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.

General Summary

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.

• Deciphers operative reports and other physician medical record documentation to appropriately select codes and maximize charge capture. Ensures coding compliance with established standards and guidelines
• Acts as liaison between the clinical and billing departments. Answers questions from billing in a timely manner
• Responsible for ensuring quality, accuracy and timeliness of clinical data contained in patient’s medical record by reviewing and analyzing medical information provided by physicians for reimbursement, statistical and indexing purposes
• Meets established productivity and proficiency standards
• Attends coding seminars, hospital and departmental meetings as required or assigned. Actively participates in hospital educational in-services
• Utilizes appropriate customer relation skills to ensure all customers are treated with respect and dignity and that the confidentiality of their data is upheld

Education and Experience

• 1. High School Diploma or equivalent (GED) is required
  2. Certification as a CPC or CCS-P required. 
  3. Three (3) 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

• 1. Working knowledge of medical record practices, state and federal laws relating to release of medical information.
  2. 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.
  3. Demonstrated knowledge of MS Office software applications such as Microsoft Excel and Microsoft Word is required.
  4. Ability to maintain a culture of excellent customer service, open and friendly staff relations and approachable demeanor with all levels of staff. 
  5. 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.