Coding Quality Manager
Share
Job Location:
Somerville, NJ - USA
Monthly Salary:
$ 99465 - 141804
Posted on:
21 hours ago
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
The Outpatient professional and facility Coding Quality Manager is accountable to ensure our coding operations maintains first-time coding quality and continuous improvement across outpatient coding services. This role collaborates with coding operations Coding Education group practice management Revenue integrity and compliance ensuring accurate compliant coding that supports reimbursement reduces rework and withstands audit scrutiny.Essential functions
Lead and manage 7 FTE that perform outpatient professional and facility coding quality retrospective and concurrent reviews (E&M procedures surgeries diagnostics ancillary services)
Identify error trends root causes and systemic issues and communicate corrective action plans to stakeholders.
Develops and maintains training materials for quality assurance to ensure consistency and compliance with internal review process.
Monitors regulatory updates and ensures that coding staff are educated on new requirements policies and procedures.
Fosters a culture of continuous improvement encouraging open communication and collaboration amongst revenue cycle operations.
Owns the collection validation and analysis of quality data to deliver actionable reporting on performance trends risk areas and improvement opportunities for senior leadership
Qualifications
Bachelors Degree Health Information Management required or Bachelors Degree Healthcare Administration required or Bachelors Degree Related Field of Study preferred
Can this role accept experience in lieu of a degree
Yes
Licenses and Credentials
RHIA RHIT CCS-P CCS CPMACPC
Experience
- Experience in medical coding or clinical documentation 3-5 years required and
- Experience in a supervisory or leadership role required 1-2 years and
- Experience in educational or training 1-2 years required
Knowledge Skills and Abilities
- Demonstrates forward-thinking and strategic judgment anticipating quality compliance and operational risks while balancing short-term execution with long-term improvement.
- Proficiency in coding quality audits and data analysis to identify trends and areas for improvement.
- Strong understanding of outpatient professional and facility reimbursement methodologies edits and payer requirements
- Proficiency with Epic workflows work queues and coding-related tools
- Build strong partnerships across coding billing revenue integrity compliance and education
- Demonstrates adaptability in a complex evolving regulatory environment
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$99465.60 - $141804.00/AnnualGrade
8EEO 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:
Manager
Key Skills
- APQP
- Quality Assurance
- ISO 9001
- Lean Six Sigma
- PPAP
- Root cause Analysis
- ISO 13485
- Quality Systems
- Quality Control
- Quality Management
- As9100
- Manufacturing
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.
