Remote Inpatient Coding Quality Specialist

Partner's Healthcare; Somerville (MA); Remote; USD 43,000 - 62,000; Full time

Job summary

Mass General Brigham Incorporated is seeking a Full-time Coding Quality Assurance Specialist to monitor and improve the quality, accuracy, and compliance of medical coding across departments. You will develop QA programs, align practices with AMA/CMS guidelines, and educate staff to enhance coding accuracy.

The role requires strong ICD-10-PCS proficiency, inpatient coding experience, and the ability to analyze documentation to support correct coding decisions.

Qualifications

• Associate's degree in 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.

Responsibilities

• Develop and implement coding quality assurance programs to evaluate the accuracy, completeness, and compliance of medical coding practices.
• Ensure coding practices align with official coding conventions, guidelines, and regulatory requirements set forth by AMA, CMS, and other relevant bodies.
• Analyze medical records, physician notes, and other documentation to assess coding adequacy and specificity of documentation.
• Develop and deliver coding education and training programs to coders, physicians, and other healthcare professionals to enhance coding knowledge and accuracy.
• Identify opportunities to streamline coding workflows, enhance efficiency, and improve coding accuracy.
• Establish key quality metrics and reporting mechanisms to monitor coding accuracy, productivity, and compliance.
• Foster effective communication with providers, coders, billing staff, and stakeholders to address inquiries and resolve coding issues.

Skills

Medical coding

Quality assurance

Inpatient coding

ICD-10-PCS

Education

Associate's Degree Medical Billing and Coding

Job description

Mass General Brigham Incorporated is seeking a Full-time Coding Quality Assurance Specialist to monitor and improve the quality, accuracy, and compliance of medical coding across departments. You will develop QA programs, align practices with AMA/CMS guidelines, and educate staff to enhance coding accuracy.

The role requires strong ICD-10-PCS proficiency, inpatient coding experience, and the ability to analyze documentation to support correct coding decisions.