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Medical coder jobs in Boston, MA

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Medical Coder
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  • Health Information Specialist

    Motion Recruitment 4.5company rating

    Medical coder job in Somerville, MA

    Our Client, a hospital, is looking for someone to join their team as a Health Information Records Team Lead! **This is an onsite 12-month contract role that takes place in Somerville, MA** Responsibilities In collaboration with the management team, oversees the day-to-day operational functions of special projects in the CRCC. Coordinates assignment of team resources in operations of CRCC special projects. Facilitates training and provide direction and guidance to direct reports in a complex environment to ensure that all staff are appropriately informed, trained, guided, supported and evaluated. Works to develop staff for special projects. Manages daily scheduling and assists with timekeeping for unit team, including management of timekeeping exceptions Establish and maintain a positive and productive team environment and a stable work environment through leadership, mentoring and coaching staff Provides input to management regarding overall employee performance. Monitors the quality of work performed by staff throughout the fiscal year and informs management of any deficiencies Assist in recruiting and interviewing personnel in collaboration with HIM Management for the special projects team Provides orientation and training to new staff regarding the operational and system policies and procedures Qualifications Excellent communication and written skills Detail-Oriented Excellent analytical and problem-solving skills Strong computer skills, Microsoft Window based computer skills Ability to plan and manage projects, staff, other resources, and timelines; and to prioritize and delegate accordingly Ability to be flexible, versatile, and adaptable in day-to-day activities conducted in a multi-site environment Ability to manage workload and competing priorities in order to complete tasks within set limits Ability to produce quality work on a consistent basis You will receive the following benefits: Medical Insurance - Four medical plans to choose from for you and your family Dental & Orthodontia Benefits Vision Benefits Health Savings Account (HSA) Health and Dependent Care Flexible Spending Accounts Voluntary Life Insurance, Long-Term & Short-Term Disability Insurance Hospital Indemnity Insurance 401(k) Paid Sick Time Leave Legal and Identity Protection Plans Pre-tax Commuter Benefit 529 College Saver Plan Motion Recruitment Partners (MRP) is an Equal Opportunity Employer. All applicants must be currently authorized to work on a full-time basis in the country for which they are applying, and no sponsorship is currently available. Employment is subject to the successful completion of a pre-employment screening. Accommodation will be provided in all parts of the hiring process as required under MRP's Employment Accommodation policy. Applicants need to make their needs known in advance.
    $33k-41k yearly est. 2d ago
  • Medical Coder

    Integrated Resources 4.5company rating

    Medical coder job in Cambridge, MA

    IRI believes in commitment, integrity and strategic workforce solutions. Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success. Job Description Client: Direct Client Location: Cambridge, MA Job Title: Medical Coder (/Medical coding) Duration: 10 Months+ (Possible Extension) Job Summary: The Medical Coder is responsible for conducting centralized medical coding activities using ag Encoder as part of the ARISg Safety database. Principal Accountabilities: • Perform medical coding (WHO Drug Dictionary Enhanced and MedDRA) activities according to the coding schedule. • Maintain optimal communication with Safety staff and Safety vendors for all post marketing cases managed by Safety as per Client and/or applicable coding conventions • Support senior coders in coding related activities and supversioning activities • Contribute to the development of coding conventions and coding process Qualifications General Knowledge & Skills: • Safety experience coding safety cases. • Clinical trial experience in coding • 2-5 years medical coding using the MedDRA and WHO Drug dictionaries as well as the structure and function of systems used to perform coding. • Possesses a degree in nursing, pharmacy or other related medical field. Feel free to forward my email to your friends/colleagues who might be available Additional Information Thanks!!! Warm Regards, Amrit Singh Clinical Recruiter Integrated Resources, Inc. IT REHAB CLINICAL NURSING Tel: (732) 429 1634 (Direct) Ext: (732) 549 2030 x (212) Fax: (732) 549 5549 http://www.irionline.com Inc. 5000 - 2007, 2008, 2009, 2010, 2011, 2012, 2013 & 2014 (8th Year) Certified MBE I GSA - Schedule 66 I GSA - Schedule 621I I GSA - Schedule 70 https://www.linkedin.com/company/46970?trk=prof-exp-company-name
    $55k-75k yearly est. 60d+ ago
  • Coder

