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An established industry player is seeking a Technical Advisor to oversee and enhance the integrity of ambulatory surgery coding programs. This role involves advising on coding reviews, audits, and new regulations, while ensuring compliance and accuracy in coding practices. The ideal candidate will collaborate closely with various teams to implement coding education and workflow training, contributing to the overall efficiency of the coding department. If you have a passion for healthcare coding and a keen eye for detail, this opportunity is perfect for you to make a significant impact in a dynamic environment.
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.
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.