Coding Denial Specialist

Winchester Hospital Winchester , MA 01890

Posted 6 days ago

Welcome ToWinchester Hospital is a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.About the JobContributes to the Hospital's mission by investigating claim denials/rejections, identifying causes and correcting or collaborating with others to address problem. This specialized administrative position will have an impact on the hospital's financial stability by addressing claims and system glitches up front so to expedite claims, minimize future claim denials and delays and streamline the billing/coding processes.QUALIFICATIONS:Education/ExperienceRequired: * High School Diploma or equivalent * Medical Coding Certificate and at least two years of outpatient ICD 9 or 10 diagnosis and CPT coding experience. An additional year of complex outpatient coding experience may be considered in lieu of the certification. * Computer experience required.Preferred: * Associates degree in Medical Records * Experience with health care billingOther Skills/KnowledgeRequired: * Strong knowledge of CPT coding * Competence navigating Epic or other electronic medical record system. * Knowledge of medical terminology including anatomy and physiology, clinical medical surgery, diagnostic tests, radiology, pathology, pharmacology, and various medical specialties.*
  • Detailed orientation. * Strong analytical skills to identify variances, correlations, cause and affects, and trends * Working knowledge of Microsoft Office email and Excel * Excellent written and oral communication skills. Able to convey issues in a collaborative, professional and comprehensive manner. * Able to develop and maintain trusting collaborative relationships with individuals and departments. * For safety and quality reasons, must be able to read, write and communicate effectively in English with patients, visitors and fellow members of the hospital team.Preferred: * Trained in ICD10 coding. * Lean Six Sigma process analysis, development and implementationLICENSES, REGISTRATIONS, CERTIFICATIONS:Preferred: Certified Coding Specialist (CCS), Registered Health Information Administrator or Registered Health Information TechnicianScheduled HoursMonday - Friday 8:00 - 4:30 pmAbout UsWinchester Hospital serves the health care needs of many communities in northwest suburban Boston for acute-care inpatient services plus an extensive range of outpatient services and integrated home care. Since 1912, it has been a trusted pillar of the community, amassing an enviable list of professional awards and honors, including: an "A" safety rating from The Leapfrog Group, a ninth-in-the-state ranking on the U.S. News & World Report's Best Hospitals list and repeated accolades as a top area employer. Winchester Hospital was also the first community hospital in the state to achieve Magnet recognition, the industry's gold standard for nursing excellence.Winchester Hospital colleagues rally around our mission: To Care. To Heal. To Excel. In Service to Our Community. Our affiliation with Lahey Health furthers our mission by allowing us to offer patients streamlined, coordinated and comprehensive care, close to home.Join our team and embrace our mission by applying today!Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.
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    Coding Denial Specialist

    Winchester Hospital