Finance & Revenue Cycle Worcester, Massachusetts


Position at UMass Memorial Health

Everyone Is a Caregiver.

At UMass Memorial Health Care, Everyone is a Caregiver regardless of title. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health care system of Central and Western Massachusetts, and a place where we can help you build the career you deserve. We are more than 14,000 employees, working together as one health care system. And everyone, in their own unique way, plays an important part, everyday.

Requisition #: 234095

Title: Coding Specialist I - REMOTE FOR MA RESIDENTS

Location: UMass Memorial Medical Center

Grade: ADM 7

Shift: Days

Status: Non-Exempt

Union: SHARE

Hours: 40

Shift Length: 8

Position Summary:

Interprets clinical and diagnostic documentation in order to process hospital and / or pro-fee charges for episodes of outpatient 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.
  • 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.

Position Qualifications:



  • High School diploma or equivalent
  • Medical coding certification in an industry recognized association (e.g. AAPC, AHIMA.) within one year of entry into this position as a condition of employment.
  • Medical terminology.




  • 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 organize and coordinate multiple functions and tasks.
  • Ability to problem solve, organize and prioritize workload to meet productivity benchmarks.
  • Ability to maintain a positive attitude and professional manner when interacting with team member, management, and other staff members.


  • 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.

Standards of Respect: