Coding Quality Specialist
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Job Location:
Somerville, NJ - USA
Hourly Salary:
$ 30 - 43
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
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
Responsible 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.
Qualifications
Education
Associates Degree Medical Billing and Coding required
Experience
5-7 years of Medical Coding experience required
1-2 years of Quality Assurance experience preferred
Knowledge Skills and Abilities
Advanced 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 required
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$30.00 - $43.63/HourlyGrade
6EEO 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
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
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
