Interprets a wide variety of clinical and diagnostic documentation to process hospital and/or professional charges for outpatient care. Assigns appropriate ICD-CM, CPT, and modifiers, and may assign ICD-PCS codes when applicable based on account type and official coding guidelines.
Responsibilities
- Review medical records, tests, and reports to assign ICD-CM, CPT, modifiers, and when applicable ICD-PCS codes.
- Verify documentation supports all assigned codes.
- Resolve incomplete or missing chart documentation to expedite coding and billing.
- Participate in coding audits and performance management.
- Maintain a coding accuracy rate of at least 95% and meet productivity standards.
- Attend required training and coding in-services annually.
- Support documentation improvement efforts and staff education related to coding practices.
- Communicate backlog issues, missing documents, and unusual situations to management.
- Report coding irregularities and trends that may require corrective action.
- Follow AHA, AMA, and CMS coding and billing regulations.
- Maintain effective communication with other coding staff and stay current on coding updates.
Work Schedule
- Monday through Friday
- 7:00 AM to 3:30 PM
- Day shift, 8 hours
- 40 hours per week
Additional Information
- Non-exempt position
- Signing bonus may be available, subject to eligibility
Requirements & Qualifications
Required
- High school diploma or equivalent
- Knowledge of ICD-CM, CPT coding systems, and CCI edits
- Knowledge of third-party payer requirements and federal/state coding and billing regulations
- Strong interpersonal, communication, organizational, and customer service skills
- Ability to work independently within established guidelines
- Ability to organize, coordinate, prioritize, and problem-solve multiple tasks
- Ability to work under pressure with tact, discretion, and diplomacy
Preferred
- Medical coding certification
- Training in medical terminology from an accredited program, with certification completed within one year of hire
- CCS or CCS-P certification
- Three years of medical abstraction and outpatient coding experience or related work experience
- Experience with emergency medicine coding and evaluation and management coding
Benefits & Perks
Potential Perks
- Signing bonus may be available, subject to interview eligibility
Location
Massachusetts, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago
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