Enterprise Director, Ambulatory Surgery Coding (Facility & Professional Services)
Mass General Brigham
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
MGB is a leader in delivering exceptional outpatient surgical care. We are committed to clinical excellence, operational efficiency, and compliance integrity. We are seeking a highly skilled and visionary Director of Ambulatory Surgery Coding to lead our coding operations for both facility and professional services.The Director of Ambulatory Surgery Coding will oversee all coding functions for our outpatient surgery business, ensuring accuracy, compliance, and optimal reimbursement. This role requires deep expertise in coding guidelines, CPT/HCPCS, ICD-10-CM, and payer-specific requirements for both facility and professional billing.
Qualifications
Education
Bachelor's Degree in Health Information Management or related field of study required
Experience
8+ years of experience in healthcare coding, with a proven track record of leadership and team management required
RHIA, RHIT, CPC, COC, or CCS certification required; advanced credentials preferred.
3+ years of experience in a leadership role
Strong knowledge of outpatient facility and professional surgical coding guidelines.
Proven track record in team leadership, process improvement, and compliance oversight.
Key Responsibilities
Lead, mentor, and manage a team of coders for facility and professional services.
Ensure coding accuracy, compliance with federal/state regulations, and adherence to payer guidelines.
Oversee coding audits, quality assurance processes, and ongoing staff education.
Collaborate with clinical, billing, and compliance teams to resolve coding-related issues.
Monitor KPIs, productivity, and denial trends to optimize revenue cycle performance.
Stay current with regulatory changes, coding updates, and industry best practices.
Knowledge, Skills and Abilities
Thorough knowledge of ICD-10, CPT, HCPCS, and other coding systems, as well as current coding guidelines and regulations.
Familiarity with coding software and electronic health record (EHR) systems.
Strong analytical and problem-solving skills, with the ability to interpret coding data and trends to drive decision-making.
Excellent communication and interpersonal skills, with the ability to work effectively with various stakeholders.
Proven ability to lead and inspire a team to achieve coding accuracy and performance targets.
In-depth understanding of healthcare compliance and risk management principles.
Why Join Us?
Competitive salary and benefits package.
Opportunities for professional growth and continuing education.
A collaborative, mission-driven work environment
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$124,342.40 - $180,897.60/Annual
Grade
9
EEO Statement:
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.