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Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills perspectives and ideas we choose to lead. Applications fromprotected veterans and individuals with disabilities are strongly encouraged.
GENERAL SUMMARY/ OVERVIEW STATEMENT: The Coding Specialist II reports to the Coding Manager and is responsible for correct coding of professional services and upholding compliance standards. PRINCIPAL DUTIES AND RESPONSIBILITIES: The Coding Specialist is required to: Perform coding and related duties using established PBO and Coding Services policies in an accurate and timely manner. Review medical documentation and encounter forms and assign CPT ICD9 HCPCS II and modifiers based on documentation and payor requirements. Demonstrate a commitment to integrating coding compliance standards into daily coding practices. Identify correct and report coding problems. Maintain adequate knowledge of coding compliance and reimbursement procedures. Review current literature newsletters payor policy updates and coding manuals. Resolve coding edits and denials in a timely manner. Identify opportunities to reduce denials and enhance revenue. Function as a resource to Coding Specialists PBO employees and external customers. Research and resolve coding inquiries. Make recommendations for coding policy changes. Participate in the encounter form revision process to ensure correct coding standards are met. Performs quality assurance reviews of Coding Specialists and Senior Coding Specialists in areas of expertise. Develop and maintain division specific coding procedures. Complete special projects as assigned by management which require defining problems determining work sequences summarizing findings and implementing required changes. Participate in coding education for providers and coworkers. Maintain coding certification after achieving certification status.Required Experience:
Unclear Seniority
Full-Time