Coding Quality Specialist at Mass General Brigham

Site: Mass General Brigham IncorporatedMass 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 SummaryResponsible for monitoring assessing and improving the quality of coding processes documentation and adherence to coding guidelines and regulations by enhancing coding accuracy minimizing errors and promoting coding compliance.Essential Functions-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 organizations such as the American Medical Association (AMA) Centers for Medicare and Medicaid Services (CMS) and other relevant 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.QualificationsEducationAssociates Degree Medical Billing and Coding requiredExperience5-7 years of Medical Coding experience required1-2 years of Quality Assurance experience preferredKnowledge Skills and AbilitiesAdvanced knowledge of medical coding systems including ICD-10 CPT and HCPCS and their application in hospital billing.Knowledgeable of coding guidelines and regulations including those set by the AMA CMS and other relevant organizations.Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.Excellent understanding of anatomy physiology medical terminology and disease processes to support accurate coding.Excellent communication skills both written and verbal to interact effectively with healthcare providers and billing staff.Ability to work independently prioritize tasks and meet deadlines in a fast-paced environment.Additional Job Details (if applicable) M-F Eastern Business hours required for remote role Quiet secure stable compliant work station requiredRemote TypeRemoteWork Location399 Revolution DriveScheduled Weekly Hours40Employee TypeRegularWork ShiftDay (United States of America)Pay Range$30.00 - $43.63/HourlyGrade6At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.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 Veterans 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 .Mass General Brigham Competency FrameworkAt 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.Required Experience:IC Key Skills Quality Assurance,FDA Regulations,Data Collection,Food Safety Experience,ISO 9001,Mobile Devices,Root cause Analysis,Quality Systems,OSHA,Food Processing,Quality Management,cGMP Employment Type : Full-Time Experience: years Vacancy: 1 Hourly Salary Salary: 30 - 43