Surgical Coding Specialist I (CPC/CCS-P) | Epic Pro

South Shore Health; Hull (MA); On-site; USD 60,000 - 90,000; Full time

Job summary

South Shore Health System seeks a Professional Surgical Coder I to accurately assign ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. You will review documentation, identify gaps, and query providers to ensure compliant, timely coding and optimal reimbursement.

Responsibilities include collaborating with physicians and leadership, supporting documentation improvement, and adhering to AHIMA standards while meeting quality and productivity targets.

Qualifications

• Equivalent to an Associate's Degree in Medical Information Technology with medical terminology coursework.
• Two to three years in a surgical practice preferred.
• CPC or CCS-P certification required.

Responsibilities

• Analyzes patient records and assigns ICD-10-CM and CPT codes with accuracy.
• Identifies complications or comorbidities and applies sequencing guidelines.
• Assesses documentation for support of procedures/diagnoses and clarifies with providers.
• Answers coding queries and assists with claims appeals as needed.
• Stays current with coding developments and attends training.
• Collaborates with team to drive process improvements.
• Assists in responses to billing review requests.
• Adheres to AHIMA Standards of Ethical Coding.
• Meets coding, quality and productivity standards.
• Ensures compliance with applicable laws and hospital policies.

Skills

computer skills

data entry

analytical skills

Education

Associate's Degree in Medical Information Technology

Tools

Epic

Job description

South Shore Health System seeks a Professional Surgical Coder I to accurately assign ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. You will review documentation, identify gaps, and query providers to ensure compliant, timely coding and optimal reimbursement.

Responsibilities include collaborating with physicians and leadership, supporting documentation improvement, and adhering to AHIMA standards while meeting quality and productivity targets.