Medical Coder jobs at Cypress Health Group - 245 jobs

3. Cape Cod Healthcare NeurosurgeryResultsJob DetailsExplore LocationCape Cod HealthCareHyannis, MA, United StatesCape Cod HealthCareCape Cod HealthCareHyannis, MA, United StatesThe insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.**Description**Cape Cod Healthcare is seeking a board-certified or board-eligible neurosurgeon to join its hospital-employed neurosurgery group. While the majority of the clinical volume is elective spinal surgery, we are seeking a candidate with an interest and capability in managing primary and metastatic central nervous system tumors. This role provides an excellent opportunity to practice the breadth of community neurosurgery, with an emphasis on spine, while also developing and leading tumor care within an integrated health system. Responsibilities & Practice Focus Perform elective spinal surgery (instrumented fusion, motion preservation, minimally invasive approaches, deformity correction) - the majority of expected surgical volume. Diagnose, operate, and manage postoperative care for primary and metastatic cranial and spinal tumors in collaboration with oncology and radiation oncology colleagues. Participate in general neurosurgical call coverage (cranial, trauma, spine) on a rotating basis. Contribute to multidisciplinary tumor board and neuro-oncology program development. Provide outpatient consultation, follow-up, and continuity of care for neurosurgical patients. Collaborate with advanced practice providers, hospitalists, and ICU staff to deliver comprehensive care. Qualifications MD or DO (or equivalent) with completion of neurosurgery residency. Board certified or board eligible in neurosurgery. Demonstrated interest or experience in the surgical treatment of CNS tumors (primary and metastatic). Proficiency in spinal surgical techniques, including minimally invasive and traditional approaches. Commitment to collegial practice, patient-centered care, and community engagement. Practice & Call Structure General neurosurgery call shared equally within the group. Expected case volume first year: 200-300 total cases. Approximate case mix: ~80% spine, ~20% cranial (tumor and other cranial pathologies). Support from experienced advanced practice providers in clinic and hospital. Active participation in tumor board and integrated cancer programs. Compensation & Benefits Competitive base salary with productivity and quality incentives. Comprehensive benefits package including health insurance, retirement plan, malpractice coverage, and CME allowance. Relocation assistance and support for professional development. Pathway to leadership in neurosurgical oncology within a community hospital system. About Cape Cod & Practice Environment Cape Cod Healthcare is a robust, integrated health system with two acute care hospitals, outpatient centers, and a unified Epic EMR platform. The neurosurgery team is collegial, community-focused, and dedicated to high-quality patient care. Cape Cod offers an exceptional lifestyle: coastal living with easy access to Boston and Providence, excellent schools, abundant outdoor recreation, and vibrant arts and culture.Cape Cod Healthcare NeurosurgeryCape Cod Healthcare NeurosurgeryOB/GYN Opportunity with Cape Cod Healthcare in...Cape Cod HealthcareHyannis,MA,United StatesCape Cod Healthcare NeurosurgeryCape Cod HealthcareHyannis,MA,United StatesLove Where you Live and Work~ Cape Cod Healthcare...Cape Cod HealthcareHyannis,MA,United States #J-18808-Ljbffr

A leading healthcare provider in San Diego, California, seeks a professional to provide coding support and appeal guidance related to reimbursement issues. The ideal candidate has at least 5 years of experience in coding and auditing, and is a Certified Professional Coder (CPC). Responsibilities include acting as a liaison between departments, researching policies, and ensuring timely follow-up collections. A Bachelor's degree is preferred. This role offers competitive hourly pay between $36.830 and $53.230. #J-18808-Ljbffr

