Remote Inpatient Coding Quality Lead

0100 Mass General Brigham Incorporated; Somerville (MA); Remote; USD 87,681,000 - 127,540,000; Full time

Job summary

Mass General Brigham Incorporated is seeking a Senior Coding Quality Assurance professional to monitor, assess, and improve coding processes across inpatient coding activities. The role focuses on accuracy, documentation quality, and compliance with AMA, CMS, and other regulations.

Responsibilities include developing QA programs, educating clinicians and coders, and driving workflow efficiencies while maintaining HIPAA-compliant practices.

Qualifications

• Associate's Degree in Medical Billing and Coding is required.
• 5+ years of medical coding experience; inpatient coding experience preferred.
• 1+ years of quality assurance experience preferred; strong knowledge of ICD-10, CPT, HCPCS and coding guidelines.

Responsibilities

• Develop and implement coding quality assurance programs to evaluate accuracy, completeness, and compliance.
• Ensure coding aligns with AMA CMS guidelines and regulatory requirements.
• Analyze records to assess documentation adequacy supporting codes.
• Develop and deliver coding education and training for coders and clinicians.
• Identify opportunities to streamline workflows and improve coding accuracy.
• Establish metrics and reporting to monitor coding quality, productivity, and compliance.
• Collaborate with providers, billing staff, and stakeholders to resolve coding questions.

Skills

ICD-10 PCS

CPT coding

HCPCS coding

Quality assurance

Education

Associate's Degree in Medical Billing and Coding

Job description

Mass General Brigham Incorporated is seeking a Senior Coding Quality Assurance professional to monitor, assess, and improve coding processes across inpatient coding activities. The role focuses on accuracy, documentation quality, and compliance with AMA, CMS, and other regulations.

Responsibilities include developing QA programs, educating clinicians and coders, and driving workflow efficiencies while maintaining HIPAA-compliant practices.