Posted: Aug 21, 2025
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Inpatient Coding Specialist III

Mass General Brigham
Full-time
Salary: Hourly
Application Deadline: Nov 20, 2025
Other
  • Analyzes medical information documented in patient medical record and codes all relevant diagnoses and procedures accurately using the appropriate code set (ICD-10-CM, ICD-10-PCS, CPT-4, HCPCS) according to the correct classification system for the type of patient encounter.
  • Performs coding and related duties of highly complex work using established policies and procedures in an accurate and timely manner.  Applies and follows official Coding Guidelines, AHIMA standards of ethical Coding and facility/department specific policies and procedures. (May occasionally code low or moderate complexity work as need or requested by manager)
  • Research, understand, and interpret complex coding and/or billing rules and regulations for new and/or existing diagnoses or procedures.
  • Ability to explain critical thought processes and justification for complex coding and/or DRG scenarios to internal and external stakeholders, including physicians, clinical staff, CDI professionals and leadership.
  • Demonstrates commitment to integrating coding guidance and compliance standards into daily coding practices. Identify, correct, and report coding related problems according to procedure.
  • Maintains and expands as needed, knowledge of coding, compliance, and reimbursement methodologies. Reviews current related literature, newsletters, coding manual and payor policy updates.
  • Utilizes available coding related resources and references to research and support coding and compliance decisions and seeks input from manager or department subject matter experts.
  • Performs coding, charging and/or claim edit/denial resolution responsibilities for any entities or physician practices covered by HB/PB Coding as required.
  • Resolve highly complex coding edits and denials in a timely manner. Identify opportunities to reduce errors/denials/enhance revenue.
  • Complete Special projects as assigned by manager.
  • Provide cross coverage in multiple departmental/specialty coding areas as needed.
  • Completes, coding, charging and/or coding related claim edit resolution with an accuracy rate of 95% and maintains an average productivity level at or above the established coding role benchmark.
  • Recognizes and understands the role of a coder in the department and how it relates to overall hospital function, regarding patient care, case mix index, quality reporting, as well as hospital and/or physician reimbursement.
  • Demonstrates initiative and follows specified procedures to resolve issue with accounts that cannot be coded.
  • Make recommendations for coding policy changes.