Sr. Coding Specialist

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

Under direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions Assigns specified codes to medical diagnoses with some coding of specific clinical procedures.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification.  They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

1. Ensures assigned team:
   • Works all encounters received from providers;
   • Reviews all encounters, electronic or paper for accuracy;
   • Monitors work ques, and effectively communicates across all entities.
2. Review and corrects coding rejections. Responsible for coding ICD-10, CPT and HCPCS codes from written documentation. In depth knowledge of coding rules and payer guidelines.
3. Responsible for coding E/M outpatient and inpatient services. Surgical Coding knowledge is a plus. May perform internal auditing functions.
4. Maintain a high level of performance in department productivity and accuracy. Effectively communicated coding trends and documentation requirements with physicians and practice managers.
5. Provides training for new coders. Assists staff when manager is not available. Assists Manager in allocating workload to staff when requested. Assists Manager with departmental reporting/special projects.

Education and Experience

• High School Diploma or equivalent (GED) is required  
• Certification as a CPC or CCS-P required. CPMA certification required within one year of hire.
• Five (5) years’ experience in production coding in a surgical setting or in a physician practice environment required.  Outpatient professional fee revenue cycle management experience preferred.

Knowledge, Skills and Abilities

• Working knowledge of medical record practices, state and federal laws relating to release of medical information.
• Working knowledge of CPC or CCS-P coding systems, medical terminology to understand diagnoses and procedures, and the content and organization of a medical record.
• Demonstrated knowledge of MS Office software applications such as Microsoft Excel and Microsoft Word is required.
• Ability to maintain a culture of excellent customer service, open and friendly staff relations and approachable demeanor with all levels of staff. 
• Effective verbal and written communication and listening skills are required to interact with various individuals seeking accounting-related information.

All your information will be kept confidential according to EEO guidelines.