Outpatient Technical Advisor, Coding
Job Summary
Under the general supervision of the Senior Coding Manager, the Technical Advisor oversees, reviews, and advises 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. The Technical Advisor assists on the MGB Coding and Revenue Cycle-wide projects as needed. The 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
EEO Statement
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.