Responsible for reviewing patient medical records after a visit and translating the information into codes used by insurers to process claims. The role confirms treatments with medical staff, identifies missing information, submits information for reimbursement, and participates in peer review to help maintain accuracy and timeliness standards.
The position evaluates medical record documentation and coding to ensure outpatient services are accurately supported and compliant with legal standards and guidelines. It also addresses complex coding questions, supports peers, and helps resolve documentation issues.
High school diploma or equivalent required; associate's degree in Medical Billing and Coding preferred.
Medical coding experience: 2–3 years required.
Must have in-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
Should also have:
- Strong understanding of coding guidelines, regulations, and industry best practices
- Excellent communication and interpersonal skills
- Strong problem-solving skills
- Ability to work independently, prioritize tasks, and meet deadlines
- Leadership and team support skills
- Ability to review records, audit documentation, and resolve complex coding issues
Comprehensive benefits Career advancement opportunities Differentials, premiums, and bonuses as applicable Recognition programs
Location
Massachusetts, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
2 months ago