UMass Memorial Health is hiring a Coder-Outpatient II-SHARE-REMOTE

UMass Memorial Health is hiring a Coder-Outpatient II to join our team. In this role, you will interpret clinical and diagnostic documentation to process charges for outpatient care, assigning appropriate ICD-CM and CPT codes and modifiers while adhering to official guidelines. You'll contribute to our mission of exceptional patient care and healing as part of a system where everyone is a caregiver.

What You'll Do

• Perform analysis on medical record documentation to determine appropriate ICD-CM and CPT codes and modifiers.
• Verify documentation is present to substantiate assigned codes.
• Assist in resolving incomplete or missing chart documentation to expedite coding and billing.
• Participate in a continuous coding audit and performance management program.
• Maintain a coding accuracy rate of not less than 95% and meet department productivity standards.
• Attend required training classes and coding in-services annually to stay abreast of new regulations.
• Participate in improvement efforts and documentation training for medical and clinical staff.
• Communicate with the Manager when backlog situations arise or documents are incorrect or delayed.
• Refer unusual or questionable situations to the direct Manager.
• Alert management to any coding irregularities or trends contrary to policies and procedures.
• Adhere to coding and billing regulations established by AHA, AMA, and CMS.
• Maintain direct and ongoing communications with other coding personnel.
• Keep current with all coding updates and information related to correct coding.
• Comply with established departmental policies, procedures, and objectives.
• Attend meetings, conferences, and seminars as required.
• Demonstrate use of Quality Improvement in daily operations.
• Comply with all health and safety regulations.
• Respect diverse views and approaches, contributing to a professional environment.
• Maintain regular, reliable, and predictable attendance.

What We're Looking For

• High School diploma or equivalent.
• Knowledge of ICD-CM (current edition) and CPT coding systems as well as CCI edits.
• Knowledge of third-party payer requirements and federal/state guidelines for coding and billing.
• Good interpersonal and communication skills demonstrating professionalism.
• Good customer service skills with the ability to communicate efficiently.
• Good organizational skills with attention to detail.
• Ability to work independently within established guidelines.
• Ability to organize and coordinate multiple functions and tasks.
• Ability to problem solve, organize, and prioritize workload to meet productivity benchmarks.
• Ability to withstand a significant level of ongoing pressure and deal with individuals with tact, discretion, and diplomacy.

Nice to Have

• Medical coding certification.
• Training in medical terminology from an accredited program, with completion and passing of a certification program within one year from date of hire.
• Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P).
• Three (3) years of medical abstraction and outpatient coding experience or related work experience.

Benefits & Compensation

• Compensation range: $23.81 - $40.14 per hour.
• This position may have a signing bonus available.

Work Mode

This is a fully remote position.

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.