CodingBilling Compliance Analyst

Somerville, NJ - USA

Monthly Salary: $ 62400 - 90750

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

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

Summary

Responsible 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

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$62400.00 - $90750.40/Annual

Grade

At 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 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:

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 striv...