Outpatient Technical Advisor, Coding

Mass General Brigham•Somerville, MA

2d•Remote

About The Position

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 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. They 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.

Requirements

Bachelor's Degree in Health Information Management required.
3+ years of experience in clinical coding within a healthcare setting, with a focus on coding accuracy and compliance.
In-depth knowledge of coding systems, such as ICD-10-CM, CPT, and HCPCS.
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.

Nice To Haves

ICD-10-CM and CPT education strongly preferred for both the Hospital and Professional coding.

Responsibilities

Oversees, reviews, and advises on the integrity of the ambulatory surgery coding/charging programs.
Advises on external/internal coding reviews and audits.
Advises on new coding/billing regulations impacts.
Advises on coding and billing interlinking billing issues.
Provides coding education and workflow training for outpatient coding.
Addresses claim edits and denials related to ambulatory surgery coding/charging.
Assists on MGB Coding and Revenue Cycle-wide projects as needed.
Assists on writing policies and procedures.
Assists on coding system implementation projects.
Provides coding education in their area of expertise.
Works closely with multiple levels of Coding leadership, Technical Advisors, Data Quality Specialists, and Coders to ensure an efficient and accurate coding program.