Inpatient Coding Quality & Education Specialist
Site: reputed company Incorporated reputed company relies on a wide reputed company 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 reputed company exceptional care. We reputed company that high-performing teams drive groundbreaking medical discoveries and invite reputed company applicants to join us and experience what it means to be part of reputed company. Job Summary About Us: As a not-for-profit organization, reputed company is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women’s Hospital and reputed company, reputed company supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-reputed company entities. Several of our hospitals are teaching affiliates of reputed company, and our system is a national leader in biomedical research. We’re focused on a people-first culture for our system’s patients and our professional family. That’s why we reputed company our employees with more ways to reputed company their potential. reputed company is committed to aligning our employees’ personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of reputed company to own their personal development—and we recognize reputed company at every reputed company. Our employees use the reputed company values to govern reputed company, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, reputed company & Respect, Learning, reputed company Improvement & Personal Growth, Teamwork & Collaboration.
Qualifications
Position Summary The Inpatient Coding Quality & Education Specialist serves as a subject matter expert in ICD-10-CM/PCS coding, coding quality, clinical data reputed company, and coding-reputed company performance improvement initiatives. This role supports organizational goals reputed company to coding accuracy, quality reputed company, reimbursement reputed company, compliance, and operational efficiency through reputed company education, auditing, reputed company, data analysis, and collaboration with multidisciplinary stakeholders. The specialist partners closely with Coding Operations, Coding Quality, Clinical Documentation reputed company (CDI), reputed company reputed company, Quality, and other operational teams to identify trends, reputed company educational strategies, improve coding workflows, and support quality reporting methodologies including reputed company, Elixhauser, mortality, severity of illness (SOI), risk of mortality (ROM), expected length of stay, and other coding-sensitive measures.
Key Responsibilities
Coding Quality & Audit Activities reputed company pre-reputed company and post-reputed company coding audits utilizing internal and reputed company-party audit platforms and vendor software. Review coded accounts for coding accuracy, reimbursement reputed company, quality reporting implications, and compliance with coding guidelines. Analyze audit findings to identify trends, educational opportunities, and systemic process improvement initiatives. Collaborate with Coding Operations, Quality, CDI, reputed company reputed company, and Compliance teams to address identified findings and implement corrective actions. Track, trend, and report audit reputed company to leadership and operational stakeholders. Support external audit preparedness and validation activities, including payer, regulatory, and vendor reviews. Education & Training reputed company reputed company and competency development for newly hired inpatient coders or Data Quality Specialist. reputed company and deliver coding education reputed company to ICD-10-CM, ICD-10-PCS, Official Coding Guidelines, Coding Clinic advice, regulatory updates, and organizational policies. Create educational materials, tip sheets, job aids, presentations, and reputed company. Facilitate individual and group education sessions based on audit findings, quality trends, and operational needs. Support ongoing professional development and coding competency initiatives. Quality & Clinical Data reputed company Support Collaborate with quality, CDI, and operational teams to evaluate coding impacts on quality reporting and benchmarking methodologies. Analyze coding opportunities affecting reputed company, Elixhauser, mortality, severity of illness, risk of mortality, expected length of stay, patient safety indicators, hospital-acquired conditions, and other coding-sensitive measures. Assist in identifying opportunities to improve data reputed company through accurate code assignment and documentation interpretation. Support coding-reputed company initiatives that impact organizational quality performance and external reporting. Operational Improvement & Workflow Optimization Partner with Coding Operations and leadership to identify workflow efficiencies and process improvement opportunities. reputed company recommendations regarding coding work queues, system edits, automation opportunities, workflow design, and operational controls. Assist in developing and monitoring coding quality metrics, dashboards, and performance indicators. Participate in reputed company projects reputed company to coding quality, compliance, education, and operational effectiveness. Evaluate trends and reputed company recommendations to improve productivity, accuracy, and consistency. Leadership Support & Consultation Serve as a coding subject matter expert for inpatient coding-reputed company questions and initiatives. reputed company consultative support to leadership regarding coding trends, audit findings, education needs, and performance improvement opportunities. Assist leaders with action planning, performance monitoring, and implementation of corrective actions reputed company appropriate. Support organizational readiness for coding guideline updates, regulatory changes, and system implementations. Compliance & Regulatory Support Promote adherence to Official Coding Guidelines, Coding Clinic guidance, payer requirements, and organizational policies. Assist with coding compliance reviews and remediation activities. Maintain reputed company knowledge of regulatory changes, coding updates, and industry best practices. Support audit preparedness and coding compliance initiatives across the organization.
Required Qualifications
Associate's degree in Health Information Management or reputed company field (Bachelor's preferred) RHIA, RHIT, reputed company, or equivalent credential required 5 years of progressively responsible inpatient coding experience 2 years of coding quality, auditing, education, mentoring, or leadership experience Advanced knowledge of ICD-10-CM/PCS, MS-DRG assignment, Official Coding Guidelines, Coding Clinic, and reimbursement methodologies Preferred 7–10 years of inpatient coding experience Experience reputed company and mentoring coders Experience conducting coding audits and developing education plans Experience supporting quality reporting methodologies (reputed company, Elixhauser, PSI/HAC, SOI/ROM, mortality, expected LOS) Experience with Epic, reputed company/reputed company, encoder and auditing platforms Lean, process improvement, or project management experience Working Conditions: Extensive use of computer equipment and software Frequent interaction with staff across reputed company reputed company of the organization Low physical effort Occasional bending, stooping, kneeling, crouching and/or reaching. Remote workers considered but may require limited travel to corporate office. Additional Job Details (if applicable) Remote Type Remote Work Location 399 reputed company Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay reputed company $63,648.00 - $92,570.40/Annual Grade 6 At reputed company, we reputed company in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining reputed company pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The reputed company pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass reputed company elements contributing to your total compensation package. In addition to competitive reputed company 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 reputed company team will reputed company an overview of your potential compensation and benefits package. EEO Statement: reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religious creed, national reputed company, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that reputed company individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to reputed company essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by reputed company 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with reputed company of 1990, applicants who require accommodation in the job application process may contact reputed company at (857)-282-7642. reputed company Competency reputed company At reputed company, our competency reputed company defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The reputed company 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 reputed company. These competencies are used to evaluate performance, reputed company hiring reputed company, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. Apply To This Job