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auditing cpt hcpcs icd-10-cm e/m guidelines📋 Description
- Review and enhance coding across service lines
- Validate model-generated CPT, ICD-10-CM, HCPCS, and E/M codes
- Collaborate with ML, Product, and Customer Implementations teams
- Annotate data to support model training
- Identify coding gaps and improve accuracy
- Explain coding decisions to internal and external stakeholders
🎯 Requirements
- AHIMA or AAPC credential (3+ years Level II; 5+ years Level III)
- 3-5 years (Level II) or 5+ years (Level III) coding and auditing
- Strong CPT, ICD-10-CM, HCPCS, modifiers, and 2023 E/M guidelines
- Experience in Surgery, Endoscopy, Hospitalist, Cardiology, or Emergency coding
- Ability to interpret clinical documentation and identify gaps
- Excellent communication and ability to translate guidelines to non-clinical teams
🎁 Benefits
- Health insurance with medical and dental coverage (80% covered)
- 401(k) plan with employer contributions after first day
- Generous Paid Time Off
- 7-week onboarding program
- Annual performance evaluations and growth opportunities
- Boston Back Bay office location
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