Surgical Coder, Remote

Mass General Brigham; Somerville (MA); Remote; USD 35,000 - 50,000; Full time

Job summary

Mass General Brigham seeks a Medical Coder to review patient records after visits and translate clinical details into ICD-10-CM/HCPCS codes for insurer reimbursement.

You will confirm treatments with staff, identify missing information, and submit coding data to insurers while ensuring accuracy and timeliness. The role includes auditing and peer reviews to uphold coding standards and compliant billing practices.

Qualifications

• Knowledge of ICD-10-CM, CPT, and HCPCS and their application to outpatient/hospital billing.
• 2–3 years of medical coding experience.
• Education: HS diploma or equivalent; associate degree preferred.

Responsibilities

• Review patient records after visits and translate information into ICD-9-CM/CPT codes.
• Confirm treatments with medical staff and identify missing information.
• Submit information to insurers for reimbursement and perform peer reviews for accuracy.

Skills

ICD-10 knowledge

CPT knowledge

HCPCS knowledge

Leadership

Timely communication

Education

High School Diploma or equivalent

Associate's Degree in Medical Billing and Coding

Job description

Site: Mass General Brigham Incorporated Mass 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.
• Does this position require Patient Care? No

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 preferred

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

Licenses 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)

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

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.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Combat disease. Hold a hand. Help people. Impact the world.

Mass General Brigham is a passionate, welcoming community where minds meet caring hearts. Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives. Are you ready? Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence.