Remote Inpatient Coding Quality Assurance Specialist

Mass General Brigham Incorporated; Somerville (MA); Remote; USD 43,000 - 62,000; Full time

Benefits offered by this job

Remote work

Competitive benefits package

Job summary

Mass General Brigham Incorporated is seeking a Coding Quality Assurance professional to monitor, assess, and improve coding accuracy, documentation, and regulatory compliance. You will develop QA programs, analyze medical records, and deliver targeted education to coders and clinicians, ensuring adherence to AMA, CMS, and other guidelines.

The role emphasizes collaboration with providers and billing teams, establishing metrics, and driving workflow improvements in a remote, HIPAA-compliant

Qualifications

• In-depth knowledge of ICD-10, CPT, HCPCS coding systems.
• Experience interpreting medical records and documentation for accurate coding.
• Experience building and delivering coding education to staff.
• Familiarity with AMA, CMS guidelines and related regulations.

Responsibilities

• Develop and implement coding quality assurance programs to evaluate accuracy, completeness, and compliance.
• Analyze records to assess documentation sufficiency for assigned codes.
• Educate coders, physicians, and staff to improve documentation and coding accuracy.
• Identify opportunities to streamline coding workflows and improve productivity.
• Establish quality metrics and reporting to monitor coding accuracy and compliance.

Skills

ICD-10 coding

CPT coding

HCPCS coding

Quality assurance

Data analysis

Attention to detail

Communication

Independent work

Education

Associate's Degree in Medical Billing and Coding

Job description

Mass General Brigham Incorporated is seeking a Coding Quality Assurance professional to monitor, assess, and improve coding accuracy, documentation, and regulatory compliance. You will develop QA programs, analyze medical records, and deliver targeted education to coders and clinicians, ensuring adherence to AMA, CMS, and other guidelines.

The role emphasizes collaboration with providers and billing teams, establishing metrics, and driving workflow improvements in a remote, HIPAA-compliant