RI Charge Capture Coding Specialist REMOTE

Worcester, MA - USA

Monthly Salary: $ 21 - 35

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

Are you a current UMass Memorial Health caregiver Apply now through Workday.

Exemption Status:

Non-Exempt

Hiring Range:

$21.69 - $35.90

Please note that the final offer may vary within this range based on a candidates experience skills qualifications and internal equity considerations.

Schedule Details:

Monday through Friday

Scheduled Hours:

7-3:30

Shift:

1 - Day Shift 10 Hours (United States of America)

Hours:

Cost Center:

99940 - 5452 RI and Charge Capture

Union:

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 leading-edge 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 20000 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.

Position Summary:

Interprets clinical and diagnostic documentation in order to process or pro-fee charges for episodes of outpatient /inpatient care. Assigns appropriate ICD-CM (current edition) and / or CPT codes as well as modifiers as appropriate adhering to official coding guidelines.

Major Responsibilities:

Upon review of the medical record performs analysis on documentation which includes review of tests / reports to determine the appropriate ICD-CM (current edition) and / or CPT codes as well as modifiers as defined by official coding guidelines and other recognized reference materials ie Optum Encoder CCI edits leveling etc. Verifies documentation is present to substantiate codes assigned. Assists in resolving incomplete and / or missing chart documentation in order to expedite coding and billing. Participates in the continuous coding audit and performance management program. Maintains coding accuracy rate of not less than 95% for optimal reimbursement as well as department productivity standards as outlined in department policies. Attends required training classes and coding in-services each year to stay abreast of new regulations and coding guidelines. Participates in improvement efforts and documentation training for medical and clinical staff as it relates to coding practices and guidelines. Communicates to Manager when backlog situations arise or necessary documents are either incorrect or are not being received in a timely manner. Refers all unusual questionable situations to the direct Supervisor/Manager. Alerts management to any coding irregularities or trends contrary to policies / procedures so corrective measures may be taken. Adheres to the coding and billing regulations established by the American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS). Maintains direct and ongoing communications with other coding personnel to maximize overall effectiveness and efficiency of the operation. Keeps current with all coding updates and information related to correct coding.

Standard Staffing Level Responsibilities:

Complies with established departmental policies procedures and objectives. Attends variety of meetings conferences seminars as required or directed. Demonstrates use of Quality Improvement in daily operations. Complies with all health and safety regulations and requirements. Respects diverse views and approaches and contributes in maintaining an environment of professionalism tolerance civility and acceptance toward all employees patients and visitors. Maintains regular reliable and predictable attendance. Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

Position Qualifications:

License/Certification/Education:

Required:

High School diploma or equivalent Successful completion of a Medical Billing and Coding Program. Coding Certification in Professional Coding or must be obtained within 6 months of acceptance as a condition of employment. Medical terminology.

Experience/Skills:

Required:

Knowledge of ICD-CM (current edition) and CPT coding systems as well as CCI edits. Knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding and billing practices. Good interpersonal and communications skills and demonstrates professionalism Good customer service skills with the ability to communicate efficiently. Good organizational skills with attention to detail. Ability to work independently within established guidelines. Ability to problem solve organize and prioritize workload to meet productivity benchmarks.

Preferred:

One (1) year of medical abstraction and outpatient coding experience or related work experience.

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:

Are you a current UMass Memorial Health caregiver Apply now through Workday.Exemption Status:Non-ExemptHiring Range:$21.69 - $35.90Please note that the final offer may vary within this range based on a candidates experience skills qualifications and internal equity considerations.Schedule Details:M...

Are you a current UMass Memorial Health caregiver Apply now through Workday.

Exemption Status:

Non-Exempt

Hiring Range:

$21.69 - $35.90

Please note that the final offer may vary within this range based on a candidates experience skills qualifications and internal equity considerations.

Schedule Details:

Monday through Friday

Scheduled Hours:

7-3:30

Shift:

1 - Day Shift 10 Hours (United States of America)

Hours:

Cost Center:

99940 - 5452 RI and Charge Capture

Union:

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

Position Summary:

Major Responsibilities:

Standard Staffing Level Responsibilities:

All responsibilities are essential job functions.

Position Qualifications:

License/Certification/Education:

Required:

Experience/Skills:

Required:

Preferred:

One (1) year of medical abstraction and outpatient coding experience or related work experience.

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.