Medical Coding Specialist

6 days ago


Westborough, Massachusetts, United States Westborough Behavioral Healthcare Hospital Full time
Job Title: Medical Office CoderJob Summary:

The Medical Coder plays a crucial role in ensuring the accuracy and precision of medical documentation, adhering to legal requirements and industry standards. This position involves conducting audits and coding reviews, assigning and sequencing codes for services rendered, and collaborating with the business office to ensure timely bill satisfaction.

Key Responsibilities:
  • Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.
  • Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission.
  • Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims.
  • Adhere to coding policies and procedures consistent with industry standard guidelines for CPT, ICD-9, and ICD-10.
Requirements:
  • High School degree required.
  • Associate's Degree or Certificate in Medical Coding/CPC required.
  • Knowledge of medical terminology, basic and advanced ICD-9-CM coding, anatomy and physiology, computer data entry, and medical law, privacy, and ethics.
  • Knowledge of CMS rules and regulations and current coding resources.
  • Knowledge of Healthcare Common Procedure Coding Systems (HCPCS), Current Procedural Terminology (CPT) coding, and healthcare reimbursement methods.
About Westborough Behavioral Healthcare Hospital:

Westborough Behavioral Healthcare Hospital provides psychiatric stabilization diagnosis treatments for Children, Special Needs, and Adult populations in both inpatient and outpatient settings. Our goal is to ensure patients and their loved ones feel comfortable and are well-informed regarding treatment options.

We are conveniently located near the intersection of Route 495 and Route 9, operating 24/7 with multiple shifts available.



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