Remote Inpatient Coding Quality Lead

Mass General Brigham; Somerville (MA); Remote; USD 87,681,000 - 127,540,000; Full time

Job summary

Mass General Brigham is seeking a coding quality assurance professional to monitor and improve the accuracy and adherence of medical coding practices across the organization.

You will analyze records, develop training programs, and implement QA metrics while ensuring alignment with AMA and CMS guidelines. Remote-friendly, with on-site duties at 399 Revolution Drive and standard daytime hours.

Qualifications

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

Responsibilities

• Develop and implement coding quality assurance programs to evaluate accuracy, completeness, and compliance.
• Ensure coding practices align with AMA, CMS, and other regulatory guidelines.
• Analyze medical records and physician notes to assess documentation for codes.
• Develop and deliver coding education and training programs for coders and clinicians.
• Identify opportunities to streamline coding workflows and improve accuracy.
• Establish quality metrics and reporting to monitor coding accuracy, productivity, and compliance.
• Collaborate with providers, coders, billing staff, and stakeholders to address coding inquiries.

Skills

ICD-10 PCS

CPT/HCPCS

Inpatient coding

Analytical skills

Attention to detail

Communication skills

Education

Associate's Degree Medical Billing and Coding

Job description

Mass General Brigham is seeking a coding quality assurance professional to monitor and improve the accuracy and adherence of medical coding practices across the organization.

You will analyze records, develop training programs, and implement QA metrics while ensuring alignment with AMA and CMS guidelines. Remote-friendly, with on-site duties at 399 Revolution Drive and standard daytime hours.