Revenue Cycle - Medical Coder ASC at Shields Health Solutions

Quincy, Massachusetts, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Apr, 26

Salary

34.0

Posted On

04 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

ICD-10 Coding, CPT Coding, HCPCS Coding, Medical Billing, Account Adjudication, Clinical Documentation, Surgical Services, Compliance, Reimbursement, Modifier Usage, Attention to Detail, Team Collaboration, Problem Solving, Professionalism, Flexibility, Communication

Industry

Hospitals and Health Care

Description

Job Summary: Shields Health Care Group is an independent, Massachusetts-based medical service provider with a national reputation for blending exceptional customer service with superior technology. Patients, partners and colleagues define our 30 + years of quality diagnostic services as a true mark of successful teamwork. Known for our advanced diagnostic imaging, we are a sought after provider – not only because of our technology but also because of our teamwork and tremendous opportunities for professional growth. The Medical Coder will accurately assign ICD-10 diagnosis codes and review CPT/HCPCS surgical procedure codes for accuracy, compliance, and proper reimbursement within the Ambulatory Surgical Center (ASC) setting. This role supports the ASC revenue cycle by ensuring compliant coding of surgical services and related procedures. The hours for this role are Monday-Friday, 7:30am-4pm Job Description: What you will do: Use available resources, including operative reports, clinical documentation, and coding guidelines, to obtain and assign the most accurate diagnosis. Perform account adjudication, including verifying applied adjustments, resolving coding-related edits, and designating the appropriate next payer to bill. Complete all tasks associated with daily coding correspondence and documentation review in an accurate and timely manner. Enter and transact charges using appropriate ICD-10, CPT, and HCPCS codes specific to ASC surgical services, ensuring correct modifier usage (e.g., 59, 51, RT/LT, 73/74). Keep management informed of any issues, trends, or conditions that could impact department operations, reimbursement, compliance, or patient flow. Support managers and team members as needed, demonstrating professionalism, respect, collaboration, and flexibility in a fast-paced ASC environment. What you will need: High School diploma, Certification in medical coding required (e.g., CPC, COSC, CGSC, CCS, or equivalent). Minimum of two years of medical billing/coding experience, preferably in an ambulatory surgical center or surgical specialty practice. Minimum of two years of medical billing/coding experience, preferably in an ambulatory surgical center or surgical specialty practice. Ability to focus on detailed clinical documentation with accuracy and consistency. Additional Job Description: Pay range for this position is $18-$34/hr + benefits. Individual pay is based on skills, experience, and other relevant factors. It is not intended that this Job Description include all details of the work functions of this position. The incumbent will perform work of a lower or equivalent classification as required or directed, and work of higher classification for training and development purposes or as situationally warranted. Shields Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Shields Health is an independent, Massachusetts-based leader in healthcare services, known for blending exceptional patient care with cutting-edge technology. With over 50 years of proven success, we’re proud to be one of the most sought-after names in the industry. At Shields, we don’t just deliver high-quality diagnostic imaging – we foster a culture of belonging and inclusivity, where every individual is valued. We offer unmatched career growth, a collaborative and supportive work environment, and exciting opportunities to learn, innovate, and thrive together. Our employees take enormous pride in delivering the best quality services with enthusiasm, commitment, and compassion. Ours is a family-owned and operated business, committed to playing a leading role in the continued advancement of medical imaging, but grounded in the same family values of caring and support – which we practice internally as well as with our patients.

Responsibilities

The Medical Coder will accurately assign ICD-10 diagnosis codes and review CPT/HCPCS surgical procedure codes for compliance and reimbursement. This role supports the ASC revenue cycle by ensuring compliant coding of surgical services and related procedures.