Medical Coder- Critical Care
Company: AFS, LLC
Location: New Bedford
Posted on: February 26, 2026
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Job Description:
Job Description Department Description: The Critical Care
Auditor/ Coder position will be working directly with the
Department of Anesthesia, Critical Care and Pain Medicine and will
have the opportunity to work remotely following an initial onsite
training period. The incumbent will be required from time-to-time
to attend billing onsite staff meetings and meetings with the
physicians they support. AFS, LLC is located in Needham Heights,
Massachusetts. Job Location: Virtual Job Summary: Performs
professional certified coding and provides administrative and
project support to the department. Analyzes surgical-medical
documentation, provides the individual surgeon/physician with the
application of appropriate ICD-10/CPT/HCPCS descriptor codes
including the appropriate use of modifiers to ensure compliance for
reimbursement. Essential Responsibilities: Analyzes evaluation and
management, including critical care, procedures and other notes and
documents to determine the scope and complexity of the services
provided. Utilizes professional coding knowledge, applies
ICD10/CPT/HCPCs codes to the services delineated in the operative
note. Reviews documentation and codes to ensure appropriate capture
of all billable services. Provides ongoing feedback and education
to the applicable clinical staff regarding appropriate
documentation and coding of services. Interacts with physicians and
other professional staff on documentation issues related to coding
data. Conducts coding review for medical policy and coding denials,
while continually providing feedback to the department for clinical
documentation improvement. Remains current with any changes in
ICD-10 and CPT-4 coding and remains current with Medicare, federal
insurance and third-party billing compliance regulations. Works
collaboratively with the Executive Director and coding management
to ensure all the division charge tickets are compliant, accurate
and updated annually or as new procedures are added to the
division. Maintains accurate and current codes in the system by
working collaboratively with IS department. Maintains the
department Practice and Procedure manual and updates quarterly with
new or modified practices or procedures. Required Qualifications:
1. High School diploma or GED required. 2. Certificate 1 Certified
Professional Coder required, CPMA preferred. 3. A MINIMUM of 5-7
years related work experience required. 4. Advanced skills with
Microsoft applications which may include Outlook, Word, Excel,
PowerPoint or Access and other web-based applications. May produce
complex documents, perform analysis, and maintain databases.
Competencies: 1. Decision Making: Ability to make decisions that
are guided by precedents, policies and objectives. Regularly makes
decisions and recommendations on issues affecting a department or
functional area. 2. Problem Solving: Ability to address problems
that are varied, requiring analysis or interpretation of the
situation using direct observation, knowledge and skills based on
general precedents. 3. Independence of Action: Ability to follow
precedents and procedures. May set priorities and organize work
within general guidelines. Seeks assistance when confronted with
difficult and/or unpredictable situations. Work progress is
monitored by supervisor/manager. 4. Written Communications: Ability
to summarize and communicate in English moderately complex
information in varied written formats to internal and external
customers. 5. Oral Communications: Ability to comprehend and
communicate complex verbal information in English to medical center
staff, patients, families and external customers. 6. Knowledge:
Ability to demonstrate in-depth knowledge of concepts, practices
and policies with the ability to use them in complex varied
situations. 7. Teamwork: Ability to act as a team leader for small
projects or work groups, creating a collaborative and respectful
team environment and improving workflows. Results may impact the
operations of one or more departments. 8. Customer Service: Ability
to provide a high level of customer service to patients, visitors,
staff and external customers in a professional, service-oriented,
respectful manner using skills in active listening and problem
solving. Ability to remain calm in stressful situations. Physical
Nature of the Job: Sedentary work: Exerting up to 10 pounds of
force occasionally in carrying, lifting, pushing, pulling objects.
Sitting most of the time, with walking and standing required only
occasionally
Keywords: AFS, LLC, Warwick , Medical Coder- Critical Care, IT / Software / Systems , New Bedford, Rhode Island
