Coding Specialist III

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 ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations.

Essential Functions

• Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
• Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
• Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
• Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
• Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
• Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
• Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.

Qualifications
Education

• High School Diploma or Equivalent required
• Associate's Degree Medical Billing and Coding preferred

Licenses and Credentials

• Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred

Experience

• Medical Coding Experience 3-5 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.
• Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
• Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
• Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
• Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
• Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.

Additional Job Details (if Applicable)
Remote Type
Remote

Work Location
399 Revolution Drive

Scheduled Weekly Hours
40

Employee Type
Regular

Work Shift
Day (United States of America)

Pay Range
$ $31.08/Hourly

Grade
4

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. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

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

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.