Inpatient Coding Quality Specialist

🔥 13 hours ago

🍂 Massachusetts – Remote

infoinfo

💵 $30 - $44 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

infoinfo

👻 Ghost score 0%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Mass General Brigham

Mass General Brigham

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 • Evaluate the accuracy, completeness, and compliance of medical coding practices • Ensure coding practices align with official coding conventions, guidelines, and regulatory requirements • Analyze medical records, physician notes, and related documentation to assess coding support • Develop and deliver coding education and training for coders, physicians, and healthcare professionals • Identify opportunities to streamline coding workflows and improve efficiency and accuracy • Establish quality metrics and reporting mechanisms for coding accuracy, productivity, and compliance • Collaborate with healthcare providers, coders, billing staff, and stakeholders to resolve coding issues and clarify documentation requirements

🎯 Requirements

• Associate's Degree in Medical Billing and Coding required • 5+ years of medical coding experience required • 1+ years of quality assurance experience preferred • Strong inpatient coding experience; academic facility preferred • ICD-10 PCS coding experience required • Advanced knowledge of medical coding systems, including ICD-10, CPT, and HCPCS • Knowledge of coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations • Strong analytical skills and attention to detail • 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 remotely Monday through Friday during Eastern Standard business hours • Requires a quiet, secure, HIPAA-compliant working area

🏖️ Benefits

• Comprehensive benefits • Career advancement opportunities • Differentials • Premiums • Bonuses as applicable • Recognition programs • Reasonable accommodation for individuals with disabilities

Apply Now

Similar Jobs

🕒 Yesterday

Sanford Health

10,000+ employees

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Coding Audit Specialist auditing medical records and risk-adjustment data for Sanford Health, the largest rural health system in the United States. Ensuring compliant CMS, HHS, and DHS coding accuracy.

🕒 2 days ago

Machinify

1001 - 5000

🏥 Healthcare

💼 Consulting

📦 Logistics

Coding validation specialist auditing behavioral health and substance use disorder claims for healthcare intelligence company Machinify. Validating codes, documentation, reimbursement, and regulatory compliance.

🇺🇸 United States – Remote

💵 $90k - $100k / year

💰 $10M Series A - Machinify on 2018-10

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

infoinfo

🕒 September 4

Solventum

10,000+ employees

🏥 Healthcare

📦 Logistics

💼 Consulting

Autonomous coding integration specialist connecting HL7/FHIR systems for Solventum’s healthcare technology. Supporting Epic billing workflows, interface testing, and autonomous coding deployments.

🇺🇸 United States – Remote

💵 $107.6k - $147.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🕒 September 1

MCW

1 - 10

🚘 Automotive

📦 Logistics

🚗 Transport

Coding Denials Specialist resolving coding-related healthcare claim denials for Medical College of Wisconsin. Researching records, submitting payer appeals, and reducing avoidable denials.

🕒 August 18

Sanford Health

10,000+ employees

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Coding Audit Specialist reviewing risk-adjustment documentation and diagnoses for Sanford Health’s rural healthcare system. Ensuring CMS, DHS, and payer coding accuracy across Medicare Advantage, ACA, and Medicaid populations.