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
Summary:-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
Essential Functions:
-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
Education
Associate's Degree Healthcare Administration/ related field required.
Bachelor's degree preferred.
Can this role accept experience in lieu of a degree?
Yes
Licenses and Credentials
CPC required.
CPMA, RHIA, RHIT, CHC preferred.
Experience
5 Years of Surgical Coding experience preferred
Experience in QA/auditing, 1-3 years preferred.
Knowledge, Skills and Abilities
- 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.
Additional Job Details (if applicable)
This position will be auditing for surgical coding. Experience in surgical coding is strongly preferred.
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$63,648.00 - $92,570.40/AnnualGrade
6At 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 your potential compensation and benefits package.
EEO 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.
Skills Required
- Associate's degree in Healthcare Administration or a related field, or equivalent experience in lieu of the degree
- Certified Professional Coder (CPC) certification
- Five years of surgical coding experience
- One to three years of quality assurance or auditing experience
- Certified Professional Medical Auditor (CPMA) certification
- Registered Health Information Administrator (RHIA) certification
- Registered Health Information Technician (RHIT) certification
- Certified in Healthcare Compliance (CHC) certification
- Thorough knowledge of coding standards and clinical documentation requirements
- Strong analytical and problem-solving skills
- Excellent communication skills and ability to provide constructive feedback
- High attention to detail and commitment to quality standards
- Ability to work independently and manage multiple tasks simultaneously
What We Do
Mass General Brigham is an integrated academic health care system, uniting great minds to solve the hardest problems in medicine for our communities and the world. Mass General Brigham connects a full continuum of care across a system of academic medical centers, community and specialty hospitals, a health insurance plan, physician networks, community health centers, home care, and long-term care services. Mass General Brigham is a nonprofit organization that is committed to patient care, research, teaching, and service to the community. In addition, Mass General Brigham is one of the nation’s leading biomedical research organizations and a principal teaching affiliate of Harvard Medical School.
