Medical Coding Specialist
About The Position
Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Medical Practices, the largest multispecialty group in the region is looking for a full-time Medical Coding Specialist to join our experienced Quality Coding team. The Medical Coding Specialist plays an essential role in ensuring accurate coding, billing, documentation, and regulatory compliance by translating complex medical record information into appropriate diagnostic and procedural codes. If you have a strong understanding of medical coding, enjoy analyzing clinical documentation, and take pride in accuracy and quality, this is an opportunity to make a meaningful impact behind the scenes of patient care.
Requirements
- Associates degree in Medical Terminology
- Extensive knowledge of ICD, CPT, and HCPCS coding systems, third-party payer requirements, and applicable federal and state coding and billing regulations.
- Strong analytical and problem-solving skills with exceptional attention to detail.
- Ability to organize and prioritize multiple assignments while meeting strict deadlines.
- Strong interpersonal and communication skills with the ability to collaborate effectively with clinical, coding, billing, and administrative teams.
- Proficiency with computer systems and Microsoft Office applications, including Word, Excel, Access, and PowerPoint.
- Commitment to maintaining current knowledge of evolving coding and billing practices through continuing education, professional publications, and seminars.
Nice To Haves
- Certified Coding Specialist AHIMA
Responsibilities
- Review and analyze medical records, tests, and clinical reports to accurately assign appropriate ICD, CPT, and HCPCS codes and modifiers in accordance with established coding guidelines.
- Abstract and enter medical codes and required demographic information into electronic systems and encounter forms.
- Identify and help resolve incomplete or missing documentation to support timely and accurate billing.
- Partner with medical and clinical staff to provide education and support related to coding practices and documentation requirements.
- Participate in quality assurance, performance measurement, and coding improvement initiatives.
- Monitor coding activity and communicate potential backlogs, documentation issues, irregularities, or trends to leadership.
- Collaborate with coding and billing teams to promote accuracy, efficiency, and consistency.
- Complete medical record abstracts and coding activities supporting regulatory requirements, physician peer review, quality initiatives, research, utilization review, and hospital planning.
- Maintain current knowledge of coding and billing regulations, payer requirements, and federal and state guidelines.
- Participate in meetings, educational programs, seminars, and professional development opportunities.
- Follow departmental policies, procedures, quality standards, and health and safety requirements.
Benefits
- Equal Employment Opportunity
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