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Prepares medical records for scanning efficiency according to established procedures, guidelines, and productivity standards. Retrieves and files old paper records required for patient care, assists with release of information services. Interviews mothers for birth certificate information and enters the information into electronic birth certificate system. Reviews upended transcription queues and releases to PowerChart. Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Required Associate's/Technical Degree or equivalent combination of education/related experience: Preferred Essential Functions: Retrieves and reconciles all medical records from all nursing units and prepares the medical records for efficient scanning. Follows procedures for scanning documents, removes difficult to scan documents, checks patient record for poor quality, and notifies nursing unit of missing records. Interviews mothers for birth certificate information and enters information into electronic birth certificate system. Sends completed birth certificates to county and processes fetal death certificates, responds to customer inquires regarding certificates and updates supervisor on information. Ensures scanning equipment is in optimal working condition. Scans documents, reviews images and verifies quality. Completes scanning process and forwards to Quality Review. Files paper records and pulls charts for patient care assuring that they are tracked properly in chart tracking software. Retrieves charts from permanent files and off site storage, keeps file room neat, and assists in purging of records by storage vendor. Assists physicians with inquires regarding chart deficiencies in accordance with pertinent rules. Conducts chart audits, assists in deficiency analysis, resolves issues related to dictation, responds to inquires for assistance by users of the document imaging software and transcripts. Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Scripps Health Administrative Services supports our five hospital campuses, 31 outpatient centers, clinics, emergency rooms, urgent care sites, along with our 17,000 employees, more than 3,000 affiliated physicians and 2,000 volunteers. This is a full-time, benefit eligible position that is partial remote. Must be local in San Diego or willing to relocate and willing to work weekends. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Coder II is responsible for ensuring accurate and timely coding of diagnoses and procedures for inpatient, outpatient and professional visits using appropriate systems. Conducts concurrent and/or retrospective claims data reviews for physician services, coding and abstracting all services, procedures, diagnoses, and conditions from medical records. Assists Revenue Integrity with coding issues and supports the team with appeals and projects. Interacts with physicians and other staff to clarify documentation and may hold educational meetings with providers. May provide instructions and training to other coders as needed, ensuring compliance with all applicable regulations and guidelines. Required Education/Experience/Specialized Skills: * One (1) year of hospital/professional coding experience. * Good critical thinking and analytical skills. * Excellent written and verbal communication skills. Required Certification/Registration: * Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA). Preferred Education/Experience/Specialized Skills/Certification: * 1 year of acute inpatient hospital coding experience. * Associates or Bachelors Degree in Health Information Technology. * Proficiency in Epic, 3M 360, Optum Encoder Pro, Excel, and PowerPoint. * Registered Health Information Administrator (RHIA) At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $38.54-$55.88/hour

Site: Mass General Brigham Incorporated 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. This position will be coding for Pain Management/ Anesthesia. Job Summary Summary: Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations Does this position require Patient Care? No Essential Functions Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information. -Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies. -Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes. -Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials. -Utilize coding software, encoders, and electronic health record systems to facilitate the coding process. -Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives. -Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges. Qualifications Education High School Diploma or Equivalent required or Associate's Degree Medical Billing and Coding preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred Experience Medical Coding Experience 3-5 years required Knowledge, Skills and Abilities - In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing. - Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations. - Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes. - Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding. - Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff. - Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $21.78 - $31.08/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. 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.

Site: Mass General Brigham Incorporated 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. This position will be coding for vascular surgery. Job Summary Summary: Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff, identifying missing information and submitting information to insurers for reimbursement. Participates in peer review to ensure accuracy and timeliness standards are maintained. Resolve complex coding questions that arise from team. Does this position require Patient Care? No Essential Functions -Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and to ensure that data complies with legal standards and guidelines. -Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-9-CM and CPT codes. -Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. -Manages complex coding situations and supports peers through challenging questions. -Peer reviews records for management to ensure accuracy of information. -Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. -Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors. -Identifies reportable elements, complications, and other procedures. Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Experience Medical Coding Experience 2-3 years required Knowledge, Skills and Abilities - In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing. - Strong understanding of coding guidelines, regulations, and industry best practices. - Excellent leadership and team management skills, with the ability to motivate and develop coding team members. - 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. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $21.78 - $31.08/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. 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.

Required Education/Experience/Specialized Skills: One (1) year of hospital/professional coding experience. Good critical thinking and analytical skills. Excellent written and verbal communication skills. Required Certification/Registration: Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA). Preferred Education/Experience/Specialized Skills/Certification: 1 year of acute inpatient hospital coding experience. Associates or Bachelors Degree in Health Information Technology. Proficiency in Epic, 3M 360, Optum Encoder Pro, Excel, and PowerPoint. Registered Health Information Administrator (RHIA) This is a full-time, benefit eligible position that is partial remote. Must be local in San Diego or willing to relocate and willing to work weekends. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Coder II is responsible for ensuring accurate and timely coding of diagnoses and procedures for inpatient, outpatient and professional visits using appropriate systems. Conducts concurrent and/or retrospective claims data reviews for physician services, coding and abstracting all services, procedures, diagnoses, and conditions from medical records. Assists Revenue Integrity with coding issues and supports the team with appeals and projects. Interacts with physicians and other staff to clarify documentation and may hold educational meetings with providers. May provide instructions and training to other coders as needed, ensuring compliance with all applicable regulations and guidelines.

