Clinical Coding Specialist

Found in: Lensa US P 2 C2 - 2 weeks ago

Concord, United States Emerson Hospital Full time

Clinical Coding Specialist (EPA) Job Ref:

29074

Category:

Revenue Cycle

Location:

Emerson Hospital, 133 Old Road to Nine Acre Corner, Concord, MA 01742

Department:

Managed Care

Schedule:

Part Time

Shift:

Day shift

Hours:

8:30am-5pm

Under general supervision and reporting to the Executive Director of Revenue Cycle, the Clinical Coding Specialist codes, reviews and reconciles professional clinician charges for hospital-based services using International Classification of Disease 10-Clinical Modifications (ICD-10CM) and Current Procedure Terminology (CPT) coding methodology in accordance with official coding and reimbursement guidelines. Abstracts all data elements into the Medaptus for billing and statistical purposes. Maintains current working knowledge with all coding rules and regulations. Minimum Qualifications: Education:

High School diploma or equivalent preferred. Associate or bachelor's degree in an AHIMA or AAPC approved program preferred. Experience: Completion of a Coding Certification program or Health Information Technology Program required. Experience in coding, billing, and knowledge of insurance reimbursement policies and regulations or equivalent experience is preferred but not required if one has completed a Coding Certificate or Health Technology Program. Licensure and/or Certification: Coding Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) is required. Certification may include CPC, CPC-H, CCS, CCS-P. Skills: Proficient in ICD-10, CPT, HCPCS, and modifiers for coding of professional fee services. Working knowledge of anatomy and physiology, medical terminology and insurance reimbursement policies and regulations. Excellent 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 Working knowledge of medical terminology, anatomy and physiology, and disease processes. Understanding of Federal, State and payer-specific regulations and policies pertaining to documentation, coding, and billing. Ability to read and interpret regulatory guidelines regarding proper coding and documentation. Strong computer skills to include MS Office tools (Word, Excel, PowerPoint, and Outlook). Meditech and Medaptus experience preferred. Extensive use of computer and office equipment including fax, copy machines, scanners. Technical skills to work with detailed systems, computer applications and intradepartmental units. Knowledge of JCAHO requirements and federal and state guidelines applicable to health record completeness and patient privacy. Knowledge of health information systems and data management Knowledge of health record content and sequence. Strong analytical and communications skills; detailed oriented. Ability to accept constructive analysis based on feedback from inside/outside auditors, and quality improvement initiatives. Ability to use judgment in carrying out all phases of the work. Ability to maintain confidentiality regarding all phases of the work. Ability to be courteous, tactful, and cooperative throughout the working day. Ability to process and provide accurate paperwork. Ability to process work within presented deadlines and time frames. Ability to manage multiple projects and large amounts of data. Ability to work independently as well as a team player. Demonstrated interpersonal and communications skills to ensure effective outcomes in dealing with the medical staff and other hospital employees.

#J-18808-Ljbffr

  • Coding Specialist

    4 days ago

    Concord, United States Balance Health Full time

    Job DescriptionJob DescriptionDescription:Under supervision of the RCM Billing & Coding Manager serve as a Coding Specialist (coder), responsible for reviewing claims activity for proper coding in the revenue cycle billing and claims functions. This position may be required to travel to the practices within the Balance Health Network. This is a remote...

  • Clinical Documentation Specialist

    3 days ago

    Concord, United States Emerson Hospital Full time

    Reporting to the Director of Medical Records the Clinical Documentation Specialists facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation for the purposes of ensuring compliance with Medicare and Medicaid (CMS) regulations and guidelines and to expedite appropriate reimbursement. Utilizes both clinical and...

  • Clinical Documentation Specialist

    3 days ago

    Concord, United States Emerson Hospital Full time

    Reporting to the Director of Medical Records the Clinical Documentation Specialists facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation for the purposes of ensuring compliance with Medicare and Medicaid (CMS) regulations and guidelines and to expedite appropriate reimbursement. Utilizes both clinical and...

  • Clinical Documentation Specialist

    4 days ago

    Concord, United States Emerson Hospital Full time

    Job DescriptionJob DescriptionReporting to the Director of Medical Records the Clinical Documentation Specialists facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation for the purposes of ensuring compliance with Medicare and Medicaid (CMS) regulations and guidelines and to expedite appropriate...

  • Clinical Documentation Specialist

    5 days ago

    Concord, United States Emerson Hospital Full time

    Reporting to the Director of Medical Records the Clinical Documentation Specialists facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation for the purposes of ensuring compliance with Medicare and Medicaid (CMS) regulations and guidelines and to expedite appropriate reimbursement.  Utilizes both clinical...

  • Clinical Documentation Specialist

    2 days ago

    Concord, United States Emerson Hospital Full time

    Reporting to the Director of Medical Records the Clinical Documentation Specialists facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation for the purposes of ensuring compliance with Medicare and Medicaid (CMS) regulations and guidelines and to expedite appropriate reimbursement.  Utilizes both clinical...

  • Clinical Documentation Specialist

    2 days ago

    Concord, United States Emerson Hospital Full time

    Reporting to the Director of Medical Records the Clinical Documentation Specialists facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation for the purposes of ensuring compliance with Medicare and Medicaid (CMS) regulations and guidelines and to expedite appropriate reimbursement.  Utilizes both clinical...

