Inpatient Coding Quality Expert (Remote)

Mass General Brigham Incorporated; Somerville, Northern (MA, KY); Hybrid; USD 87,681,000 - 127,540,000; Full time

Job summary

Mass General Brigham Incorporated is seeking a Coding Quality Specialist focused on inpatient coding quality. The role entails developing QA programs, training staff, and ensuring documentation supports correct coding in line with AMA, CMS, and other regulations.

The position emphasizes strong analytical skills, attention to detail, and the ability to collaborate with clinicians and billing teams. Remote work options are available with a primary site at 399 Revolution Drive, Somerville, MA.

Qualifications

• 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.

Responsibilities

• Develop and implement coding quality assurance programs to evaluate accuracy, completeness and compliance.
• Ensure coding practices align with AMA, CMS and other guidelines/regulations.
• Analyze medical records and documentation to assess adequacy and specificity of codes.
• Develop and deliver coding education and training for coders, physicians and staff.
• Identify opportunities to streamline coding workflows and improve efficiency.
• Establish key quality metrics and reporting to monitor accuracy, productivity, and compliance.
• Collaborate with providers and billing staff to address coding inquiries and resolve issues.

Skills

Analytical skills

Attention to detail

Communication skills

Independent work

Education

Associate's Degree Medical Billing and Coding

Tools

ICD-10 PCS

ICD-10

CPT

HCPCS

Job description

Mass General Brigham Incorporated is seeking a Coding Quality Specialist focused on inpatient coding quality. The role entails developing QA programs, training staff, and ensuring documentation supports correct coding in line with AMA, CMS, and other regulations.

The position emphasizes strong analytical skills, attention to detail, and the ability to collaborate with clinicians and billing teams. Remote work options are available with a primary site at 399 Revolution Drive, Somerville, MA.