
GENERAL SUMMARY OF POSITION:
Under the general supervision of the Medical Coding Supervisor or designee, the Inpatient Medical Coding Specialist is responsible for assigning diagnosis codes for inpatient services to be used for federal claiming purposes. The Specialist will code and abstract inpatient medical records using the standardized coding system, to include identifying and classifying disease and procedure codes.
MAJOR RESPONSIBILITIES:
REQUIRED QUALIFICATIONS:
PREFERRED QUALIFICATIONS:
About the Health Care Finance Solutions and Public Provider Reimbursement
Health Care Finance Solutions (HCFS) is a part of ForHealth Consulting, the health care operations and consulting division of UMass Chan Medical School, Massachusetts only public medical school. As nationwide leaders in the development and implementation of health care reform, ForHealth and HCFS stay ahead of health care trends and help strategize and plan for changes that impact both health care delivery systems and patients on the local, state, and national level. HCFS helps state and local health and human service agencies, and programs identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs, and capitalize on all possible revenue streams. At the same time, we identify opportunities for our clients to increase health care related services, reduce the net cost of delivery, and help ensure individuals receive the health and human service benefits to which they may be entitled.
The Public Provider Reimbursement (PPR) team at HCFS works closely with state health and human agencies to enhance their ability to perform and improve their revenue cycle processes, find new revenue opportunities, and coordinate with other payers to capture revenue whenever possible. With a deep knowledge of health care reimbursement, PPR maximizes opportunities, while ensuring compliance with all applicable state and federal rules. PPR provides its clients with comprehensive medical billing and accounts receivable, as well as other services, to maximize the collection of federal, third-party, and private reimbursement for health care and related services provided by public hospitals, mental health clinics, psychiatric hospitals, skilled nursing facilities, and community-based programs. Community-based services include Home and Community-based Waivers, Residential Rehabilitation Option and Targeted Case Management programs. The program produces over $3 billion in gross charges to liable payers and generates over $1.5 million in net revenue annually.
This position will require travel and onsite work.
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UMass Chan Medical School was among 23 companies that stood out as 2023 “DEI champions,” according to The Boston Globe.