New
Clinical Coding Auditor
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![]() United States, Massachusetts, Somerville | |
![]() 399 Revolution Drive (Show on map) | |
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Responsible for overseeing and coordinating clinical coding audits within a healthcare organization. This position plays a vital role in ensuring the accuracy and compliance of medical coding practices to support proper reimbursement, data quality, and regulatory requirements.
Does this position require Patient Care? No Essential Functions -Develop and implement a coding audit plan to assess the accuracy and compliance of clinical coding practices. -Identify priority areas for audit based on risk analysis, regulatory changes, and coding performance data. -Coordinate and conduct coding audits for inpatient, outpatient, and specialty services to evaluate coding accuracy and completeness. -Review medical records, encounter documentation, and coding assignments to verify proper code assignment. -Ensure coding practices align with relevant coding guidelines, including ICD-10-CM, CPT, HCPCS, and other coding systems. -Monitor coding compliance with coding regulations and payer requirements. Education
Can this role accept experience in lieu of a degree?
Experience
Knowledge, Skills, and Abilities
Working Conditions:
Physical Requirements
Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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. |