Remote Inpatient Coding Quality Specialist

your Jared; Somerville, Northern (MA, KY); Hybrid; USD 42,000 - 61,000; Full time

Job summary

Mass General Brigham Incorporated is seeking a senior role focused on monitoring, assessing, and improving the quality of coding processes and documentation to ensure accuracy and compliance. The position emphasizes developing QA programs, educating staff, and aligning with AMA, CMS and other regulations.

Remote work is available; location is 399 Revolution Drive, with 40 hours weekly. Pay range is $30.60–$44.51 hourly; the organization notes comprehensive benefits and professional growth

Qualifications

• 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.
• Knowledge of ICD-10, CPT, and HCPCS and their hospital billing applications.
• Knowledge of AMA, CMS guidelines and other relevant regulations.
• Strong analytical skills and attention to detail for coding accuracy.
• Excellent understanding of anatomy, physiology and medical terminology.
• Excellent written and verbal communication skills; able to interact with providers and staff.
• Ability to work independently, prioritize tasks, and meet deadlines.

Responsibilities

• Develop and implement coding quality assurance programs to evaluate accuracy, completeness, and compliance of medical coding practices.
• Ensure coding practices align with AMA, CMS guidelines and regulatory requirements.
• Analyze medical records and notes to assess documentation supporting codes.
• Develop and deliver coding education and training programs for coders, physicians and other healthcare professionals.
• Identify opportunities to streamline coding workflows and improve efficiency.
• Establish key quality metrics and reporting mechanisms to monitor coding accuracy and productivity.
• Foster effective communication with healthcare providers, coders, and billing staff to address inquiries and clarify documentation.

Skills

Medical coding

Quality assurance

Analytical skills

Communication skills

Independent work

Education

Associate's Degree in Medical Billing and Coding

Job description

Mass General Brigham Incorporated is seeking a senior role focused on monitoring, assessing, and improving the quality of coding processes and documentation to ensure accuracy and compliance. The position emphasizes developing QA programs, educating staff, and aligning with AMA, CMS and other regulations.

Remote work is available; location is 399 Revolution Drive, with 40 hours weekly. Pay range is $30.60–$44.51 hourly; the organization notes comprehensive benefits and professional growth