Coding Specialist II, Professional Billing

## Coding Specialist II, Professional Billing Apply:
Remote Caregivers (Primarily Remote):
Worcester, MA Worcester Business Center:
Full time:
Posted 30+ Days Ago:
R# Are you a current UMass Memorial Health caregiver? Apply now through Workday.# #
** Exemption Status:
** Non-Exempt
** Hiring Range:**$23.81 - $35.08

Please note that the final offer may vary within this range based on a candidate’s
** experience, skills, qualifications, and internal equity considerations**.
** Schedule Details:
** Monday through Friday
** Scheduled

Hours:

** 7 - 3:30
** Shift:
** 1 - Day Shift, 8 Hours (United States of America)
*
* Hours:

** 40
* * 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 20,000 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 hospital’s 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 patient’s 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…