Coding Specialist III
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Job Location:
Somerville, NJ - USA
Hourly Salary:
$ 21 - 31
Posted on:
21 days ago
Vacancies:
1 Vacancy
Job Summary
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff identifying missing information and submitting information to insurers for reimbursement.Essential Functions
-Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support inpatient visits and to ensure that data complies with legal standards and guidelines.
-Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes.
-Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation ambiguous or nonspecific documentation and/or codes that do not conform to approved coding principles/guidelines.
-Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
-Researches analyzes recommends and facilitates plan of action to correct discrepancies and prevent future coding errors.
-Identifies reportable elements complications and other procedures.
Qualifications
Education
High School Diploma or Equivalent required
Associates Degree Finance preferred
Licenses and Credentials
Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred
Experience
Medical coding experience 0-1 year preferred
Knowledge Skills and Abilities
Proficiency in ICD-10 CPT HCPCS and modifiers for coding of professional fee services.
Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines are required.
Ability to research and analyze data draw conclusions and resolve issues; read interpret and apply policies procedures laws and regulations.
Proficient with computer applications (MS Office etc.) Excellent data entry skills.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$21.78 - $31.08/HourlyGrade
4EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
