Inpatient Coding Specialist, Remote

Inpatient Coding Specialist

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.

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

• 2+ 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.

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.