What are the responsibilities and job description for the Coding Quality Education & Improvement Specialist- Outpatient position at Mass General Brigham (Enterprise Services)?
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
Summary: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
Essential Functions:
-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.
Qualifications
Bachelor's Degree Health Information Management required or bachelor's degree Related Field of Study Preferred
Can this role accept experience in lieu of a degree?
Yes
Licenses and Credentials
CCS, CPMA, RHIA, RHIT, CPC, CHC, CPB
Experience
Coding Experience 2-3 years required and Teaching Experience 1-2 years preferred
Knowledge, Skills and Abilities
- 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.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
- /Grade
6EEO Statement:
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.
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.