- Advanced Proficiency in ICD-10, CPT, HCPCS, and modifiers for coding of professional fee services.
- Advanced knowledge of anatomy and physiology, medical terminology and insurance reimbursement policies and regulations.
-
Contract Specialist, Remote
2 weeks ago
Mass General Brigham Boston, United States RegularContract Specialist, Remote Description Working under the general direction of the Senior Finance and Contract Manager, the Contract Specialist provides ongoing support for the Academic Medical Center's Non-Patient Revenue line of business within MGB. Typical tasks include: revi ...
-
Product Specialist- Remote
3 weeks ago
Siemens Industry Software Inc. Boston, United States PermanentSiemens EDA is looking to hire a highly motivated engineer with asemiconductor and electronics engineering background. · This job position is with the Product Specialist team in the CICV R&Dgroup at Siemens EDA. We are looking for a senior engineer to be the technicalinterface t ...
-
Hearing Aid Specialist 100% Remote
1 week ago
Migelino Boston, United States CDIMigelino is a Swiss online audiologist that offers medical aids for regular use at fair prices. Due to customer demand, we also offer quality hearing aids from brand manufacturers via our telemedicine platform. This model has already proven successful in the Swiss market. We are ...
-
Remote Database Specialist
3 weeks ago
Global Channel Management Boston, MA, United StatesJob Description: Remote Database Specialist needs 4 to 6 years of relevant experience Remote Database Specialist requires: Competent with database · • Strong MS Excel skills Degree in CS/IT or relevant · • Strong business analysis exposure · • Exposure to Jira or equivalent tool ...
-
Contract Specialist, Remote
6 days ago
Massachusetts General Hospital(MGH) Boston, United States**Contract Specialist, Remote** · **_ GENERAL SUMMARY/ OVERVIEW STATEMENT:_** · **_PRINCIPAL DUTIES AND RESPONSIBILITIES:_**_ _** · - Exercise initiative, sound judgment and a knowledge of contracting policies and procedures · - Work independently to manage timing and action plan ...
-
Remote Account Management Specialists
3 weeks ago
Global Channel Management Boston, MA, United StatesRemote Database Specialist needs 4 to 6 years of relevant experience · Remote Database Specialist requires: · Competent with database · • Strong MS Excel skills · Strong business analysis exposure · • Exposure to Jira or equivalent tools to aid agile delivery · • Remote Databa ...
-
Remote Part Time Gifting Fulfillment Specialist
3 weeks ago
Chatterboxes Boston, United States Part timeJob Description · Job DescriptionIntroduction to Chatterboxes · Chatterboxes, a team of experts and innovators within the pediatric speech-language pathology field, is seeking an exceptional contractor to support the ongoing needs of our passionate group of superwomen helping to ...
-
Remote Client Specialist/Resident
2 weeks ago
Hire Standard Staffing Revere, United States OTHER· Position: Remote Client Specialist (Benefits) - Massachusetts Resident Only · Crafting Brighter Futures for Families At the forefront of specialized financial services, Globe Life helps families safeguard their assets and promises a profound · purpose · : ensuring a brighter ...
-
Hearing Aid Specialist 100% Remote
1 week ago
Migelino Boston, United StatesMigelino is a Swiss online audiologist that offers medical aids for regular use at fair prices. Due to customer demand, we also offer quality hearing aids from brand manufacturers via our telemedicine platform. This model has already proven successful in the Swiss market. We are ...
-
Temporary Remote Data Entry Specialist
1 week ago
Mass General Brigham - Bulfinch Temporary Service Boston, United StatesSince 1989, the Bulfinch Temporary Service (BFT) has played an integral role in MGB, the only health system nationwide with 5 nationally ranked hospitals (U.S. News & World Report) providing highly skilled employees to meet the temporary staffing needs at Hospitals. Now part of t ...
-
Remote Order Specialist
3 weeks ago
Dracut House of Pizza & Seafood Dracut, United StatesJob Description · Job DescriptionRemote Order Specialist · We are seeking highly motivated, very friendly and customer-oriented individuals to join our team as Independent Contractor Remote Order Specialists. As an Independent Contractor, you will be responsible for taking custom ...
-
Payroll Tax Specialist-REMOTE
3 weeks ago
ICU Medical Plymouth, United States Full timePosition Summary · The Payroll Tax Specialist will play a crucial role in guaranteeing accurate and timely payroll tax payments, reporting, and overall compliance across the organization. The expert oversees all aspects of payroll tax operations, stays updated on tax regulations, ...
-
Remote Application Specialist
3 weeks ago
City Building Engineering Services Burlington, MA, United States Full timeThe primary responsibility for this role will be the design and proposal of store layouts, fixture plans & building elements while applying a thorough understanding of brand standards and prototypes thoughtfully applied to site specific footprints within project schedules. · The ...
-
Human Resources Services Specialist remote
6 days ago
Privately Held Corporation Framingham, United StatesJob Description · Job DescriptionREMOTE - Human Resources Services Specialist · Location: · Framingham, MA · Hours: · Full time hours - EST Time Zone · Monday - Friday 9:00 am 5:00 pm EST · Job Requirements : · 2 years of recent HR experience required. · 2 years of recent cal ...
