Remote Inpatient Coding Quality Analyst

Mass General Brigham (Enterprise Services); Somerville (MA); Remote; USD 41,000 - 62,000; Full time

Job summary

Mass General Brigham Incorporated is seeking a skilled professional to monitor, assess, and improve the quality of medical coding processes and documentation. You will promote adherence to coding guidelines, develop QA programs, and drive education to enhance accuracy and compliance.

The role requires strong knowledge of ICD-10, CPT, HCPCS, and ICD-10-PCS, with experience in inpatient coding and familiarity with CMS/AMA standards.

Qualifications

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

Responsibilities

• Develop and implement coding quality assurance programs to evaluate accuracy and compliance of medical coding practices.
• Ensure coding practices align with AMA, CMS, and regulatory guidelines.
• Analyze medical records, physician notes, and documentation to assess sufficiency for codes.
• Develop and deliver coding education and training for coders and clinicians to improve accuracy.
• Identify opportunities to streamline coding workflows and improve efficiency and accuracy.
• Establish quality metrics and reporting to monitor coding accuracy, productivity, and compliance.
• Foster collaboration with providers, coders, and billing staff to resolve coding issues.

Skills

ICD-10 coding

CPT coding

HCPCS coding

Inpatient coding

Analytical skills

Communication skills

Education

Associate's Degree Medical Billing and Coding

Job description

Mass General Brigham Incorporated is seeking a skilled professional to monitor, assess, and improve the quality of medical coding processes and documentation. You will promote adherence to coding guidelines, develop QA programs, and drive education to enhance accuracy and compliance.

The role requires strong knowledge of ICD-10, CPT, HCPCS, and ICD-10-PCS, with experience in inpatient coding and familiarity with CMS/AMA standards.