Coding Specialist II
Coding Specialist II
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Exemption Status:
NonExemptSchedule Details:
Monday through FridayScheduled Hours:
7:00 a.m. to 3:30 p.m.Shift:
1 Day Shift 8 Hours (United States of America)Hours:
40Cost Center:
Professional Billing CodingUnion:
SHARE (State Healthcare and Research Employees)This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.
Everyone Is a Caregiver
At UMass Memorial Health everyone is a caregiver regardless of their title or responsibilities. Exceptional patient care academic excellence and leadingedge research make UMass Memorial the premier health system of Central Massachusetts and a place where we can help you build the career you deserve. We are more than 16000 employees working together as one health system in a relentless pursuit of healing for our patients community and each other. And everyone in their own unique way plays an important part every day.
I. Major Responsibilities:
1. Performs analysis on medical record documentation to include review of tests/reports and determines appropriate codes as defined by coding guidelines and other recognized reference materials.
2. Abstracts and enters all codes and required demographic information into the UMMHC computer system the hospitals abstracting database or onto encounter forms where necessary.
3. Assists in resolving incomplete and missing chart documentation in order to expedite chart abstraction and billing.
4. May participate in improvement efforts and documentation training for medical and clinical staff as it relates to coding practices and guidelines.
5. May participate in quality assurance and performance measurement reviews and reporting.
6. Informs supervisor when backlog situations arise or necessary documents are either incorrect or are not being received in a timely manner.
7. Alerts management to any coding irregularities or trends contrary to policy/procedure so that corrective measures can be taken.
8. Maintains direct and ongoing communications with other coding and billing personnel to maximize overall effectiveness and efficiency of the operation.
9. Completes patients abstracts mandated by Federal and State regulatory agencies Physician Peer Review and hospital planning for optimal facility utilization (i.e. Determination of Need Quality Assurance research studies and Utilization Review Program).
Standard Staffing Level Responsibilities:
1. Complies with established departmental policies procedures and objectives.
2. Attends variety of meetings conferences seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. Respects diverse views and approaches demonstrates Standards of Respect and contributes to creating and maintaining an environment of professionalism tolerance civility and acceptance toward all employees patients and visitors.
6. Maintains regular reliable and predictable attendance.
7. Performs other similar and related duties as required or directed.
All responsibilities are essential job functions.
II. Position Qualifications:
License/Certification/Education:
Required:
1. High School education plus medical coding certification.
Preferred:
1. Training in medical terminology from an accredited program. Recognized programs include: AHIMA NHA and AAPC.
Experience/Skills:
Required:
1. Three years of medical abstraction and coding experience or related work experience.
2. Knowledge of ICDCM (current edition) and CPT HCPCS coding systems 3rd party payer requirements and federal/state guidelines and regulations pertaining to coding and billing practices.
3. Requires intermediate level computer skills with the ability to use standard office software applications such as Microsoft Office Excel and Word.
4. Requires good interpersonal and communications skills and demonstrates professionalism when working with team members management and other staff members.
Unless certification licensure or registration is required an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.
Departmentspecific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.
III. Physical Demands and Environmental Conditions:
Work is considered sedentary. Position requires work indoors in a normal office environment.
Radiology Coding experience preferred
All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or protected veteran status.
Were striving to make respect a part of everything we do at UMass Memorial Health for our patients our community and each other. Our six Standards of Respect are: Acknowledge Listen Communicate Be Responsive Be a Team Player and Be Kind. If you share these Standards of Respect we hope you will join our team and help us make respect our standard for everyone every day.
As an equal opportunity and affirmative action employer UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race color religion gender sexual orientation national origin age disability gender identity and expression protected veteran status or other status protected by law.
If you are unable to submit an application because of incompatible assistive technology or a disability please contact us at We will make every effort to respond to your request for disability assistance as soon as possible.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
