Remote Inpatient Coding Quality Specialist

Partner's Healthcare; Somerville (MA); Remote; USD 87,681,000 - 127,540,000; Full time

Job summary

Mass General Brigham Incorporated is seeking a qualified Coding Quality Assurance professional to monitor and improve medical coding processes and documentation. You will develop QA programs, train staff, and ensure adherence to AMA, CMS, and coding guidelines.

The role emphasizes inpatient coding expertise (ICD-10 PCS) and collaboration with clinicians and billing teams, with full-time hours and remote work options in a compliant environment.

Qualifications

• Education required: Associate's Degree in Medical Billing and Coding.
• 5+ years of medical coding experience required.
• 1+ years of quality assurance experience preferred.
• Strong inpatient coding experience; ICD-10 PCS experience required.

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 documentation to assess adequacy and specificity of codes.
• Develop and deliver coding education and training to coders and clinicians.
• Identify opportunities to streamline workflows and improve coding accuracy.
• Establish quality metrics and reporting to monitor accuracy, productivity, and compliance.
• Collaborate with providers, coders, and billing staff to resolve coding issues.

Skills

ICD-10 coding

CPT coding

HCPCS coding

Analytical skills

Education

Associate's Degree Medical Billing and Coding

Tools

EHR systems

Job description

Mass General Brigham Incorporated is seeking a qualified Coding Quality Assurance professional to monitor and improve medical coding processes and documentation. You will develop QA programs, train staff, and ensure adherence to AMA, CMS, and coding guidelines.

The role emphasizes inpatient coding expertise (ICD-10 PCS) and collaboration with clinicians and billing teams, with full-time hours and remote work options in a compliant environment.