Mass General Brigham

Clinical Coding Auditor


PayCompetitive
LocationSomerville/Massachusetts
Employment typeFull-Time

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  • Job Description

      Req#: RQ4009251
      Employer Industry: Healthcare

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Work remotely from most U.S. states, with local employees attending meetings once a month in the office
      - Engage in a diverse and inclusive work environment that values varied backgrounds and experiences
      - Contribute to the accuracy and compliance of medical coding practices, directly impacting patient care and reimbursement
      - Competitive support for professional development, including required certifications

      What to Expect (Job Responsibilities):
      - Develop and implement a coding audit plan to assess the accuracy and compliance of clinical coding practices
      - Coordinate and conduct coding audits for inpatient, outpatient, and specialty services to evaluate coding accuracy and completeness
      - Review medical records, encounter documentation, and coding assignments to verify proper code assignment
      - Ensure coding practices align with relevant coding guidelines, including ICD-10-CM, CPT, HCPCS, and other coding systems
      - Monitor coding compliance with coding regulations and payer requirements

      What is Required (Qualifications):
      - Bachelor's Degree (or equivalent experience accepted in lieu of a degree)
      - Certified Risk Adjustment Coder from the American Academy of Professional Coders (AAPC) required
      - At least 5-7 years of coding audits experience in a healthcare setting
      - Significant experience in clinical coding and coding audits in a healthcare setting
      - Strong analytical and problem-solving skills, with excellent communication and interpersonal abilities

      How to Stand Out (Preferred Qualifications):
      - In-depth knowledge of ICD-10-CM, CPT, HCPCS, and other coding systems and guidelines
      - Familiarity with coding compliance and regulatory requirements
      - Proficiency in using coding software and electronic health record (EHR) systems
      - Attention to detail and accuracy in coding audit processes
      - Ability to work independently and collaboratively within a team

      #Healthcare #RemoteWork #CodingAudits #DiversityAndInclusion #CareerGrowth

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      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
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