Remote Medical Coding Quality Specialist

massgeneralbrigham; Somerville (MA); Remote; USD 43,000 - 62,000; Full time

Job summary

Mass General Brigham Incorporated is seeking a qualified Coding Quality Assurance Specialist to monitor, assess, and improve the quality of medical coding processes and documentation. This role ensures adherence to coding guidelines and regulatory requirements, with an emphasis on accuracy and compliance.

Responsibilities include developing QA programs, analyzing records, delivering education for coders and clinicians, and establishing metrics to track coding quality and productivity.

Qualifications

• 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 bodies.
• Analyze medical records, physician notes, and other relevant documentation to assess the adequacy and specificity of documentation supporting the assigned codes.
• Develop and deliver coding education and training programs to coders, physicians, and other healthcare professionals to enhance coding knowledge, documentation practices, and coding accuracy.
• Identify opportunities to streamline coding workflows, enhance efficiency, and improve coding accuracy.
• Establish key quality metrics and reporting mechanisms to monitor and track coding accuracy, productivity, and compliance.
• Foster effective communication and collaboration with healthcare providers, coders, billing staff, and other stakeholders to address coding-related inquiries, clarify documentation requirements, and resolve coding issues.

Skills

ICD-10

CPT

HCPCS

Analytical skills

Attention to detail

Communication skills

Education

Associate's Degree in Medical Billing and Coding

Job description

Mass General Brigham Incorporated is seeking a qualified Coding Quality Assurance Specialist to monitor, assess, and improve the quality of medical coding processes and documentation. This role ensures adherence to coding guidelines and regulatory requirements, with an emphasis on accuracy and compliance.

Responsibilities include developing QA programs, analyzing records, delivering education for coders and clinicians, and establishing metrics to track coding quality and productivity.