Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account.
Exemption Status:
Non-Exempt
Schedule Details:
Monday through Friday
Scheduled Hours:
0730 -1600
Shift:
1 - Day Shift, 8 Hours (United States of America)
Hours:
40
Cost Center:
99940 - 5458 Coding Services
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 16,000 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.
I. Major Responsibilities:
1. 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. Based on account type, may assign ICD-PCS codes, as defined by official coding guidelines and other recognized reference materials.
2. Verifies documentation is present to substantiate codes assigned.
3. Assists in resolving incomplete and / or missing chart documentation in order to expedite coding and billing.
4. Participates in the continuous coding audit and performance management program.
5. Keeps current with all coding updates and information related to correct coding.
Position Qualifications:
License/Certification/Education:
Required:
1. High School diploma or equivalent
Preferred:
1. Medical coding certification
2. Training in medical terminology from an accredited program, completing and passing certification program within one year from date of hire. (Recognized programs include: American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC).
3. Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P)
Experience/Skills:
Required:
1. Knowledge of ICD-CM (current edition) and CPT coding systems as well as CCI edits
2. Knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding and billing practices.
Preferred:
1. Three (3) years of medical abstraction and outpatient coding experience or related work experience
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.
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.
We’re 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 talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.
