Coding Specialist III, Anesthesia
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Job Location:
Somerville, NJ - USA
Hourly Salary:
$ 25 - 36
Posted on:
8 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
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. Participates in peer review to ensure accuracy and timeliness standards are maintained. Resolve complex coding questions that arise from team.
Does this position require Patient Care No
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 outpatient 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 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.
-Manages complex coding situations and supports peers through challenging questions.
-Peer reviews records for management to ensure accuracy of information.
-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
Experience
Medical Coding Experience 3-5 years required.
Knowledge Skills and Abilities
- In-depth knowledge of medical coding systems including ICD-10 CPT and HCPCS and their application in hospital billing.
- Strong understanding of coding guidelines regulations and industry best practices.
- Excellent leadership and team management skills with the ability to motivate and develop coding team members.
- Strong communication and interpersonal skills to effectively collaborate with healthcare providers coders and other stakeholders.
- Strong problem-solving skills to address coding-related challenges and implement effective solutions.
- Ability to work independently prioritize tasks and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
This role will be coding for Anesthesia Pain Management (inpatient and ambulatory) and Chronic Pain Management.
E&M services as well.
Seeking candidates with Epic experience.
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$25.50 - $36.49/HourlyGrade
5EEO 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
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.
