Key Facts

Remote From:

Full time

Senior (5-10 years)

English

Hard Skills

Inpatient Coding Diagnosis-Related Group ICD 503 Regulatory Compliance Revenue Management Medical Coding Program Standards AHIMA Standards Of Ethical Coding Medical Billing Physician Data Query Clinical Documentation Medical Record Management

Other Skills

•
Client Confidentiality
•
Communication
•
Analytical Skills
•
Time Management
•
Teamwork
•
Detail Oriented
•
Social Skills
•
Problem Solving

Roles & Responsibilities

High School Diploma or Equivalent required.
5+ years of medical coding experience required.
Associate's Degree in Medical Billing and Coding preferred.
In-depth knowledge of ICD-10-CM/PCS, DRG assignment, coding guidelines, and HIPAA compliance.

Requirements:

Review inpatient medical records (e.g., H&P, progress notes, operative reports, discharge summaries) to assign ICD-10-CM and ICD-10-PCS codes.
Accurately assign MS-DRG/APR-DRG based on clinical documentation and coding guidelines.
Identify documentation gaps and initiate physician queries in accordance with compliant query practices.
Collaborate with CDI, Quality, and Revenue Cycle teams to improve documentation and reimbursement outcomes.

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

Website LinkedIn See all jobs →

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

The Inpatient Coding Specialist is responsible for the accurate and timely assignment of ICD-10-CM/PCS codes and DRGs for inpatient encounters in compliance with federal regulations, payer guidelines, and organizational policies. This role ensures data integrity, supports revenue cycle optimization, and maintains adherence to coding and documentation standards.

Qualifications

Education

High School Diploma or Equivalent required
Associate's Degree Medical Billing and Coding preferred

Experience

5+ years of medical coding experience required

Duties/Responsibilities:

Review inpatient medical records (e.g., H&P, progress notes, operative reports, discharge summaries) to assign appropriate ICD-10-CM and ICD-10-PCS codes
Accurately assign MS-DRG/APR-DRG based on clinical documentation and coding guidelines
Ensure compliance with Official Coding Guidelines, AHA Coding Clinic, CMS regulations, and payer-specific requirements
Identify documentation gaps and initiate physician queries in accordance with compliant query practices
Validate and reconcile CAC (Computer Assisted Coding) suggestions, if applicable
Meet or exceed productivity and quality benchmarks established by the organization
Participate in internal and external coding audits; incorporate feedback into coding practice
Collaborate with CDI, Quality, and Revenue Cycle teams to improve documentation and reimbursement outcomes
Maintain confidentiality and compliance with HIPAA regulations

Knowledge, Skills and Abilities

In-depth knowledge of medical coding systems, including ICD-10/PCS and their application in hospital billing.
Strong understanding of coding guidelines, regulations, and industry best practices.
Adhere to AHIMA standards of ethical coding and HIPAA regulations.
Analyze full inpatient charts to ensure complete, compliant documentation.
Determine the appropriate Diagnosis Related Group (DRG) to maximize appropriate reimbursement.
Strong communication and interpersonal skills to effectively collaborate with healthcare providers, coders, and other stakeholders.
Strong problem-solving skills to address coding-related challenges and implement effective solutions.
Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Maintain established accuracy rates (typically 95% or higher) and daily coding quotas

Working Schedule:

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

Comprehensive benefits include PTO, retirement, tuition assistance, flexible hours. Paid CEUs/AHIMA Membership.

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

$25.50 - $36.49/Hourly

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.

Ready to apply?

APPLY

Share ·