Coding Quality Education & Improvement Specialist- Outpatient

Mass General Brigham relies on a wide range of professionals to advance our mission as a not-for-profit supporting patient care, research, teaching, and community service. We strive to provide exceptional care and believe that high-performing teams drive groundbreaking medical discoveries.

About the role

Responsible for designing, implementing, and overseeing coding education programs for medical coders and other relevant staff. This role ensures that coding professionals have the knowledge and skills required to accurately assign medical codes, maintain compliance with coding guidelines, and contribute to the revenue cycle management process.

Does this position require Patient Care? No

Responsibilities

• Design, develop, and update coding education curriculum based on current coding guidelines, regulations, and industry best practices.
• Conduct training sessions, workshops, and webinars for coders and coding-related staff, covering topics such as CPT, ICD-10, HCPCS coding, compliance, and documentation improvement.
• Create engaging e-learning modules and online courses for remote learning, using multimedia tools and e-learning platforms.
• Provide hands-on guidance to coders, reviewing coding accuracy and compliance with coding guidelines.
• Collaborate with clinical documentation improvement specialists to educate coders on the importance of accurate and detailed medical documentation for coding.
• Conduct coding audits and provide detailed feedback to coders on areas for improvement, helping them enhance coding accuracy and proficiency.
• Offer ongoing education and learning opportunities to coding staff, keeping them informed about coding advancements and emerging healthcare trends.
• Educate coders on coding compliance regulations, ethics, and fraud and abuse prevention to maintain organizational integrity.

Requirements

• Bachelor's Degree in Health Information Management required or bachelor's degree in a related field preferred.
• Experience may be accepted in lieu of a degree.
• Licenses and Credentials: CCS, CPMA, RHIA, RHIT, CPC, CHC, CPB.
• Coding Experience: 2-3 years required.
• Teaching Experience: 1-2 years preferred.

Skills

• Strong instructional skills, including the ability to engage learners, present complex concepts clearly, and adapt teaching methods to various learning styles.
• In-depth understanding of coding guidelines, compliance regulations, and industry standards.
• Excellent communication skills, both written and verbal, to deliver training content effectively and interact with diverse learners.
• Strong analytical skills to evaluate coding accuracy, identify training needs, and measure training effectiveness.
• Ability to collaborate effectively with coding staff, trainers, managers, and other stakeholders.

Benefits

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.

Pay

Pay Range / Grade 6. Base pay is determined by skills, relevant experience, education, certifications, and other essential factors. The base pay information provided offers an estimate based on minimum job qualifications.

Schedule

• Remote Type: Remote
• Work Location: 399 Revolution Drive
• Scheduled Weekly Hours: 40
• Employee Type: Regular
• Work Shift: Day (United States of America)