Mass General Brigham is hiring a Coding Quality Specialist to enhance the accuracy and compliance of our medical coding processes. You will be responsible for monitoring, assessing, and improving coding quality and documentation adherence, directly supporting our mission of patient care, research, and community service.
What You'll Do
- Develop and implement coding quality assurance programs to evaluate the accuracy, completeness, and compliance of medical coding practices.
- Ensure coding practices align with official coding conventions, guidelines, and regulatory requirements set by organizations such as the AMA and CMS.
- Analyze medical records, physician notes, and other documentation to assess the adequacy and specificity of documentation supporting assigned codes.
- Develop and deliver coding education and training programs to coders, physicians, and other healthcare professionals.
- Identify opportunities to streamline coding workflows, enhance efficiency, and improve coding accuracy.
- Establish key quality metrics and reporting mechanisms to monitor and track coding accuracy, productivity, and compliance.
- Foster effective communication and collaboration with healthcare providers, coders, billing staff, and other stakeholders.
What We're Looking For
- Associate's Degree in Medical Billing and Coding.
- 5-7 years of Medical Coding experience.
- Advanced knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
- Knowledgeable of coding guidelines and regulations from the AMA, CMS, and other relevant organizations.
- Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
- Excellent understanding of anatomy, physiology, medical terminology, and disease processes.
- Excellent written and verbal communication skills to interact effectively with healthcare providers and billing staff.
- Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Nice to Have
- 1-2 years of Quality Assurance experience.
Benefits & Compensation
- Compensation: $30.00 - $43.63/Hourly.
Work Mode
This is a remote position based at our 399 Revolution Drive location.
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.
