Outpatient Technical Advisor, Coding

Mass General Brigham; Somerville (MA); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking an Outpatient Technical Advisor to oversee coding integrity, manage audits, and provide training. The ideal candidate will have a Bachelor's in Health Information Management and 3-5 years of coding experience. This remote position requires strong analytical skills and knowledge of coding regulations.

Qualifications

• 3-5 years of clinical coding experience in healthcare.
• Deep knowledge of ICD-10-CM, CPT, and HCPCS coding systems.

Responsibilities

• Oversee and advise on ambulatory surgery coding integrity.
• Provide education and workflow training for outpatient coding.

Skills

Analytical Skills

Problem Solving

Communication

Attention to Detail

Education

Bachelor's Degree in Health Information Management

Tools

Coding Software

Electronic Health Record (EHR) Systems

Job description

Outpatient Technical Advisor, Coding

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Remote type: Remote

Locations: Somerville-MA

Time type: Full time

Posted on: Posted 5 Days Ago

Job requisition id: RQ4018662

Site: Mass General Brigham Incorporated

About Mass General Brigham

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Under the general supervision of the Senior Coding Manager, the Technical Advisor oversees, reviews, and advises on the integrity of the ambulatory surgery coding/charging programs for the Mass General Brigham (MGB) Coding Department. The role involves advising on external/internal coding reviews and audits, understanding new coding/billing regulations, addressing coding and billing issues, providing education and workflow training for outpatient coding, and managing claim edits and denials related to ambulatory surgery coding/charging. The Technical Advisor also contributes to MGB Coding and Revenue Cycle projects, policy and procedure writing, system implementation projects, and coding education. Collaboration with Coding leadership, Data Quality Specialists, and Coders is essential to ensure an efficient and accurate coding program.

Qualifications

Education

Bachelor's Degree in Health Information Management required

Experience

3-5 years of clinical coding experience within a healthcare setting, emphasizing coding accuracy and compliance

Knowledge, Skills, and Abilities

• Deep knowledge of coding systems such as ICD-10-CM, CPT, and HCPCS, along with familiarity with coding guidelines and regulations (e.g., HIPAA, HITECH Act)
• Strong analytical and problem-solving skills, capable of reviewing complex medical records for coding errors or inconsistencies
• Excellent communication and interpersonal skills for effective collaboration with healthcare professionals
• Proficiency in coding software and electronic health record (EHR) systems
• Attention to detail and ability to work efficiently in a fast-paced environment, managing multiple priorities
• Up-to-date knowledge of industry trends, emerging technologies, and regulatory changes in clinical coding

Additional Details

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

EEO Statement

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 protected status under law. Reasonable accommodations are provided for individuals with disabilities during the application and interview process, as well as in performing essential job functions. For accommodations, contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

Our competency framework defines effective leadership behaviors critical for success at each job level, comprising ten competencies (half People-Focused, half Performance-Focused). These are used for performance evaluation, hiring, development, and talent pipeline management.