Outpatient Technical Advisor, Coding

Reposted 17 Hours Ago
Be an Early Applicant
Somerville, MA, USA
In-Office
64K-91K Annually
Mid level
Healthtech
The Role
Oversee and advise on ambulatory surgery outpatient coding and charging programs. Review audits, address coding/billing issues and denials, support coding education, policy writing, system implementations, and revenue-cycle projects to ensure coding accuracy and compliance.
Summary Generated by Built In
Site: 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.


 

Job Summary

Under the general supervision of the Senior Coding Manager the Technical Advisor oversees, reviews and advised on the integrity of the ambulatory surgery coding/charging programs for the Mass General Brigham (MGB) Coding Department. The Technical Advisor advises on external/internal coding reviews and audits, new coding/billing regulations impacts, coding and billing interlinking billing issues, coding education and workflow training for outpatient coding, claim edits and denials related to ambulatory surgery coding/charging. Technical Advisor assists on the MGB Coding and Revenue Cycle-wide projects as needed. Technical Advisor assists on writing policies and procedures; coding system implementation projects; and coding education in their area of expertise. Will work very closely with multiple levels of Coding leadership, Technical Advisors, Data Quality Specialists and Coders to ensure an efficient and accurate coding program.


 

Qualifications

Education

  • Bachelor's Degree in Health Information Management required

  • ICD-10-CM and CPT education strongly preferred for both the Hospital and Professional coding.

Experience

  • 3+ years of experience required in clinical coding within a healthcare setting, with a focus on coding accuracy and compliance.

Knowledge, Skills and Abilities

  • In-depth knowledge of coding systems, such as ICD-10-CM, CPT, and HCPCS, as well as familiarity with coding guidelines and regulations (e.g., HIPAA, HITECH Act).

  • Strong analytical and problem-solving skills, with the ability to review complex medical records and identify coding errors or inconsistencies.

  • Excellent communication and interpersonal skills, with the ability to collaborate effectively with multidisciplinary teams and healthcare professionals.

  • Proficiency in using coding software and electronic health record (EHR) systems.

  • Detail-oriented mindset and ability to work in a fast-paced environment, meeting deadlines and managing multiple priorities.

  • Up-to-date knowledge of industry trends, emerging technologies, and regulatory changes related to clinical coding.


 

Additional Job Details (if applicable)


 

Remote Type

Remote


 

Work Location

399 Revolution Drive


 

Scheduled Weekly Hours

40


 

Employee Type

Regular


 

Work Shift

Day (United States of America)

Pay Range

$63,648.00 - $90,750.40/Annual

Grade

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 your potential compensation and benefits package.

EEO Statement:

0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.


 

Mass General Brigham Competency Framework

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

  • Bachelor's Degree in Health Information Management
  • ICD-10-CM and CPT education
  • 3+ years clinical coding experience in a healthcare setting
  • In-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems
  • Familiarity with coding guidelines and regulations (e.g., HIPAA, HITECH Act)
  • Proficiency in coding software and electronic health record (EHR) systems
  • Strong analytical and problem-solving skills for reviewing complex medical records
  • Excellent communication and interpersonal skills for multidisciplinary collaboration
  • Detail-oriented with ability to manage priorities and meet deadlines in fast-paced environment
  • Up-to-date knowledge of industry trends and regulatory changes related to clinical coding
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The Company
HQ: Somerville, Massachusetts
11,075 Employees

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.

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