Coding Quality Assurance Specialist

2 days ago


Boston, Massachusetts, United States Mass General Brigham (Enterprise Services) Full time
Job Summary

We are seeking a skilled Coding Quality Assurance Specialist to join our team at Mass General Brigham (Enterprise Services). As a key member of our Revenue Cycle Operations team, you will be responsible for ensuring the accuracy and quality of coding practices across our organization.

Key Responsibilities
  • Perform coding audits and quality assurance assessments to ensure compliance with established policies and procedures.
  • Review and analyze coding data to identify trends and areas for improvement.
  • Collaborate with the Coding Education Team to develop and implement education and training programs for coders.
  • Provide feedback and guidance to coders on coding practices and compliance.
  • Stay up-to-date with current coding guidelines, regulations, and industry developments.
Requirements
  • Associate or Bachelor's degree in a related field or equivalent experience.
  • Coding certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA).
  • 2+ years of direct auditing experience in a managed care environment.
  • 5+ years of coding experience in a managed care, medical billing, facility, or physician environment.
  • Thorough knowledge of ICD-10, CPT, HCPCS, and revenue billing codes.
Working Conditions

This is a remote position with occasional on-site work required. The ideal candidate will have excellent communication and analytical skills, with the ability to work independently and as part of a team.

Why Join Us?

At Mass General Brigham (Enterprise Services), we are committed to providing high-quality patient care and exceptional service. As a member of our team, you will have the opportunity to work with a talented group of professionals who share your passion for excellence and innovation.



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