Coding/Billing Compliance Analyst
Coding/Billing Compliance Analyst
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
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
SummaryResponsible to analyze and audit medical coding and billing processes to identify potential compliance issues discrepancies and opportunities for improvement.
Essential Functions
-Conduct comprehensive audits of medical coding billing and documentation practices to assess compliance with industry regulations and internal policies.
-Monitor coding and billing practices on an ongoing basis to identify trends patterns and potential compliance risks.
-Stay updated on changes in coding and billing regulations including those from CMS CPT and other governing bodies to ensure compliance.
-Review medical documentation to ensure alignment with billed services and coding specificity requirements.
-Evaluate the accuracy and appropriateness of diagnostic and procedural codes assigned to medical services.
Qualifications
Bachelors Degree in Health Information Management or related field of study required
2-3 years of experience preferred in medical coding billing compliance auditing or a related role within the healthcare industry
Knowledge Skills and Abilities
In-depth knowledge of coding systems (ICD-10 CPT HCPCS) and billing guidelines as well as compliance regulations related to healthcare billing and coding.
Analytical and critical thinking skills to conduct audits and identify compliance issues.
Excellent written and verbal communication skills to effectively communicate compliance findings and recommendations.
Attention to detail and the ability to work independently and collaboratively in a team-oriented environment.
Proficiency in using healthcare software applications and electronic health record (EHR) systems.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
EEO Statement:
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.
Required Experience:
IC
Employment Type
Full-Time
