Mass General Brigham · 2 weeks ago
Coding Quality Specialist
United States
Full-time
Remote
Senior Level
$30/hr - $43.63/hr
5+ years expMass General Brigham is a not-for-profit organization that supports patient care, research, teaching, and community service. They are seeking a Coding Quality Specialist responsible for monitoring and improving the quality of coding processes and documentation to ensure compliance with coding guidelines and regulations.
Health CareHome Health CareMedical
Responsibilities
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 forth by organizations such as the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other relevant bodies
Analyze medical records, physician notes, and other relevant documentation to assess the adequacy and specificity of documentation supporting the assigned codes
Develop and deliver coding education and training programs to coders, physicians, and other healthcare professionals to enhance coding knowledge, documentation practices, and coding accuracy
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 to address coding-related inquiries, clarify documentation requirements, and resolve coding issues
Qualification
Required
Associate's Degree Medical Billing and Coding required
5-7 years of Medical Coding experience required
Advanced knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing
Knowledgeable of coding guidelines and regulations, including those set by 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 to support accurate coding
Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff
Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment
Preferred
1-2 years of Quality Assurance experience preferred
Benefits
Comprehensive benefits
Career advancement opportunities
Differentials
Premiums and bonuses as applicable
Recognition programs designed to celebrate your contributions and support your professional growth
Company
Mass General Brigham
Mass General Brigham specializes in providing medical treatments and health diagnostics services.
10001+ employees
H1B Sponsorship
Mass General Brigham has a track record of offering H1B sponsorships. Please note that this does not
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2025 (77)
2024 (61)
2023 (93)
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2021 (80)
2020 (29)
Funding
Current Stage
Late StageLeadership Team
E
Erin Flanigan
SVP, Human Resources, Community, Specialty Hospital Division
O’Neil A. Britton
Chief Integration Officer, Executive Vice President
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