Coding Specialist II

Finance & Revenue Cycle Worcester, Massachusetts


Description

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 #: 220618

Title: Coding Specialist II

Location: UMass Memorial Medical Center

Grade: ADM8 

Posting Date: October 28, 2021

Shift: Days

Status: Non-Exempt

Union: SHARE

Hours: 40

Shift Length: 8

 

Position Summary:

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.

Major Responsibilities:

  • 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.
  • Abstracts and enters all codes and required demographic information into the UMMHC computer system, the hospital’s abstracting database, or onto encounter forms, where necessary.
  • Assists in resolving incomplete and missing chart documentation in order to expedite chart abstraction and billing.
  • May participate in improvement efforts and documentation training for medical and clinical staff as it relates to coding practices and guidelines.
  • May participate in quality assurance and performance measurement reviews and reporting.

Position Qualifications:

License/Certification/Education:

Required:

  • High School education, plus medical coding certification.

Preferred:

  • Training in medical terminology from an accredited program. Recognized programs include: AHIMA, NHA, and AAPC.

Experience/Skills:

Required:

  • Three years of medical abstraction and coding experience or related work experience.
  • 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.
  • Requires intermediate level computer skills with the ability to use standard office software applications, such as Microsoft Office Excel and Word.
  • 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.

Standards of Respect: