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This a remote position. This role will be coding for pathology.
Job Summary
Summary:
Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff identifying missing information and submitting information to insurers for reimbursement.
Does this position require Patient Care No
Essential Functions: Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and to ensure that data complies with legal standards and guidelines.
-Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10 and CPT codes.
-Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation ambiguous or nonspecific documentation and/or codes that do not conform to approved coding principles/guidelines.
-Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
-Researches analyzes recommends and facilitates plan of action to correct discrepancies and prevent future coding errors.
-Identifies reportable elements complications and other procedures.
EducationHigh School Diploma or Equivalent required and Associates Degree Finance preferredCan this role accept experience in lieu of a degreeNoLicenses and CredentialsCertified Professional Coder - American Academy of Professional Coders (AAPC) preferredExperiencemedical coding experience 0-1 year preferredKnowledge Skills and Abilities- Proficiency in ICD-10 CPT HCPCS and modifiers for coding of professional fee services. - Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines are required. - Ability to research and analyze data draw conclusions and resolve issues; read interpret and apply policies procedures laws and regulations. - Proficient with computer applications (MS Office etc.) Excellent data entry skills.
Additional Job Details (if applicable)
Remote
399 Revolution Drive
0
Per Diem
Rotating (United States of America)
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 Veterans 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 .
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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.