Coding Operations Coordinator
Somerville, NJ - USA
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 overseeing and coordinating coding operations with a primary focus on workflow management operational efficiency work queue oversight and process optimization. This role ensures the timely and accurate progression of accounts through the coding lifecycle by monitoring productivity coordinating resources resolving workflow issues supporting system and process improvements and maintaining compliance with organizational policies and operational standards. The position collaborates with coding leadership revenue cycle teams and external vendors to identify opportunities for process enhancement implement operational initiatives and support organizational performance goals.Qualifications
Education
- High School Diploma or equivalent required
Experience
- 2 years of experience in outpatient coding required
- 1 years of experience in a supervisory or coordinator role preferred
- Experience working with EHR and/or healthcare coding systems preferred.
Knowledge Skills and Abilities
- Strong analytical organizational and communication skills.
- Ability to work independently and manage multiple tasks in a fast-paced environment.
- Proficiency in electronic health records (EHR) systems and coding software.
- Proficient in Microsoft Office Suite including Excel PowerPoint Power BI Teams and Microsoft Forms.
Essential Functions
- Payer Denials / Data Entry: This role will involve a significant amount of data entry to support payer denial activities. Responsibilities include monitoring and following up on outstanding documentation and maintaining Excel spreadsheets. Submitting documents to the payer portals. Training will be provided.
- Vendor Onboarding and Offboarding: This role will be responsible for coordinating the vendor onboarding and offboarding process including application access requests opening tickets and communicating with the Digital team. Training will be provided.
- Epic Workflows: The role will include monitoring volume and managing additional Epic-related workflows and processes. Training will be provided. Analyze workflow trends identify opportunities for process improvement and collaborate with leadership and cross-functional teams to implement operational enhancements.
- Prepare and distribute recurring and ad hoc reports dashboards and operational summaries for leadership.
- Investigate operational and coding-related issues identify root causes and develop recommendations to improve efficiency quality reimbursement outcomes and workflow performance.
- Maintain tracking systems databases and reporting tools used to monitor operational activities audit findings denials reviews appeals and other key performance indicators.
- Utilize reporting and analytics tools to analyze coding and operational performance identify trends and support data-driven decision-making.
- Develop and deliver training programs for coding staff on coding updates operational processes system enhancements and best practices.
- Collaborate with clinical billing compliance and operational stakeholders to resolve issues improve workflows support accurate reimbursement and achieve organizational goals.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$25.50 - $36.49/HourlyGrade
5EEO Statement:
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
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.