Summary Description: Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. In addition, this role monitors and analyzes coding performance at the section and business unit levels. The primary role of this position is to support education, documentation principals, clean claims, and denial prevention. Essential Duties and Responsibilities: Review charts and capture all reportable services. Coordinate with other coding staff to ensure all reportable services are captured and assigned to appropriate physician or ARNP. Assign all appropriate ICD codes, CPT codes, and modifiers per ICD, CPT, and Medicare or commercial carrier published guidelines. Enter charges, review WQs to address edits/denials. Review work queues in EMR and resolve coding issues for professional services for both hospital and clinic places of service. Reconcile charges monthly to ensure capture of all reportable services. Work with business office to resolve hospital billing questions/coding denials or concerns. Assist employees and physicians in providing coding guidance. Ability to communicate effectively both orally and in writing. Pull audit reports and back up documentation for internal audits. Comply with all legal requirements regarding coding procedures and practices Conduct audits and coding reviews to ensure all documentation is precise and accurate Assign and/or review the sequence of all CPT and ICD 10 codes for services rendered Collaborate with AR teams to ensure all claims are completed and processed in a timely manner Support the team with applying expertise and knowledge as it relates to claim denials Aid in submitting appeals with various payers about coding errors and disputes Submit statistical data for analysis and research by other departments Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidities and complications. Ability to assign the appropriate DRG, discharge disposition code and principal DX codes Serves as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation Possesses a clear understanding of the physician revenue cycle Oversees understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes. Analyzes and communicates denial trends to Clients and operational leaders. CPC or CCS coding credentials required. Cardiology experience preferred. EMR, eCW, Centricity, Epic, Encoder Pro or 3M experience highly desired. Microsoft Office Skills: Excel - Must have the ability to create and manage simple spreadsheets. Word - Must be able to compose business correspondence. License: CPC, CCC or CCS (Required)

JOB SUMMARY: Under the direction of the Director of Health Information Management, Identifies and codes Newborns, Obstetrics, ER's and outpatient records for the purpose of reimbursement, research, and compliance with Federal Regulations using the ICD-10-CM/CPT coding classification systems. EDUCATION, EXPERIENCE, TRAINING Current coding certification-RHIA, RHIT, or CCS 1-2 years of coding experience in acute hospital setting Knowledge and application of ICD10 classifications, CPT-4 and HCPCS with an accuracy level of 95% Must be able to work in a very challenging environment. Exceptional written and verbal communication skills Excellent computer skills, including Microsoft Office, EHRs, Encoders Analytical/critical thinking and problem solving Knowledge of information privacy laws and high ethical standards

Job DescriptionCypress Healthcare Partners is now hiring remote candidates for the Medical Coder position. This position is responsible for abstracting provider services accurately into billable codes from the medical documentation in accordance to the coding ethics of American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) and/or National Alliance of Medical Auditing Specialists (NAMAS) and payer coverage guidelines. Furthermore, responsible for posting and reconciling charges and communicating with provider/staff of medical necessity of services, unspecified, truncated, and lack of supporting diagnoses along with incomplete or missing documentation. KEY RESPONSIBILITIES & DUTIES: Responsible for abstracting provider services into billable codes (CPT, HCPCS, & ICD-10) from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS and payer coverage guidelines in an accurate and timely manner. Post and reconcile hospital setting (IP/OP/OBS) charges daily. Communicate inefficiencies to the coding supervisor such as the medical necessity of services; unspecified truncated and lack of supporting diagnoses; incomplete or missing documentation along with any inappropriate coding and documentation trends. Reference coding and payer resources to accurately code and bill the provider documented services. When needed, assist the AR Specialist with a complicated coding denial. Furthermore, the coder assists with creating an appeal letter regarding the coding denial along with any supporting documentation. Coder will forward the appeal documentation(s) to the AR Specialist to handle. Continue education with coding and billing via Encoder Pro, coding subscriptions and resources provided by CHP. Other duties as assigned. KNOWLEDGE, SKILLS, AND ABILITIES Have experience properly coding (CPT, HCPCS, & ICD-10) services from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS. Must be able to communicate effectively in English, verbally, and written. Additional languages are desirable. Excellent customer service and phone etiquette skills. Must be able to maintain a high degree of confidentiality and work well under productivity standards. Able to prioritize and balance the workload on short and long-term company needs. Must be able to work independently and be able to solve problems efficiently and accurately. Able to create channels of communication to obtain information necessary to perform job tasks. Strong organizational skills with the ability to prioritize a high-volume workload. Helpful attitude, positive teamwork spirit with a willingness to help. CREDENTIALS/EDUCATION/EXPERIENCE High School Diploma or Equivalent required. Minimum of 2 years of experience in medical billing and/or coding. Certifications in Medical Billing and Coding highly desirable

