Remote Medical Coding Quality Analyst

0100 Mass General Brigham Incorporated; Somerville (MA); Remote; USD 43,000 - 62,000; Full time

Job summary

Mass General Brigham Incorporated is seeking a Coding Quality Assurance professional to monitor, assess, and improve coding processes and documentation accuracy. You will enhance adherence to coding guidelines and ensure compliance with AMA, CMS, and other regulatory bodies.

Responsibilities include developing QA programs, analyzing records for code adequacy, and delivering education to coders and clinicians.

Qualifications

• Education 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 AMA, CMS guidelines and other relevant organizations.
• Excellent communication skills, both written and verbal, to interact with providers and billing staff.

Responsibilities

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

Skills

Medical coding knowledge

ICD-10 PCS

Attention to detail

Communication skills

Analytical skills

Documentation interpretation

Independent work

Education

Associate's Degree in Medical Billing and Coding

Job description

Mass General Brigham Incorporated is seeking a Coding Quality Assurance professional to monitor, assess, and improve coding processes and documentation accuracy. You will enhance adherence to coding guidelines and ensure compliance with AMA, CMS, and other regulatory bodies.

Responsibilities include developing QA programs, analyzing records for code adequacy, and delivering education to coders and clinicians.