Remote Inpatient Coding Quality Lead

Mass General Brigham; Oregon; Híbrido; USD 42.000 - 61.000; Jornada completa

Descripción de la vacante

Mass General Brigham is seeking a Coding Quality Assurance Specialist to monitor, assess, and improve the quality of coding processes, documentation, and adherence to guidelines. You will enhance coding accuracy and ensure compliance with AMA, CMS, and other regulatory bodies.

You will develop QA programs, analyze medical records, deliver education to coders and clinicians, and establish metrics to monitor productivity, accuracy, and compliance in a remote, fast-paced healthcare environment.

Formación

• Associate's Degree 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.
• Must have ICD-10 PCS coding experience.

Responsabilidades

• Develop and implement coding quality assurance programs to evaluate accuracy, completeness, and compliance of medical coding practices.
• Ensure coding practices align with AMA, CMS, and other guidelines and regulations.
• Analyze medical records, physician notes, and other documentation to assess adequacy of documentation supporting codes.
• Develop and deliver coding education and training programs to coders and clinicians to improve coding knowledge and documentation practices.
• Identify opportunities to streamline coding workflows to enhance efficiency and accuracy.
• Establish key quality metrics and reporting mechanisms to monitor coding accuracy, productivity, and compliance.
• Foster effective communication with providers, coders, billing staff, and other stakeholders to address inquiries and resolve coding issues.

Conocimientos

Advanced knowledge of ICD-10 CPT HCPCS

Analytical skills

Attention to detail

Excellent communication

Independent worker

Educación

Associate's Degree in Medical Billing and Coding

Herramientas

ICD-10 PCS

Descripción del empleo

Mass General Brigham is seeking a Coding Quality Assurance Specialist to monitor, assess, and improve the quality of coding processes, documentation, and adherence to guidelines. You will enhance coding accuracy and ensure compliance with AMA, CMS, and other regulatory bodies.

You will develop QA programs, analyze medical records, deliver education to coders and clinicians, and establish metrics to monitor productivity, accuracy, and compliance in a remote, fast-paced healthcare environment.