New

Coding Quality Manager

Mass General Brigham (Enterprise Services)
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Feb 05, 2026
The Outpatient professional and facility Coding Quality Manager is accountable to ensure our coding operations maintains first-time coding quality and continuous improvement across outpatient coding services. This role collaborates with coding operations, Coding Education, group practice management, Revenue integrity, and compliance, ensuring accurate, compliant coding that supports reimbursement, reduces rework, and withstands audit scrutiny. Essential functions Lead and manage 7 FTE that perform outpatient professional and facility coding quality retrospective and concurrent reviews (E&M, procedures, surgeries, diagnostics, ancillary services) Identify error trends, root causes, and systemic issues and communicate corrective action plans to stakeholders. Develops and maintains training materials for quality assurance to ensure consistency and compliance with internal review process. Monitors regulatory updates and ensures that coding staff are educated on new requirements, policies, and procedures. Fosters a culture of continuous improvement, encouraging open communication and collaboration amongst revenue cycle operations. Owns the collection, validation, and analysis of quality data to deliver actionable reporting on performance trends, risk areas, and improvement opportunities for senior leadership Bachelor's Degree Health Information Management required or Bachelor's Degree Healthcare Administration required or Bachelor's Degree Related Field of Study preferred Can this role accept experience in lieu of a degree? Yes Licenses and Credentials RHIA, RHIT, CCS-P, CCS, CPMA,CPC Experience Experience in medical coding or clinical documentation 3-5 years required and Experience in a supervisory or leadership role required 1-2 years and Experience in educational or training 1-2 years required Knowledge, Skills and Abilities Demonstrates forward-thinking and strategic judgment, anticipating quality, compliance, and operational risks while balancing short-term execution with long-term improvement. Proficiency in coding quality audits and data analysis to identify trends and areas for improvement. Strong understanding of outpatient professional and facility reimbursement methodologies, edits, and payer requirements Proficiency with Epic workflows, work queues, and coding-related tools Build strong partnerships across coding, billing, revenue integrity, compliance, and education Demonstrates adaptability in a complex, evolving regulatory environment Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.