Key Facts

Remote From:

Massachusetts (USA)

Full time

Senior (5-10 years)

English

Hard Skills

Other Skills

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Team Leadership
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Training And Development
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Quality Assurance
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Communication
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Analytical Skills
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Organizational Skills
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Mentorship
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Social Skills

Roles & Responsibilities

Bachelor's Degree in Health Information Management or related field
RHIA, RHIT, CPC, COC, or CCS certification (advanced credentials preferred)
5+ years of progressive coding experience with 2+ years in a leadership role, with strong knowledge of outpatient facility and professional surgical coding guidelines
Experience leading teams, conducting audits and quality assurance, and ensuring compliance with regulations and payer guidelines; strong communication and analytical skills

Requirements:

Lead, mentor, and manage a team of coders for facility and professional services, ensuring accuracy and productivity
Ensure coding accuracy and compliance with federal/state regulations and payer guidelines; oversee audits and ongoing quality assurance
Collaborate with clinical, billing, and compliance teams to resolve coding-related issues; monitor KPIs, productivity, and denial trends
Stay current with regulatory changes, coding updates, and industry best practices

Brigham and Women's Hospital

About Brigham and Women's Hospital

Boston's Brigham and Women's Hospital (BWH) is an international leader in virtually every area of medicine and has been the site of pioneering breakthroughs that have improved lives around the world. A major teaching hospital of Harvard Medical School, BWH has a legacy of excellence that continues to grow. With two outstanding hospitals, over 150 outpatient practices, and over 1,200 physicians, we serve patients from New England, throughout the United States, and from 120 countries around the world. The BWH name is a reflection of our history. In 1980 three of Boston’s oldest and most prestigious Harvard Medical School teaching hospitals - the Peter Bent Brigham Hospital, the Robert Breck Brigham Hospital, and the Boston Hospital for Women – merged to form Brigham and Women’s Hospital. As a national leader in improving health care quality and safety, we have helped to develop some of the industry’s best practices including computerized physician order entry (CPOE) to prevent medication errors. The CPOE is now a nationally-accepted safety practice. The BWH Biomedical Research Institute (BRI) is one of the most powerful biomedical research institutes in the world and the second largest recipient of National Institutes of Health (NIH) funding among independent hospitals in the United States. BWH has long had great success in research as measured by the number of important discoveries made, the size and scope of its research portfolio and the volume of publications annually. BWH is a training ground for physicians, nurses, and allied health professionals. We have 1,100 trainees in over 140 of the most sought after training programs in the world, and also host Harvard Medical School students in rotations throughout our programs. As our global health services expand, our clinical trainees have rich opportunities to contribute and learn in challenging environments around the world. Brigham and Women's Hospital is an EEO, AA, VEVRAA Employer.

Founded: 2018

Company size: 10001

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Job description

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

Mass General Brigham (MGB) is a leader in delivering exceptional patient care. We are dedicated to clinical excellence, operational efficiency, and compliance integrity. Our mission-driven work environment offers numerous opportunities for professional growth and continuing education.

The Senior Manager of Emergency Department Coding will be responsible for overseeing the coding functions for both facility and professional services to ensure accuracy, compliance, and optimal reimbursement. This role is critical as it covers multiple MGB Emergency Departments, which collectively handle around 500,000 visits annually. This role requires deep expertise in Emergency Department coding guidelines, CPT/HCPCS, ICD-10-CM, and payer-specific requirements for both facility and professional billing, trauma and critical care coding.

Key Responsibilities:

- Lead, mentor, and manage a team of coders for facility and professional services.

- Ensure coding accuracy and compliance with federal/state regulations and payer guidelines.

- Oversee coding audits, quality assurance processes, and ongoing staff education.

- Collaborate with clinical, billing, and compliance teams to resolve coding-related issues.

- Monitor KPIs, productivity, and denial trends to optimize revenue cycle performance.

- Stay current with regulatory changes, coding updates, and industry best practices.

Qualifications

Education

Bachelor's Degree in Health Information Management or related field of study required

Licenses and Credentials

RHIA, RHIT, CPC, COC, or CCS certification; advanced credentials are preferred.

Experience

5+ years of progressive coding experience required
2+ years in a leadership role preferred
Strong knowledge of outpatient facility and professional surgical coding guidelines.
Proven track record in team leadership, process improvement, and compliance oversight.
Excellent communication, analytical, and organizational skills.

Knowledge, Skills and Abilities

Excellent communication and interpersonal skills to effectively interact with individuals at all levels, including patients, visitors, and staff.
Extensive knowledge of coding systems, including ICD-10, CPT, HCPCS, and DRG.
Strong understanding of coding guidelines, conventions, and industry regulations.
In-depth knowledge of revenue cycle management, billing processes, and healthcare reimbursement methodologies.
Familiarity with coding software and technology, such as encoder systems and computer-assisted coding (CAC) tools.
Excellent leadership and management skills with the ability to motivate and develop coding staff.

Working Schedule:

Remote, M-F eastern standard business hours. Requires a quiet, secure, HIPAA-compliant workstation

Additional Job Details (if applicable)

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$99,465.60 - $141,804.00/Annual

Grade

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.

EEO Statement:

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.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework 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 success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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