Coding Specialist II, Professional Billing

Ummh invites qualified candidates to pursue the Coding Specialist II, Professional Billing position based at Worcester, MA Worcester Business Center. This full-time opening supports dedicated professional billing functions for job seekers exploring Coding Specialist II, Professional Billing opportunities near Worcester, MA Worcester Business Center and Ummh careers.

Role Overview

In the Coding Specialist II, Professional Billing role at Ummh within Worcester, MA Worcester Business Center, the selected individual converts clinical documentation into precise procedure and diagnosis codes that drive professional billing accuracy. Intermediate-level work emphasizes consistent application of standard coding conventions, continuous quality checks, and alignment with operational expectations typical for this title at a Worcester Business Center site. The position sits fully on site and forms part of the broader professional billing workflow that candidates commonly seek when searching for Coding Specialist II, Professional Billing jobs in Worcester, MA Worcester Business Center.

Your Responsibilities

• Review clinical source material and assign appropriate CPT, ICD-10-CM, and HCPCS codes for professional-level services.
• Validate code selections against payer rules and regulatory standards to support clean claim submission.
• Identify incomplete or unclear documentation and initiate necessary clarifications to maintain coding integrity.
• Monitor personal coding volume and accuracy metrics while contributing to team quality goals.
• Stay current with annual code updates and apply them correctly in the local billing systems used at Worcester Business Center.
• Participate in routine audits and implement feedback to elevate overall coding reliability.

Skills & Qualifications

• Applied experience performing professional billing coding at a specialist level.
• Working command of CPT, ICD-10-CM, HCPCS Level II guidelines, and medical terminology.
• Ability to abstract key clinical data and choose the most specific, compliant codes under production pressures.
• Familiarity with electronic health record platforms and professional claim flow processes.
• Strong attention to detail, organized work habits, and clear written communication skills suited to full-time coding duties.
• Willingness to work on site at the Worcester, MA Worcester Business Center location.

About Ummh

Ummh is hiring for this role and offers a supportive team environment.

Apply Today

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