Coding Quality Manager

Mass General Brigham • Somerville, MA

1d • Remote

About The Position

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 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.

Requirements

• Bachelor's Degree Health Information Management required or Bachelor's Degree Healthcare Administration required or Bachelor's Degree Related Field of Study preferred
• Can this role accept experience in lieu of a degree? Yes
• RHIA, RHIT, CCS-P, CCS, CPMA,CPC
• Experience in medical coding or clinical documentation 3-5 years required
• Experience in a supervisory or leadership role required 1-2 years
• Experience in educational or training 1-2 years required
• Demonstrates forward-thinking and strategic judgment, anticipating quality, compliance, and operational risks while balancing short-term execution with long-term improvement.
• Proficiency in coding quality audits and data analysis to identify trends and areas for improvement.
• Strong understanding of outpatient professional and facility reimbursement methodologies, edits, and payer requirements
• Proficiency with Epic workflows, work queues, and coding-related tools
• Build strong partnerships across coding, billing, revenue integrity, compliance, and education
• Demonstrates adaptability in a complex, evolving regulatory environment

Responsibilities

• Lead and manage 7 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

What This Job Offers

• Job Type: Full-time
• Career Level: Manager