  • Billing Specialist

    3 weeks ago

    Concord, United States Cabarrus Rowan Community Health Centers Full time

    Job DescriptionJob DescriptionSalary: Summary of Position Under the direct supervision of the Billing Manager, the billing specialist is responsible for timely and accurate billing of all medical, dental, and behavioral health claims, insurance information, patient charges and payments. The Billing Specialist will work on a team in various aspects of...

  • Clinical Assistant- Concord

    3 weeks ago

    Concord, United States ABLE Kids Services Full time

    Job DescriptionJob DescriptionAre you passionate about making a profound impact on the lives of individuals with autism? Do you have a strong desire to support positive behavior change and empower individuals to reach their full potential? If so, we have an exciting opportunity for you to join our team as a Clinical Assistant.We provide a competitive hourly...

  • Partnership Development Specialist

    Found in: Resume Library US A2 - 4 days ago

    Concord, California, United States Unitek Learning Full time

    Job Description We are looking for a Partnership Development Specialist to join our team due to growth. We are seeking a candidate to travel between Concord and Fremont campuses.  The Partnership Development Specialist acquires clinical contracts and educational partnership opportunities for students for all Nursing Programs. Responsible for building...

  • Provider Enrollment Specialist

    3 days ago

    Concord, United States Eventus WholeHealth Full time

    Position Summary:We're seeking a talentedProvider Enrollment Specialist to manage initial and ongoing credentialing needs for providers inConcord, NC. In this role, the Credentialing Assistant will communicate effectively with patients, facilities, care team advocates, care team coordinators and providers to ensure the patients' needs are being met in...

  • Pediatric Endocrinology and Diabetes Specialist Locums Job in North Carolina 2024 Coverage

    Found in: beBee S US - 7 days ago

    Concord, United States Jackson + Coker Full time

    Pediatric Endocrinology and Diabetes Specialist Locums Job in North Carolina 2024 CoverageA facility in the Charlotte area is seeking a pediatric hospitalist for locums coverage beginning in July 2024. Details/Specifics for Job ID : Coverage: July 1-December 31 with potential to extend Schedule: Monday through Friday, 8am-5pm clinic coverage with at least...

  • Quality Assurance Nurse

    Found in: beBee jobs US - 2 weeks ago

    Concord, New Hampshire, United States Muir Home Health Full time

    The Quality Assurance Registered Nurse acts as the OASIS review nurse.This position will ensure appropriate ICD-10 coding and sequencing and will work with clinical staff to clarify documentation and data integrity issues.Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and...

  • Immunization HL7 Technical Specialist

    3 days ago

    Concord, United States Infojini Full time

    • To serve as the Immunization Information System HL7 Subject Matter Expert providing technical solutions and assistance supports to hospital IIS HL7 onboarding.• To work with program staff on providing IIS HL7 onboarding work plan for each individual hospital and attend meetings and discussions with state holders.• To work with NHIIS program to...

  • Web Access Specialist

    1 week ago

    Concord, United States Connexion Systems & Engineering, Inc. Full time

    Job DescriptionJob DescriptionTitle: Web Access SpecialistHiring Organization: Connexion Systems & EngineeringPay rate: $20/hrJob Location: Concord , MAPurposeTo ensure timely processing of all insurance company website account administration requests, including new account registrations, password resets and troubleshooting for all new and existing...

  • Immunization Integration Specialist

    7 days ago

    Concord, United States Talent Groups Full time

    Strong knowledge and experience with Immunization Information Systems and HL7 format.Proven ability to independently code and translate source to target mappings.Serve as the primary technical resource for HL7 integration within the Immunization Information System.Collaborate with program staff to develop individualized HL7 onboarding work plans for...

  • Immunization Integration Specialist

    Found in: Appcast US C2 - 1 week ago

    Concord, United States Talent Groups Full time

    Strong knowledge and experience with Immunization Information Systems and HL7 format.Proven ability to independently code and translate source to target mappings.Serve as the primary technical resource for HL7 integration within the Immunization Information System.Collaborate with program staff to develop individualized HL7 onboarding work plans for...

  • Immunization Integration Specialist

    Found in: Appcast Linkedin GBL C2 - 7 days ago

    Concord, United States Talent Groups Full time

    Strong knowledge and experience with Immunization Information Systems and HL7 format.Proven ability to independently code and translate source to target mappings.Serve as the primary technical resource for HL7 integration within the Immunization Information System.Collaborate with program staff to develop individualized HL7 onboarding work plans for...

  • Web Access Specialist EDI Entry level

    2 days ago

    Concord, United States Connexion Systems & Engineering Full time

    Job Description Job Description Title: Web Access SpecialistHiring Organization: Connexion Systems & Engineering ** Pay rate: $20/hr** ** Job Location: Concord , MA** Purpose To ensure timely processing of all insurance company website account administration requests, including new account registrations, password resets and troubleshooting for all new and...

  • Web Access Specialist EDI Entry level

    7 days ago

    Concord, United States Connexion Systems & Engineering Full time

    Job Description Job Description Title: Web Access Specialist Hiring Organization: Connexion Systems & Engineering ** Pay rate: $20/hr** ** Job Location: Concord , MA** Purpose To ensure timely processing of all insurance company website account administration requests, including new account registrations, password resets and troubleshooting for all new and...