-
Customer Service Account Specialist- Remote
1 week ago
Organogenesis Canton, United States**Customer Service Account Specialist- Remote** · **Canton, MA** · **Job Req code:** 916 · **Category:** Customer Service · We have unique opportunities and are always looking for exceptional talent. Join a company where you will have an opportunity to grow professionally and ...
-
Remote - Recruitment Specialist
3 weeks ago
Life Balance Transition North Charleston, United States"Don't fear failure. Fear being in the exact same place next year as you are today." · Michael Hyatt · Are you currently navigating a career crossroads, feeling confined in a routine, or ready to embark on a new phase beyond the confines of traditional corporate life? Then for ...
-
Specialist - Cost Control (REMOTE)
2 weeks ago
KBR North Charleston, United StatesTitle: · Specialist - Cost Control (REMOTE) · Specialist, Cost Control · Position Description: · We are seeking highly motivated and experienced Cost Control Analyst to join our team within KBR's Defense Systems Engineering Business Unit (DSE); a business unit within KBR Govern ...
-
Specialist - Cost Control (REMOTE)
3 weeks ago
KBR North Charleston, United StatesKBR · Specialist - Cost Control (REMOTE) · North Charleston , · South Carolina · Apply Now · We are seeking highly motivated and experienced Cost Control Analyst to join our team within KBR's Defense Systems Engineering Business Unit (DSE); a business unit within KBR Governm ...
-
Matrix Ventures Suffolk, United StatesAre you a numbers person and looking for a diverse professional opportunity that fits your lifestyle? Our renowned client company in the industrial sector is seeking you as a specialist (m/f/d) for accounts receivable and accounts payable. Bring your expertise and experience and ...
-
InsideHigherEd Boston, United States Administrative Jobs ,COMPUTER SUPPORT SPECIALIST, BUMC Information Technology Tracking Code Job DescriptionThe Boston University Medical Campus Information Technology (BUMC IT) Client Services department is seeking a self-motivated, critical-thinking, and hardworking technology professional to fill t ...
Vascular Surgery Coding Specialist, Remote - Charlestown, United States - Partners Healthcare System
Description
GENERAL SUMMARY/ OVERVIEW STATEMENT:
The Coding Specialist II reports to the Supervisor/Coding Manager/Senior Coding Manager and is responsible for correct coding of professional services and upholding compliance standards.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
The Coding Specialist II is required to:
§ Perform coding and related duties of moderately complex work using established Professional Billing Office and Coding Services policies and procedures in an accurate and timely manner. Review medical documentation and system generated charges or paper encounter forms. Appropriately assign CPT, ICD-10, HCPCS II, and modifiers based on documentation and payor requirements as defined in Billing Area Instructions or Standard Operating Procedures. (May occasionally code high or low complexity work as deemed capable and requested by manager)
§ Research billing rules and regulations for moderately complex new and existing procedures
§ Demonstrate a commitment to integrating coding compliance standards into daily coding practices. Identify, correct and report coding problems.
§ Maintain current knowledge of coding, compliance and reimbursement procedures. Review current literature, newsletters, payor policy updates and coding manuals.
§ Resolve moderately complex coding edits and denials in a timely manner. Identify opportunities to reduce denials and enhance revenue.
§ Provide cross coverage of multiple specialties
§ Function as a resource to Professional Billing Office staff and external customers. Research and resolve moderately complex coding inquiries. Make recommendations for coding policy changes.
§ Participate in annual code updates, understanding of new codes, and notification to practices and other CPBO staff of new code updates.
§ Perform peer to peer quality assurance reviews of all Coding Specialists in equal or lower complexity areas of expertise.
§ Functions as subject matter expert for assigned specialties
§ Develop and maintain division specific coding procedures and/or billing area instructions.
§ Complete special projects as assigned by manager.
§ Participate in coding education for providers and co-workers upon request.
§ Maintain coding certification.
QUALIFICATIONS:
§ High school diploma required
§ Course work in anatomy and physiology, medical terminology strongly preferred.
§ Coding Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) is required. Certification may include CPC, COC, CCS, CCS-P. (>15 years actual coding experience may substitute for the required core coding certification)
§ Advanced Specialty or additional related certifications preferred but not required.
§ Completion of a Coding Certificate program or Health Information Technology Program or >2 years work experience equivalent required.
§ A Minimum of 2 years of experience in coding required.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
§ Able to code medium/moderately complex work. (May occasionally code high or low complexity work as deemed capable and requested by manager)
§ Understands, retains, and is able to research coding billing rules, regulations, and requirements.
§ Able to critically think through processes in coding to recognize errors and/or problems. Understands reasons for actions on edits.
§ Able to share/transfer knowledge or train co-workers, peers, billing managers on coding - Able to provide education with physicians in small group or one-on-one sessions as needed or requested.
§ Able to provide feedback to billing managers, physicians, staff, and others independently with occasional guidance from manager.
§ Able to provide cross-coverage of multiple specialties.
§ Able to perform peer to peer quality assurance reviews in equal or lower complexity areas of expertise.
§ Accuracy and attention to detail
§ Proficient with computer applications (MS Office etc), Excellent data entry skills
WORKING CONDITIONS:
The Professional Billing Office is located in the Charlestown Navy Yard campus. Most work is expected to be done remotely, however employee is expected to travel onsite as requested.
SUPERVISORY RESPONSIBILITY:
List the number of FTEs supervised.
N/A
FISCAL RESPONSIBILITY:
N/A
&v=024){kind=logo}
