CODING SPECIALIST II (supporting BWPO Anesthesia - located at 801 Mass Ave.)
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POST DATE 9/1/2016
END DATE 11/13/2016
Massachusetts General Hospital(MGH)
JOB DESCRIPTIONGENERAL SUMMARY/ OVERVIEW STATEMENT:
The Coding Specialist II reports to the Coding Manager and is responsible for correct coding of professional services and upholding compliance standards.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
The Coding Specialist is required to: Perform coding and related duties using established PBO and Coding Services policies in an accurate and timely manner. Review medical documentation and encounter forms and assign CPT, ICD-9, HCPCS II and modifiers based on documentation and payor requirements. Demonstrate a commitment to integrating coding compliance standards into daily coding practices. Identify, correct and report coding problems. Maintain adequate knowledge of coding, compliance and reimbursement procedures. Review current literature, newsletters, payor policy updates and coding manuals. Resolve coding edits and denials in a timely manner. Identify opportunities to reduce denials and enhance revenue. Function as a resource to Coding Specialists, PBO employees and external customers. Research and resolve coding inquiries. Make recommendations for coding policy changes. Participate in the encounter form revision process to ensure correct coding standards are met. Performs quality assurance reviews of Coding Specialists and Senior Coding Specialists in areas of expertise. Develop and maintain division specific coding procedures. Complete special projects as assigned by management which require defining problems, determining work sequences, summarizing findings, and implementing required changes. Participate in coding education for providers and co-workers. Maintain coding certification after achieving certification status.
Coding certificate and three years progressively responsible experience in a healthcare setting using knowledge of third party payers and insurance requirements, experience coding for professional fee services. Completion of a Certified Coding Specialist certificate program or Health Information Technology Program preferred.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Proficient in ICD-9 and CPT-4 coding for professional fee services. Working knowledge of anatomy and physiology, medical terminology and insurance reimbursement policies and regulations. Good written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines are required. Accuracy and attention to detail Proficient with computer applications (MS Office etc), good data entry skills Coding certification required CPC or CCS-P.
WORKING CONDITIONS: Office
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.