Mass General Brigham

About UsWith energy and purpose, Cooley Dickinson Health Care, an affiliate of Mass General Brigham, is advancing health care in western Massachusetts. With a broad network of providers and facilities serving the Pioneer Valley, our services span a spectrum of medical and surgical needs, diagnostic care, rehabilitation, social work, behavioral health, and other critical needs of the community.The Cooley Dickinson culture is built on living the values of our organization. Every employee is valued, no matter what professional function. Come work where you can make a difference every day, with opportunities for growth and development, in a great place to call home!The OpportunityWe are seeking a full-time, 40-hour Clinical Coding Auditor to support Cooley Dickinson Medical Group in a 100% remote capacity. Focused on compliance and coding, the Auditor is responsible for the usage of the most accurate codes for reimbursement purposes, statistical analysis outcomes, and financial and...

GENERAL SUMMARY/ OVERVIEW STATEMENT: The Coding Specialist reports to the Coding Manager and isresponsible for correct coding of professional services and upholding compliancestandards.PRINCIPAL DUTIES AND RESPONSIBILITIES: The Coding Specialist I isrequired to:§ Perform coding and related duties using establishedProfessional Billing Office and Coding Services policies in an accurate andtimely manner. Review medicaldocumentation and system generated charges or paper encounter forms. Appropriately assign CPT®, ICD-9/ICD-10,HCPCS II, and modifiers based on documentation and payor requirements. § Demonstrate a commitment to integrating codingcompliance standards into daily coding practices. Identify, correct and report codingproblems. § Maintain current knowledge of coding, compliance andreimbursement procedures. Review currentliterature, newsletters, payor policy updates and coding manuals.§ Resolve coding edits and denials in a timelymanner. Identify opportunities to reducedenials...