Technical Advisor, Coding

Massachusetts General Hospital; Somerville (MA); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player seeks a Technical Advisor to oversee ambulatory surgery coding at a leading healthcare institution. This role involves advising on coding accuracy, conducting reviews, and ensuring compliance with regulations. The successful candidate will work closely with coding leadership and contribute to educational initiatives. Join a dynamic team dedicated to advancing patient care and driving medical innovation in a collaborative environment. If you possess strong analytical skills and a passion for healthcare coding, this opportunity is perfect for you.

Qualifications

• 3-5 years of experience in clinical coding with a focus on accuracy.
• In-depth knowledge of coding systems and regulations.

Responsibilities

• Oversee and advise on ambulatory surgery coding integrity.
• Collaborate with multidisciplinary teams to ensure coding accuracy.

Skills

ICD-10-CM

CPT

HCPCS

Analytical Skills

Problem-Solving Skills

Communication Skills

Interpersonal Skills

Detail-Oriented

Education

Bachelor's Degree in Health Information Management

Tools

Coding Software

Electronic Health Record (EHR) Systems

Job description

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.