Mass General Brigham
Coding/Billing Compliance Analyst
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Job Description
- Req#: RQ4003537
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere within the continental U.S.
- Comprehensive benefits package, including health insurance and retirement plans
- Supportive and collaborative work environment
- Chance to make a significant impact on compliance and patient care through accurate coding and billing practices
What to Expect (Job Responsibilities):
- Conduct comprehensive audits of medical coding, billing, and documentation practices to assess compliance with industry regulations and internal policies
- Monitor coding and billing practices on an ongoing basis to identify trends, patterns, and potential compliance risks
- Stay updated on changes in coding and billing regulations, including those from CMS, CPT, and other governing bodies, to ensure compliance
- Review medical documentation to ensure alignment with billed services and coding specificity requirements
- Evaluate the accuracy and appropriateness of diagnostic and procedural codes assigned to medical services
What is Required (Qualifications):
- Bachelor's Degree in Health Information Management or related field of study
- 2-3 years of experience in medical coding, billing, compliance auditing, or a related role within the healthcare industry
- In-depth knowledge of coding systems (ICD-10, CPT, HCPCS) and billing guidelines, as well as compliance regulations related to healthcare billing and coding
- Excellent written and verbal communication skills to effectively communicate compliance findings and recommendations
- Proficiency in using healthcare software applications and electronic health record (EHR) systems
How to Stand Out (Preferred Qualifications):
- Strong analytical and critical thinking skills to conduct audits and identify compliance issues
- Attention to detail and the ability to work independently and collaboratively in a team-oriented environment
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