Revenue Cycle - Enterprise Director of Integrated Coding

Site: Mass General Brigham Incorporated

 

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

Responsible for overseeing the coding and documentation processes essential for accurate and compliant medical billing. Ensures that coding practices align with industry standards, regulatory requirements, and payer guidelines.
Does this position require Patient Care?
No
Essential Functions:
-Develop and implement coding strategies to ensure accurate, compliant, and timely coding of medical services and procedures.
-Stay up to date with changes in coding guidelines and regulations to maintain compliance.
-Supervise and provide guidance to the coding team, including coders, auditors, and documentation specialists.
-Set performance objectives, conduct regular evaluations, and foster a collaborative and high-performing team environment.
-Establish and maintain coding quality assurance programs to assess coding accuracy and consistency.
-Provide feedback and conduct training to improve coding proficiency.
-Collaborate with healthcare providers, clinical documentation specialists, and physicians to enhance the quality of medical documentation, ensuring it supports appropriate coding and billing.
-Conduct regular coding audits to identify potential issues, trends, and areas for improvement.
-Develop action plans based on audit findings to address any deficiencies.
-Ensure that coding practices adhere to relevant healthcare regulations, including ICD-10, CPT, HCPCS, and other coding guidelines.

 

Education
Bachelor's Degree Health Information Management required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Experience
Experience in healthcare coding, with a proven track record of leadership and team management 8-10+ years required
Knowledge, Skills and Abilities
- Thorough knowledge of ICD-10, CPT, HCPCS, and other coding systems, as well as current coding guidelines and regulations.
- Familiarity with coding software and electronic health record (EHR) systems.
- Strong analytical and problem-solving skills, with the ability to interpret coding data and trends to drive decision-making.
- Excellent communication and interpersonal skills, with the ability to work effectively with various stakeholders.
- Proven ability to lead and inspire a team to achieve coding accuracy and performance targets.
- In-depth understanding of healthcare compliance and risk management principles.

 

Physical Requirements

• Standing Occasionally (3-33%)
• Walking Occasionally (3-33%)
• Sitting Constantly (67-100%)
• Lifting Occasionally (3-33%) 20lbs - 35lbs
• Carrying Occasionally (3-33%) 20lbs - 35lbs
• Pushing Rarely (Less than 2%)
• Pulling Rarely (Less than 2%)
• Climbing Rarely (Less than 2%)
• Balancing Occasionally (3-33%)
• Stooping Occasionally (3-33%)
• Kneeling Rarely (Less than 2%)
• Crouching Rarely (Less than 2%)
• Crawling Rarely (Less than 2%)
• Reaching Occasionally (3-33%)
• Gross Manipulation (Handling) Constantly (67-100%)
• Fine Manipulation (Fingering) Frequently (34-66%)
• Feeling Constantly (67-100%)
• Foot Use Rarely (Less than 2%)
• Vision - Far Constantly (67-100%)
• Vision - Near Constantly (67-100%)
• Talking Constantly (67-100%)
• Hearing Constantly (67-100%)

 

Remote

 

399 Revolution Drive

 

40

 

Regular

 

Day (United States of America)

Pay Range

$124,342.40 - $180,897.60/Annual

Grade

9
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.
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.

 

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