Medical Necessity Specialist - Outpatient Coder - (ON SITE)

Cottage HospitalWoodsville, New Hampshire

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Overview

Schedule

Full-time

Career level

Senior-level

Benefits

Career Development

Job Description

Now Hiring: Medical Necessity Specialist

Join the Health Information Management Team at Cottage Hospital!

Are you detail-oriented, organized, and passionate about ensuring accurate medical coding and documentation? Cottage Hospital is seeking a Medical Necessity Specialist to support our Ancillary services, including lab and radiology, by ensuring proper coding, reducing documentation errors, and helping improve diagnostic accuracy across the organization.

If you’re looking for a role that blends healthcare, compliance, and provider education, apply today and help us strengthen the integrity of patient care and revenue cycle processes!

Job Summary:

The Medical Necessity Specialist plays a vital role in promoting accurate and compliant medical coding for Ancillary services. This position focuses on ensuring medical diagnoses support ordered procedures, identifying trends in documentation errors, and collaborating with providers to improve coding accuracy and reduce denied or written-off charges. The role also supports training initiatives under the guidance of the HIM Supervisor.

Key Duties & Responsibilities:

Accurately code Ancillary services (lab and radiology) based on appropriate diagnoses
Review medical orders to ensure alignment between services provided and diagnoses
Investigate denied or written-off claims due to documentation errors
Identify documentation trends and work with providers to implement corrective action
Collaborate with internal and community providers to improve coding compliance
Prepare and present coding quality reports to HIM leadership
Support provider education and training related to diagnostic coding accuracy
Recommend process improvements using data-driven insights

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FAQs About Medical Necessity Specialist - Outpatient Coder - (ON SITE) Jobs at Cottage Hospital

What is the work location for this position at Cottage Hospital?

This job at Cottage Hospital is located in Woodsville, New Hampshire, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.

What pay range can candidates expect for this role at Cottage Hospital?

Employer has not shared pay details for this role.

What employment applies to this position at Cottage Hospital?

Cottage Hospital lists this role as a Full-time position.

What experience level is required for this role at Cottage Hospital?

Cottage Hospital is looking for a candidate with "Senior-level" experience level.

What is the process to apply for this position at Cottage Hospital?

You can apply for this role at Cottage Hospital either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.