Technical Advisor, Coding

Mass General Brigham Health Plan, Inc.; Somerville (MA); Remote; USD 60,000 - 90,000; Full time

Job summary

Join a passionate and welcoming community at a leading healthcare system, where your expertise as an Outpatient Technical Advisor will make a real impact. You will oversee coding integrity and collaborate with multidisciplinary teams to enhance patient care. This role offers the opportunity to work remotely while engaging in vital coding education and compliance efforts. Be part of a legacy that has shaped healthcare for over 200 years, and help us continue to provide exceptional care and advance medical discoveries.

Qualifications

• 3-5 years experience in clinical coding within a healthcare setting.
• In-depth knowledge of coding systems and regulations.

Responsibilities

• Oversee and advise on ambulatory surgery coding integrity.
• Assist in coding education and workflow training.

Skills

ICD-10-CM

CPT

HCPCS

Analytical Skills

Communication Skills

Problem-Solving Skills

Education

Bachelor's Degree in Health Information Management

Tools

Coding Software

Electronic Health Record (EHR) Systems

Job description

Outpatient Technical Advisor, Coding page is loaded

Outpatient Technical Advisor, Coding

Apply remote type Remote locations Somerville-MA time type Full time posted on Posted Today job requisition id RQ4018662 Site: Mass General Brigham Incorporated

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Under the general supervision of the Senior Coding Manager the Technical Advisor oversees, reviews and advised on the integrity of the ambulatory surgery coding/charging programs for the Mass General Brigham (MGB) Coding Department. The Technical Advisor advises on external/internal coding reviews and audits, new coding/billing regulations impacts, coding and billing interlinking billing issues, coding education and workflow training for outpatient coding, claim edits and denials related to ambulatory surgery coding/charging. Technical Advisor assists on the MGB Coding and Revenue Cycle-wide projects as needed. Technical Advisor assists on writing policies and procedures; coding system implementation projects; and coding education in their area of expertise. Will work very closely with multiple levels of Coding leadership, Technical Advisors, Data Quality Specialists and Coders to ensure an efficient and accurate coding program.

Qualifications

Education
Bachelor's Degree Health Information Management required

Experience
Experience in clinical coding within a healthcare setting, with a focus on coding accuracy and compliance. 3-5 years required

Knowledge, Skills and Abilities
- In-depth knowledge of coding systems, such as ICD-10-CM, CPT, and HCPCS, as well as familiarity with coding guidelines and regulations (e.g., HIPAA, HITECH Act).
- Strong analytical and problem-solving skills, with the ability to review complex medical records and identify coding errors or inconsistencies.
- Excellent communication and interpersonal skills, with the ability to collaborate effectively with multidisciplinary teams and healthcare professionals.
- Proficiency in using coding software and electronic health record (EHR) systems.
- Detail-oriented mindset and ability to work in a fast-paced environment, meeting deadlines and managing multiple priorities.
- Up-to-date knowledge of industry trends, emerging technologies, and regulatory changes related to clinical coding.

Additional Job Details (if applicable)

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

EEO Statement:

Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Why work here?

Combat disease. Hold a hand. Help people. Impact the world.

Mass General Brigham is a passionate, welcoming community where minds meet caring hearts.

Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives. Are you ready?

About Us?

Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world.

Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community.

We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system.

We recognize that increasing value and continuously improving quality are essential to maintaining excellence.