Outpatient Coder II - Day Shift, 40h

ummh; Worcester (MA); On-site; USD 54,000 - 78,000; Full time

Benefits offered by this job

Signing bonus available

Job summary

UMass Memorial Health in Worcester, MA seeks a skilled Medical Coder to interpret clinical and diagnostic documentation and assign ICD-CM and CPT codes for outpatient episodes. You will ensure documentation supports codes and assist in optimizing reimbursement.

Responsibilities include conducting audits, maintaining coding accuracy above 95%, and staying current with coding guidelines and payer requirements through ongoing training and collaboration with clinical staff.

Qualifications

• Knowledge of ICD-CM (current edition) and CPT coding systems.
• Familiarity with third-party payer requirements and CMS guidelines.
• Ability to interpret clinical documentation to support coding.

Responsibilities

• Interpret clinical and diagnostic documentation to assign ICD-CM and CPT codes.
• Verify documentation supports codes and modifiers as appropriate.
• Assist in resolving missing or incomplete chart documentation to expedite coding and billing.
• Participate in coding audits and performance improvement initiatives.
• Maintain coding accuracy rate of at least 95% and adhere to department policies.
• Keep up-to-date with coding updates and payer requirements; communicate findings to management.

Skills

ICD-CM coding

CPT coding

Payer requirements

Education

High School diploma

Medical coding certification

AHIMA/AAPC training

CCS/CCS-P certification

Job description

UMass Memorial Health in Worcester, MA seeks a skilled Medical Coder to interpret clinical and diagnostic documentation and assign ICD-CM and CPT codes for outpatient episodes. You will ensure documentation supports codes and assist in optimizing reimbursement.

Responsibilities include conducting audits, maintaining coding accuracy above 95%, and staying current with coding guidelines and payer requirements through ongoing training and collaboration with clinical staff.