Site: Mass General Brigham Incorporated 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 Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff, identifying missing information and submitting information to insurers for reimbursement. Essential Functions * Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support inpatient visits and to ensure that data complies with legal standards and guidelines. * Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes. * Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. * Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. * Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors. * Identifies reportable elements, complications, and other procedures. Qualifications Education * High School Diploma or Equivalent required * Associate's Degree Finance preferred Licenses and Credentials * Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred Experience * Medical coding experience 0-1 year preferred Knowledge, Skills and Abilities * Proficiency in ICD-10, CPT, HCPCS, and modifiers for coding of professional fee services. * Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines are required. * Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations. * Proficient with computer applications (MS Office etc.), Excellent data entry skills. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $21.78 - $31.08/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. 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.

SUMMARY: Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement. Performs related duties as required. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 1. Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the cooperating parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets. 2. Selection and sequencing of diagnoses and procedures must meet the definitions of required data sets. Utilizes up-to-date versions of CPT and ICD-10-CM resources and remains current on changes in coding and billing standards. 3. Strives for the optimal payment to which the facility is legally entitled, remembering that it is unethical and illegal to maximize payment by means that contradict regulatory guidelines. 4. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. 5. Diagnosis coding must be accurate and carried to highest level of specificity; assigns and reports codes that are clearly and consistently supported by documentation in the health record. 6. Follow up status of charges held for clearance; work error reports. 7. Responsible for properly performing month end tasks within the established time-frame including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. 8. Provides feedback and education to physicians regarding billing and documentation. 9. Works with the Billing & Collection team to resolve coding issues. 10. Performs professional fee and documentation audits for a wide variety of specialties. 11. Manage work files to resolve coding edits by researching and using the most up-to-date tools available in order to make the appropriate and compliant corrections for reimbursement. MINIMUM QUALIFICATIONS: Education: High School Diploma or equivalent required, Associate's degree preferred. Minimum Experience: Five years relevant coding experience. Minimum Experience: Experience coding and auditing professional fee surgical procedures and office visits. Required Licenses/Certifications: Certified Coding Specialist (CCS-P) or Certified Professional Coder (CPC) certification required from AHIMA or AAPC. PAY RANGE: $29.59 - $49.31/ hour The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate's experience, education, skills, licenses and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program.

Ophthalmic Consultants of Boston (OCB is seeking a detail-oriented and experienced Certified Professional Coder (CPC) to join our team on a full time basis. The primary responsibility of this role is to review modifier 25 ophthalmology claims and associated documentation, providing feedback and guidance to clinical teams to ensure accurate coding and compliance with regulatory standards. Working Hours: Full time position Monday through Friday. Travel is required. Waltham 3 days per week, Plymouth 1 day per week, and an optional remote day(work from home). Key Responsibilities: Review and analyze modifier 25 claims and related documentation for accuracy and compliance. Provide detailed feedback and recommendations to clinical teams to improve coding practices. Collaborate with clinical teams to address coding and documentation questions and concerns. Maintain up-to-date knowledge of coding regulations and industry best practices. Assist in the development and implementation of coding policies and procedures. Generate reports and maintain logs to track coding accuracy and identify areas for improvement. Qualifications: Certified Professional Coder (CPC) certification required. Minimum of 5 years of experience in medical coding, with a focus on modifier 25 claims. Strong understanding of coding guidelines, regulations, and compliance standards. Excellent analytical and problem-solving skills. Effective communication and interpersonal skills. Ability to work independently and as part of a team. Proficiency in using coding software and EPIC EHR systems. OCB offers industry leading benefits including: Medical & dental insurance (starts on the 1st day of employment!) 401(k) plan with Company match Company paid Life Insurance Company paid Long Term Disability Eye care discounts Generous Paid Time Off and Paid Holidays To learn more about OCB, please visit our website at ***************** #seabrighterfuture #OCBjobs

