Coding Quality Specialist

🔥 0 minutes ago

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $30 - $44 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Mass General Brigham

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

🏥 Healthcare

📚 Education

Consulting • Healthcare • Education

Mass General Brigham is a large integrated academic healthcare system centered in Massachusetts that operates world-class hospitals, community health centers, and virtual care services, providing comprehensive patient care across specialties. It conducts extensive clinical and biomedical research, running thousands of clinical trials and advanced institutes in areas like gene and cell therapy and personalized medicine. The organization also provides medical education and training programs, workforce development, and operates a health plan and innovation/commercialization activities.

📋 Description

• Monitor, assess, and improve the quality of coding processes, documentation, and adherence to coding guidelines and regulations • Develop and implement coding quality assurance programs evaluating accuracy, completeness, and compliance of medical coding practices • Ensure coding practices align with official coding conventions, guidelines, and regulatory requirements from the AMA, CMS, and other relevant bodies • Analyze medical records, physician notes, and other documentation to assess adequacy and specificity supporting assigned codes • Develop and deliver coding education and training for coders, physicians, and healthcare professionals • Identify opportunities to streamline coding workflows, enhance efficiency, and improve coding accuracy • Establish quality metrics and reporting mechanisms to monitor coding accuracy, productivity, and compliance • Communicate and collaborate with healthcare providers, coders, billing staff, and stakeholders to address inquiries, clarify documentation requirements, and resolve coding issues

🎯 Requirements

• Associate's Degree in Medical Billing and Coding required • 5+ years of Medical Coding Experience required • 1+ years of Quality Assurance Experience preferred • Advanced knowledge of medical coding systems, including ICD-10-CM and ICD-10-PCS, and their application in hospital billing • Knowledge 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 • Excellent written and verbal communication skills • Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment • Ability to work Monday-Friday during Eastern Standard business hours • Ability to maintain a quiet, secure, HIPAA-compliant workstation

🏖️ Benefits

• Comprehensive benefits • Career advancement opportunities • Differentials • Premiums • Bonuses as applicable • Recognition programs • Professional growth support • Reasonable accommodation for applicants with disabilities