[Hiring] Coding QA Specialist @Mass General Brigham

Role Description

Responsible for ensuring the accuracy and quality of billing information. Reviews and audits records to maintain compliance with regulatory standards and improve data integrity, working closely with clinical staff and coders to resolve discrepancies.

• Completing regular audits, summarizing and reporting audit results, and recommending preventative actions when errors occur.
• Identifies and corrects errors in records, ensuring proper documentation and adherence to practices.
• Identify opportunities for additional training and/or enhancements to training materials and work collaboratively with internal and external teams to help provide education and training in these areas.
• Assist with the development and delivery of regular reports on performance, trends, and other actionable insights to the QA, Training, and Operations Leadership teams.
• Document evaluations utilizing departmental quality monitoring templates, established quality standards, and quality monitoring technology.
• Develops and maintains quality assurance reports, tracking performance metrics, and identifying areas for improvement.
• Regularly and accurately report findings to the Manager and/or user via the approved scoring, tracking, and reporting mechanisms.

Qualifications

• Associate's Degree in Healthcare Administration/related field required.
• Bachelor's degree preferred.
• Experience in lieu of a degree accepted.
• CPC required.
• CPMA, RHIA, RHIT, CHC preferred.
• 5 Years of Surgical Coding experience preferred.
• Experience in QA/auditing, 1-3 years preferred.
• Thorough knowledge of coding standards and clinical documentation requirements.
• Strong analytical and problem-solving skills.
• Excellent communication skills, with the ability to provide constructive feedback.
• Attention to detail and commitment to maintaining high-quality standards.
• Ability to work independently and manage multiple tasks simultaneously.

Requirements

• This position will be auditing for surgical coding. Experience in surgical coding is strongly preferred.

Benefits

• Competitive base pay.
• Comprehensive benefits.
• Career advancement opportunities.
• Differentials, premiums, and bonuses as applicable.
• Recognition programs designed to celebrate contributions and support professional growth.