: Axis Community Health, a nonprofit established in 1972, provides comprehensive healthcare services to over 15,000 individuals across all age groups in the Tri-Valley area. The mission of Axis Community Health is to provide quality, affordable, accessible and compassionate health care services that promote the well-being of all members of the community. Our mission is rooted in delivering high-quality patient care, encompassing primary healthcare, mental health support, and dental services. We are committed to ensuring access to essential healthcare services for every member of our community, irrespective of financial status, living situation, or insurance coverage. Job Summary: The Medical Coder is responsible for reviewing, coding, and processing medical, dental, and behavioral health encounters to ensure accurate and compliant documentation, coding, and billing specific to a Federally Qualified Health Center (FQHC). This role assigns appropriate ICD-10, CPT, and HCPCS Level II codes in accordance with federal, state, and payer-specific guidelines, including FQHC billing rules. The Medical Coder also resolves coding-related denials, supports timely reimbursement, and helps maintain compliance with Medi-Cal, Medicare, HRSA, and commercial insurance requirements. This position may assist with staff training, process improvements, and collaboration across billing, compliance, and clinical teams to ensure accurate encounter data and strengthen revenue cycle operations. Qualifications: High school diploma or equivalent; Associates degree in Health Information Technology or related field preferred. Minimum two years of outpatient medical coding experience, preferably in a community health center, FQHC, or similar ambulatory care setting. Current coding certification from CPC, CCA, CCS, RHIT, or RHIA. Strong knowledge of ICD-10, CPT, HCPCS Level II, and outpatient coding guideline. Familiarity with FQHC specific coding and billing, including PPS, wrap/PPS add-on, and documentation requirements. Proficiency in reviewing clinical documentation for accuracy and completeness. Ability to analyze and resolve coding-related denials. Advanced knowledge of FQHC coding standards, encounter-based reimbursement models, and HRSA/UDS reporting requirements. Experience processing specialty billing for chiropractic, acupuncture, podiatry, cardiology, and others. Knowledge of outside entity account reconciliation. Ability to retrieve patient information, input information, and locate information and resources. Knowledge of EPIC EPM/EHR is highly desirable. Wisdom dental software knowledge is a plus. Excellent time management skills to meet goals and objectives and the ability to be at work regularly and on time. Strong analytical, employee relations, and interpersonal skills. Excellent writing, business communication, editing, and proofreading skills. Ability to interact effectively, professionally, and in a supportive manner with persons of all backgrounds. Proactive, self-motivated and able to work independently as well as on a team with the ability to exercise sound independent judgment. Ability to maintain a high level of confidentiality and a professional demeanor and must positively represent the organization at all times. Must be able to adjust priorities quickly as circumstances dictate. Must be a dynamic self-starter with demonstrated ability to work independently or in a group setting. A can-do attitude, attention to detail, ability to organize and set priorities, with ability to multi-task effectively. Ability to type a minimum of 35 WPM with minimal errors. Must have good computer skills using Microsoft Office and the ability to use Axis departmental systems. Must be able to use office equipment (i.e. copier, fax, etc.). Essential Duties/Responsibilities Review and assign accurate ICD-10, CPT, and HCPCS codes for medical, dental, and behavioral health encounters. Ensure all coding complies with federal, state, Medicaid/Medi-Cal, Medicare, commercial payer, and FQHC-specific billing guidelines. Verify that provider documentation supports the codes billed and request clarifications when needed. Review and correct encounter data prior to claim submission to reduce errors and delays. Work closely with providers to improve documentation accuracy and coding completeness. Analyze and resolve coding-related denials rejections; submit corrected claims as needed. Support the billing team with research on payer guidelines and policy updates. Maintain proficiency in UDS reporting requirements and ensure accurate coding for quality metrics. Collaborate with senior management to ensure adherence to HRSA, PPS, and encounter documentation standards. Conduct internal chart audits as assigned to verify coding accuracy and identify training needs. Assist in training clinical and billing staff on coding updates, documentation requirements, and best practices. Stay current on changes in coding regulations, payer updates, E/M guidelines, and FQHC billing requirements. Collaborate with the CFO and Billing Manager to enhance workflows aimed at improving overall efficiency and effectiveness of the billing department. Participate in staff meetings, and attend other meetings and training events as assigned. May be required to perform other related duties, responsibilities, and special projects as assigned. Benefits: Employer paid health, dental, and vision benefits to the employee. Option to participate in a 403(B) retirement plan with employer matching contribution. Partial educational reimbursement. 12 paid holidays. Accrued paid time off with each pay period. Employee discount programs. Connect with Axis: Company Page: ************************** Facebook: ******************************************** LinkedIn: ****************************************************** Annual Gratitude Report: ************************************************************** Physical, Cognitive, and Environmental Working Conditions: Work is normally performed in a typical clinic office work environment (and, in some cases, telecommuting sites). The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations can be made to enable individuals with disabilities to perform the essential functions of this position if the accommodation request does not cause an undue hardship Physical: Occasionally required to carry/lift/push/pull/move up to 20lbs. Frequently required to perform moderately difficult manipulative tasks such as typing, writing, reaching over the shoulder, reaching over the head, reaching outward, sitting, walking on various surfaces, standing, and bending. Occasional travel to other Axis health centers and other occasional travel will be required. Equipment: Frequently required to use repetitive motion of hands and feet to operate a computer keyboard, telephone, copier, and other office equipment for extended periods. Sensory: Frequently required to read documents, written reports, and signage. Must be able to distinguish normal sounds with some background noise, as in answering the phone, interacting with staff etc. Must be able to speak clearly, understand normal communication, and be understood. Cognitive: Must be able to analyze the information being received, count accurately, concentrate and focus on the given task, summarize the information being received, accurately interpret written data, synthesize information from multiple sources, write summaries as needed, interpret written or verbal instructions, and recognize social or professional behavioral cues. Environmental Conditions: Frequent exposure to varied office (medical clinic/office) environments. Rare exposure to dust and loud noises. Disclaimer: This job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, Axis Community Health reserves the right to modify or change the requirements of the job based on business necessity. Key Search Words: Medical Coder, Billing and Coding Specialist, Health Information Coder, Clinical Coder, Coding Specialist, Revenue Cycle Coder, Coding Compliance Specialist, Outpatient Coder, Documentation Specialist, Revenue Cycle Department, Patient Financial Services, Coding and Compliance, Billing and Coding Team, Communication Skills, Multitasking, Problem Solving, Organizational Skills, Customer Relations, Administrative Procedures, Microsoft Office, EHR, EPIC, Medi-Cal, Medicare, #LI-Onsite

Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administrations (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all. The Certified Medical Coder is responsible for reviewing and interpreting medical documentation to assign appropriate diagnosis and procedure codes for billing and reimbursement purposes. The ideal candidate will have a deep understanding of coding guidelines and regulations and be able to ensure the accuracy and completeness of all coding work. Requirement: * You must have either a Certified Professional Coder (CPC) certification or a Certified Coding Specialist (CCS) certification. Responsibilities * Review and analyze medical documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes. * Ensure all coding is completed in a timely and accurate manner, with a high level of attention to detail. * Maintain knowledge of current coding guidelines and regulations. * Work collaboratively with medical staff and other healthcare professionals to ensure appropriate documentation and coding of services. * Participate in ongoing training and professional development to maintain certification and stay up-to-date on changes in coding guidelines and regulations. * Provide feedback and recommendations to management to improve the accuracy and efficiency of coding processes. * Maintain patient confidentiality and comply with all HIPAA regulations. * Other duties as may be assigned. Qualifications Education and Experience: * High school diploma or equivalent (GED) required. * Successful completion of a medical coding program. * Certified Professional Coder (CPC) certification is required. * Certified Coding Specialist (CCS) certification is required. * Familiarity with medical terminology, anatomy, and physiology. * Experience working in an FQHC clinic is preferred. * Proficiency in computer applications, including EPIC Electronic Health Records and coding software. Required Skills and Abilities: * Strong attention to detail and problem-solving skills. * Excellent communication and interpersonal skills. * Ability to work independently and as part of a team. Physical Requirements and Working Conditions: * Fulfill immunizaton and fit for duty regulatory requirements. * FProlonged periods of sitting at a desk and working on a computer. * Use of mouse, keyboard and headset. * Must be able to lift up to 15 pounds at times. Benefits: Our benefits program is designed to protect your health, family and way of life. We offer a competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short term and Long Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement, Employee Assistance Programs, Paid Holidays, Personal Days of Celebration, Paid time off, and Extended Illness Benefits. Marin Community Clinics is an Equal Employment Opportunity Employer Min USD $25.00/Hr. Max USD $35.00/Hr.

