Coding Specialist II, Physician Billing

Worcester, MA - USA

Monthly Salary: $ 23 - 39

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

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

Exemption Status:

Non-Exempt

Hiring Range:

$23.24 - $39.28

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:

7am-3:30pm

Shift:

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

Hours:

Cost Center:

99940 - 5446 Professional Billing Coding

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.

Responsible for interpreting medical record data in order to process physician and/or facility charges. Assigns appropriate ICD-CM (current edition) and CPT codes and modifiers as appropriate.

Individual Departments (Emergency Medicine Trauma Center Endoscopy Suite PBCBO HIM etc.) will have unique procedures processes and/or focus so responsibilities and tasks can differ depending on departmental needs. However many of the core tasks required experience and qualifications are similar among all Coding Specialists.

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).

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 ICD-CM (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.

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:$23.24 - $39.28Please note that the final offer may vary within this range based on a candidates experience skills qualifications and internal equity considerations.Schedule Details:M...