Revenue Cycle - Medical Coder ASC

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.