Coding Quality Manager

Coding Quality Manager

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.

The outpatient professional and facility coding quality manager is accountable to ensure our coding operations maintains first-time coding quality and continuous improvement across outpatient coding services. This role collaborates with coding operations, coding education, group practice management, revenue integrity, and compliance, ensuring accurate, compliant coding that supports reimbursement, reduces rework, and withstands audit scrutiny.

Essential functions :

• Lead and manage seven FTE that perform outpatient professional and facility coding quality retrospective and concurrent reviews (E&M, procedures, surgeries, diagnostics, ancillary services)
• Identify error trends, root causes, and systemic issues and communicate corrective action plans to stakeholders.
• Develops and maintains training materials for quality assurance to ensure consistency and compliance with internal review process.
• Monitors regulatory updates and ensures that coding staff are educated on new requirements, policies, and procedures.
• Fosters a culture of continuous improvement, encouraging open communication and collaboration amongst revenue cycle operations.
• Owns the collection, validation, and analysis of quality data to deliver actionable reporting on performance trends, risk areas, and improvement opportunities for senior leadership.

Qualifications :

Bachelor's degree in health information management required or bachelor's degree in healthcare administration required or bachelor's degree related field of study preferred.

Can this role accept experience in lieu of a degree? Yes.

Licenses and credentials : RHIA, RHIT, CCS-P, CCS, CPMA, CPC.

Experience :

Knowledge, skills and abilities :

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 : $99,465.60 - $141,804.00 / annual

Grade : 8

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. 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. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO statement : 0100 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.