Remote Healthcare Coding Quality Specialist

Mass General Brigham; United States; Remote; USD 43,000 - 62,000; Full time

Job summary

Mass General Brigham is seeking a Coding Quality Assurance Specialist to monitor, assess, and improve the quality of coding processes, documentation, and adherence to coding guidelines. The role focuses on enhancing coding accuracy, minimizing errors, and promoting coding compliance.

Responsibilities include developing QA programs, educating clinicians and coders, analyzing records, and establishing metrics to track performance.

Qualifications

• Associate degree required in Medical Billing and Coding.
• 5+ years of medical coding experience required.
• 1+ years of quality assurance experience preferred.
• Must have ICD-10 PCS coding experience.

Responsibilities

• Develop and implement coding quality assurance programs.
• Ensure coding practices align with AMA, CMS, and regulatory guidelines.
• Analyze medical records and documentation to assess coding adequacy.
• Develop and deliver coding education and training to coders and clinicians.
• Identify opportunities to streamline coding workflows and improve accuracy.
• Establish quality metrics and reporting to monitor coding performance.
• Collaborate with providers, coders, and billing staff to resolve coding issues.

Skills

Medical coding

Attention to detail

Analytical skills

Independent worker

Education

Associate’s Degree Medical Billing and Coding

Tools

ICD-10 PCS

CPT

HCPCS

Job description

Mass General Brigham is seeking a Coding Quality Assurance Specialist to monitor, assess, and improve the quality of coding processes, documentation, and adherence to coding guidelines. The role focuses on enhancing coding accuracy, minimizing errors, and promoting coding compliance.

Responsibilities include developing QA programs, educating clinicians and coders, analyzing records, and establishing metrics to track performance.