job

Remote work

Job summary

Mass General Brigham is seeking a Medical Coding Specialist to review patient records and translate clinical information into ICD-10-CM/ICD-9-CM and CPT codes for insurance processing. The role involves confirming treatments with staff, resolving missing data, and submitting accurate coding for reimbursement.

The position requires 2–3 years of coding experience and strong knowledge of ICD-10, CPT, and HCPCS guidelines, with the ability to handle complex coding questions and participate in audits

Qualifications

• High school diploma or equivalent; associate degree preferred.
• 2–3 years of medical coding experience.
• In-depth knowledge of ICD-10, CPT, and HCPCS and their application in hospital billing.

Responsibilities

• Review patient medical records after visits and translate into ICD-9-CM/CPT codes.
• Confirm treatments with medical staff and identify missing information for submission to insurers.
• Submit coding information to insurers for reimbursement and participate in peer reviews for accuracy and timeliness.
• Audit clinical documentation and coded data to validate that services match reimbursement data.
• Research discrepancies and implement plans to correct coding errors and prevent recurrence.
• Identify reportable elements, complications, and other procedures.

Skills

Medical coding knowledge

ICD-10 CPT HCPCS

Leadership

Education

High School Diploma or Equivalent

Associate's Degree in Medical Billing and Coding

Job description

Medical Coding SpecialistMass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff, identifying missing information and submitting information to insurers for reimbursement. Participates in peer review to ensure accuracy and timeliness standards are maintained. Resolve complex coding questions that arise from team.

Essential Functions

• Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and to ensure that data complies with legal standards and guidelines.
• Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-9-CM and CPT codes.
• Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
• Manages complex coding situations and supports peers through challenging questions.
• Peer reviews records for management to ensure accuracy of information.
• Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
• Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
• Identifies reportable elements, complications, and other procedures.

Qualifications

Education: High School Diploma or Equivalent required or Associate's Degree Medical Billing and Coding preferredCan this role accept experience in lieu of a degree? NoLicenses and Credentials Experience Medical Coding Experience 2-3 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. Strong understanding of coding guidelines, regulations, and industry best practices. Excellent leadership and team management skills, with the ability to motivate and develop coding team members. Strong communication and interpersonal skills to effectively collaborate with healthcare providers, coders, and other stakeholders. Strong problem-solving skills to address coding-related challenges and implement effective solutions. Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.

Additional Job Details (if applicable)

• Remote Type: Remote
• Work Location: 399 Revolution Drive
• Pay Range: $25.50 - $36.49/Hourly
• Grade: 5

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

EEO Statement

0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.