Coding Specialist III- remote

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Exemption Status : Non-Exempt

Hiring Range : $25.83 - $43.91

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 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 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) CPT codes and modifiers as appropriate. Coordinates and performs work of assigned Coding Specialists and monitors progress and work quality. Trains employees provides employee performance data and fosters process improvements.

I. Major Responsibilities :

1. Distributes and monitors the flow of work for coding staff. Provides training and technical assistance to employees within the assigned work area. Assists supervisor in ensuring that assigned employees are provided with appropriate resources materials and methods. Provides recommendations to manager or supervisor for the most efficient utilization of assigned personnel. Relays work instruction from the supervisor. Reviews coded records for coding quality assurance. Provides instruction and feedback to coding staff regarding proper coding assignment as necessary.

2. Acts as a point person / department resource for special projects / programs and responds to coding related questions and issues.

3. Assists in MD Resident and Nursing documentation reviews audits and educational sessions as applicable.

4. 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.

5. Abstracts and enters all codes and required demographic information into the UMMHC computer system and / or onto encounter forms.

6. Assists in resolving incomplete and missing chart documentation in order to expedite chart abstraction and billing.

7. Participates in improvement efforts and documentation training for medical and clinical staff as it relates to coding practices and guidelines.

8. Participates in quality assurance and performance measurement reviews and reporting.

9. Communicates to supervisor when backlog situations arise or necessary documents are either incorrect or are not being received in a timely manner.

10. Informs management of any coding irregularities or trends contrary to policy or procedure and communicates with clinical staff if necessary and appropriate.

11. Maintains direct and ongoing communications with other coding and billing personnel to maximize overall effectiveness and efficiency of the operation.

Standard Staffing Level Responsibilities :

1. Complies with established departmental policies procedures and objectives.

2. Attends variety of meetings conferences seminars as required or directed.

3. Demonstrates use of Quality Improvement in daily operations.

4. Complies with all health and safety regulations and requirements.

5. Respects diverse views and approaches demonstrates Standards of Respect and contributes to creating and maintaining an environment of professionalism tolerance civility and acceptance toward all employees patients and visitors.

6. Maintains regular reliable and predictable attendance.

7. Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

II. Position Qualifications :

License / Certification / Education :

Required :

1. High School education plus medical coding certification and training in medical terminology from an accredited program. Recognized programs include : AHIMA NHA and AAPC.

Experience / Skills :

Required :

1. Five 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. The ability to lead organize and support the work of less senior Coding Specialists is a primary function of this position.

4. Requires good interpersonal and communications skills and maintains a professional manner when working with team members management and other staff members.

5. Requires intermediate level computer skills with the ability to use standard office software applications such as Microsoft Office Excel and Word.

Unless certification licensure or registration is required an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.

III. Physical Demands and Environmental Conditions :

Work is considered sedentary. Position requires work indoors in a normal office environment.

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 :

IC

Key Skills

Sales Experience,Crane,Customer Service,Communication skills,Heavy Equipment Operation,Microsoft Word,Case Management,OSHA,Team Management,Catheterization,Microsoft Outlook Calendar,EHS

Employment Type : Full-Time

Experience : years

Vacancy : 1

Monthly Salary Salary : 25 - 43