Trauma Coding Specialist, 40 Hours, Days

UMass Memorial Health • San Jose, CA

1d • $24 - $40

About The Position

Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for interpreting medical record data in order to abstract required data from the medical record following National Trauma Data Bank and Massachusetts state guidelines. Assigns appropriate ICD- 10 CM diagnosis and PCS procedure codes, (current edition). Will score abbreviated injury scale codes and data entry into the Trauma Registry database.

Requirements

• High School education
• Requires intermediate level computer skills with the ability to use standard office software applications, such as Microsoft Office Excel and Word.
• Requires good interpersonal and communications skills and demonstrates professionalism when working with team members, management, and other staff members.

Nice To Haves

• Medical coding certification. Programs include: AHIMA, AAPC
• Medical terminology from an accredited program.
• Anatomy and Physiology from an accredited program.
• One year of medical abstraction and coding experience or related work experience preferred
• Knowledge of ICD-CM (current edition) and CPT-4 HCPCS coding systems, 3rd party payer requirements and federal/state guidelines and regulations pertaining to coding and billing practices

Responsibilities

• Performs analysis on medical record documentation to include review of tests/reports/procedures, and determines appropriate codes, as defined by coding guidelines and other recognized reference materials.
• Abstracts and enters all codes and required demographic information into the Trauma Registry database.
• May participate in improvement efforts and documentation training for medical and clinical staff as relates to coding practices and guidelines.
• May participate in quality assurance and performance measurement reviews and reporting.
• Informs supervisor when backlog situations arise, or necessary documents are either incorrect or are not being received in a timely manner.
• Alerts management to any coding irregularities, or trends contrary to policy/procedure, so that corrective measures can be taken.
• Maintains direct and ongoing communications with other staff members via TEAMS to maximize overall effectiveness and efficiency of the operation.
• Completes patient’s abstracts mandated by Federal and State regulatory agencies, Physician Peer Review, hospital planning for optimal facility utilization (i.e. Determination of Need, Quality Assurance, research studies and Utilization Review Program).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED