Manager, Coding Education & Performance

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!

As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.

Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital.

Together, we’re advancing medicine and delivering the best care experience for our patients and community!

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Time Type:
Full time

Department:
Patient Accounts

All Locations:
300 Ocean Avenue – Revere

Position Summary:

RESPONSIBILITIES & DUTIES


* Design and deliver ongoing education programs for providers related to CPT, ICD-10, HCPCS, modifiers, and E/M coding


* Conduct Pro Fee and Outpatient Coding audits of provider documentation and coding practices for accuracy, completeness, and compliance with payer and regulatory guidelines.


* Independently conduct reviews/audits on the adequacy of medical record documentation to support the codes selected by clinicians, coders and coding vendors in accordance with professional standards, organizational policies and procedures, laws, and regulations.


* Pursues education and training opportunities to assure compliance with current laws, rules and regulations by participating in professional education activities and obtaining and maintaining relevant certifications.


* Analyze audit trends to identify training opportunities, common errors, and documentation gaps.


* Maintain up-to-date knowledge of CMS, Medicaid, commercial payer, and industry standards for professional billing and coding.


* Participate in policy development, coding updates, and interdepartmental collaboration on coding compliance and billing initiatives.


* Escalate potential compliance risks or systemic issues to Revenue Cycle or Compliance leadership as needed.


* Sequences diagnoses, procedures and complications by following ICD-10-CM, Medicare, Medicaid, and other fiscal intermediary guidelines.


* Support implementation of coding changes related to payer policy or regulatory updates.


* Participate in professional development and maintain active coding certification(s).


* Lead or assist with quality assurance reviews across multiple specialties.

EDUCATION:


* Preferred: Bachelor’s degree in Health Information Management, Health Administration, or a related field


* Familiarity with Massachusetts payer guidelines, Medicare, Medicaid regulations, and clinical d...