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: * Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. * Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: * Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. * Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: * Minimum: CSS. * Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: * Minimum: 1 year. * Preferred: 3 years.

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: Minimum: CSS. Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: Minimum: 1 year. Preferred: 3 years. Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love. Cottage Health is an Equal Opportunity Employer. Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law. This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee. Cottage Health is committed to upholding discrimination-free hiring practices. We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work. Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter. If you're already a Cottage Health employee, please apply on this link only. CH Health Information Management, Part Time Regular , 8 hour, Days, Santa Barbara Cottage Health

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: Minimum: CSS. Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: Minimum: 1 year. Preferred: 3 years.

Description and Responsibilities Come join our billing team! Open Sky is looking for a skilled, part-time Behavioral Health Coder to provide coding support to the organization. They will audit clinical documentation for Evaluation and Management and psychotherapy services by validating coded data, ensuring services rendered support reimbursement and reporting purposes. The coder will also evaluate electronic health records to identify any documentation deficiencies and ensure all revenue is captured. This position begins with a hybrid schedule and has the opportunity to become remote after the organizations introductory period is successfully completed. Must be currently geographically local to Central Massachusetts Other Key Responsibilities: * Serve as resource and subject matter expert to staff. * Collaborate with clinicians on documentation discrepancies. * Support the VP of Accounting & Financial Reporting and the Billing Manager with projects related to third party billing. * Comply with behavioral health coding guidelines and policies. Qualifications * High School diploma, GED or equivalent, required. * Applicants must currently reside geographically local to Central Massachusetts. * Certified professional coder with specialization in behavioral health, required. * 3-5 years of experience in human/social services, healthcare, or related field, required. * Experience in a behavioral health setting with use of electronic health record, required. * Must have knowledge of payor guidelines and 3rd party billing practices. * Valid drives license and acceptable driving history, required. About Us At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life. Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity, and justice for ALL. At Open Sky, you'll join over 1,300 compassionate and highly trained professionals who put innovative, evidence-based practices to work in ways that positively impact our communities across Central Massachusetts and beyond. As a trauma-informed organization, Open Sky strives for transparency and sensitivity to the experiences of those we interact with. Self-care is encouraged, and we are committed to providing a positive work culture that is focused on continuous learning and the value of diverse perspectives. Open Sky is proud to be an industry leader in pay and benefits. Open the Door to Possibility and begin your career with Open Sky today! Benefits of Working for Open Sky Include: * Excellent Supervision (Individual and Group), Professional Development, and Training Opportunities * Generous paid time off plan - you start with 29 days (almost 6 weeks!) in your first year, including 12 paid holidays. Increases to 32 days in your 2nd year, and the current maximum is 43 days (OVER 8 WEEKS!) * We pay for your higher education! Ask about our Tuition Reimbursement Program, and reimbursement for a variety of Human Services certifications. * Medical, Dental and Vision Insurance with Prescription Plan * 403b Retirement Plan with Employer Match * Life Insurance (100% Employer-Paid) * Eligible employer for the Public Student Loan Forgiveness Program * And more! Open Sky celebrates diversity and is proud to be an Equal Opportunity Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, veteran, or disabled Veteran status. Base Rate USD $25.58/Hr. Responsibilities 2025-10459