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Coding Specialist Job in Bedford, Massachusetts

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Job Title: Coding Specialist

Required Certifications:CCS,CEDC or other coding specialized credential,CPC
Location:8 Oak Park Drive Bedford 01730, MA, US
Date Posted:8/27/2019


To ensure accurate coding for diagnosis documentation and services provided and evaluate medical records determined as unable-to-code by production coders.

Duties and Responsibilities

1.        Assign ICD-10 diagnosis and CPT procedure codes with accuracy

2.        Uphold accuracy standards/rationales regarding E/M leveling, diagnosis sequencing and procedure selection

3.        Identify error trends in coding and elevate to applicable production management teams

4.        Perform accuracy checks on UAC (Unable to Code) charts to identify non-deficient accounts being held erroneously

5.        Execute follow-up checks in identified problem areas to ensure coder improvement

6.        Manage client scrubbers to address CCI and medical necessity edits

7.        Perform retrospective audits of production team-owned scrubber edit resolutions

8.        Track functionality of coding software as meeting the needs of general coding principles and client specifications

9.        Design client-specific reference materials for procedure notes, tracking codes, and provider assignments

10.     Monitor denials and client inquiries to identify coding issues and address/elevate where applicable

11.     Establish familiarity with components of all chart constructs and identify deficiencies affecting coding

12.     Assemble diagnosis category grouping lists to assist in interdepartmental data analysis

13.     Make ongoing contributions to department-wide FAQ to consolidate ongoing information base

14.     Maintain familiarity with annual industry changes in coding protocol

15.     Complete special projects as assigned

16.     Adhere to the Code of Conduct and be familiar with all compliance policies and procedures stored in LogixGarden relevant to this position


To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.

Education (Degrees, Certificates, Licenses, Etc.)

1.        Bachelor’s degree or equivalent combination of education and experience

2.        Coding certification (CPC, CCS, CEDC or other coding specialized credential) required

Computer Skills

Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.


Three or more years of related experience preferred including working knowledge of ED billing and prior experience with ICD10 and CPT coding.

Specific Job Knowledge, Skill and Ability

1.        Ability to access and accurately enter information using word processing and internet software including Laser Fiche

2.        Ability to work with meticulous attention to detail

3.        Ability to review and complete reports the same day

4.        Ability to continually monitor email communications as they evolve in order to re-prioritize a given day’s work responsibilities as needed

5.        Ability to add, to subtract, multiply and divide in all units of measure; this ability will encompass using whole numbers, common fractions and decimals

6.        Ability to compute rates, ratios and percentages

7.        Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals

8.        Ability to write routine reports and correspondence

9.        Ability to communicate effectively verbally and in writing

10.     Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form

11.     Ability to deal with problems involving several concrete variables in standardized situations

12.     Specific vision abilities required by this job include close vision

13.     Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms



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