UMass Memorial Health
HCC Coding Specialist
UMass Memorial Health, Worcester, Massachusetts, us, 01609
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:7-3:30
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 to determine the appropriate ICD-CM (current edition) codes as defined by official coding guidelines and other recognized reference materials.2. Builds partnerships and work within coding teams and other organization departments critical to HCC coding.3. Reviews coded records for coding quality assurance.4. Verifies documentation is present to substantiate codes assigned.5. Participates in the continuous coding audit and performance management program.
License/Certification/Education:Required:1. High School diploma or equivalent.2. Medical coding training and medical terminology from an accredited program.Recognized programs include:a. American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). Must complete and pass certification program within one year from date of hire.3. Certification(s) as a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC).Experience/Skills:Required:1. Three (3) years of HCC and/or outpatient coding experience.2. Thorough knowledge of risk adjustment payment mythologies3. Thorough knowledge of ICD-CM (current edition) and CPT coding as well as CCI edits4. Thorough knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding and billing practices.
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.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.
#J-18808-Ljbffr
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 - 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 to determine the appropriate ICD-CM (current edition) codes as defined by official coding guidelines and other recognized reference materials.2. Builds partnerships and work within coding teams and other organization departments critical to HCC coding.3. Reviews coded records for coding quality assurance.4. Verifies documentation is present to substantiate codes assigned.5. Participates in the continuous coding audit and performance management program.
License/Certification/Education:Required:1. High School diploma or equivalent.2. Medical coding training and medical terminology from an accredited program.Recognized programs include:a. American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). Must complete and pass certification program within one year from date of hire.3. Certification(s) as a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC).Experience/Skills:Required:1. Three (3) years of HCC and/or outpatient coding experience.2. Thorough knowledge of risk adjustment payment mythologies3. Thorough knowledge of ICD-CM (current edition) and CPT coding as well as CCI edits4. Thorough knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding and billing practices.
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.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.
#J-18808-Ljbffr