Coding Specialist II, Professional Billing

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Non-Exempt

Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.

Monday through Friday

7am - 3:30pm

40

99940 - 5446 Professional Billing Coding

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.

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.

• 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.
• II. Position Qualifications

Required:

• High School education, plus medical coding certification.

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

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.