Coding QA Specialist

Mass General Brigham Incorporated 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.

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.

Does this position require Patient Care? No

• 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.

• Associate's Degree Healthcare Administration/ related field required.
• Bachelor's degree preferred.
• Can this role accept experience in lieu of a degree? Yes

• 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.

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

Remote

399 Revolution Drive

40

Regular

Day (United States of America)

$63,648.00 - $92,570.40/Annual

6

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications;

however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of…