    Quality Talent Group

    Medical coder job in Watertown Town, MA

    Job DescriptionAI Coder Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems. They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models. Why Join This Team? Earn up to $32/hr, paid weekly. Payments via PayPal or AirTM. No contracts, no 9-to-5. You control your schedule. Most experts work 5-10 hours/week, with the option to work up to 40 hours from home. Join a global community of experts contributing to advanced AI tools. Free access to the Model Playground to interact with leading LLMs. Requirements Bachelor's degree or higher in Computer Science from a selective institution. Proficiency in Python, Java, JavaScript, or C++. Ability to explain complex programming concepts fluently in Spanish and English. Strong Spanish and English grammar, punctuation, and technical writing skills. Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer. What You'll Do Teach AI to interpret and solve complex programming problems. Create and answer computer-science questions to train AI models. Review, analyze, and rank AI-generated code for accuracy and efficiency. Provide clear and constructive feedback to improve AI responses. Apply now to help train the next generation of programming-capable AI models!
    $32 hourly 8d ago
  • Medical Device QMS Auditor

    Bsigroup

    Medical coder job in Boston, MA

    We exist to create positive change for people and the planet. Join us and make a difference too! Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 60d+ ago
  • Medical Device QMS Auditor

    Environmental & Occupational

    Medical coder job in Boston, MA

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 2d ago
  • Coding Specialist II

    Umass Memorial Health Care 4.5company rating

    Medical coder job in Worcester, MA

    Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $23.24 - $39.28 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 7am-3:30pm Shift: 1 - Day Shift, 10 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5446 Professional Billing Coding Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for interpreting medical record data in order to process physician and/or facility charges. Assigns appropriate ICD-CM (current edition) and CPT codes and modifiers as appropriate. Individual Departments, (Emergency Medicine, Trauma Center, Endoscopy Suite, PBCBO, HIM, etc.) will have unique procedures, processes and/or focus, so responsibilities and tasks can differ depending on departmental needs. However, many of the core tasks, required experience and qualifications are similar among all Coding Specialists. I. Major Responsibilities: 1. Performs analysis on medical record documentation to include review of tests/reports, and determines appropriate codes, as defined by coding guidelines and other recognized reference materials. 2. Abstracts and enters all codes and required demographic information into the UMMHC computer system, the hospital's abstracting database, or onto encounter forms, where necessary. 3. Assists in resolving incomplete and missing chart documentation in order to expedite chart abstraction and billing. 4. May participate in improvement efforts and documentation training for medical and clinical staff as it relates to coding practices and guidelines. 5. May participate in quality assurance and performance measurement reviews and reporting. 6. Informs supervisor when backlog situations arise or necessary documents are either incorrect or are not being received in a timely manner. 7. Alerts management to any coding irregularities or trends contrary to policy/procedure so that corrective measures can be taken. 8. Maintains direct and ongoing communications with other coding and billing personnel to maximize overall effectiveness and efficiency of the operation. 9. Completes patient's abstracts mandated by Federal and State regulatory agencies, Physician Peer Review, and hospital planning for optimal facility utilization (i.e. Determination of Need, Quality Assurance, research studies and Utilization Review Program). Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School education, plus medical coding certification. Preferred: 1. Training in medical terminology from an accredited program. Recognized programs include: AHIMA, NHA, and AAPC. Experience/Skills: Required: 1. Three years of medical abstraction and coding experience or related work experience. 2. Knowledge of ICD-CM (current edition) and CPT, HCPCS coding systems, 3rd party payer requirements and federal/state guidelines and regulations pertaining to coding and billing practices. 3. Requires intermediate level computer skills with the ability to use standard office software applications, such as Microsoft Office Excel and Word. 4. Requires good interpersonal and communications skills and demonstrates professionalism when working with team members, management and other staff members. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $23.2-39.3 hourly Auto-Apply 41d ago
  • Risk Adjustment Medical Coder

    Blue Cross & Blue Shield of Rhode Island 4.7company rating

    Medical coder job in Providence, RI

    Pay Range: $64,600.00 - $96,800.00 Please email HR_Talent_************************** if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resource is our people. We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do-not just for our members, but for our employees as well. We recognize that to do your best work, you have to be your best self. It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees. Our culture is one of belonging. We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you're at in the organization, you're an integral part of our team and your input, thoughts, and ideas are valued. Join others who value a workplace for all. We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders. We're dedicated to serving Rhode Islanders. Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state-building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer. Why this job matters: Perform medical record reviews of Medicare Advantage members to ensure proper medical diagnoses are being submitted to Centers for Medicare & Medicaid Services (CMS) for accurate risk adjustment payments. Perform data validation of collected medical codes from both outpatient and inpatient settings. Assist with the review and perform on-site and remote retrieval of medical records for internal and external audits. What you'll do: Perform risk adjustment data validation of Medicare Advantage member charts including outpatient and inpatient services provided by physicians. Ensure primary and secondary diagnoses are reported in accordance with CMS payment guidelines to ensure Plan receives accurate risk adjustment payments. Achieve team annual recovery goal targets. Detect trends in documentation to identify at-risk claims and documentation errors for provider education. Coordinate with provider education department in order to schedule physician on-site and remote chart reviews with physicians and/or office staff in a professional manner. Provide recommendations to physicians to incorporate and promote industry best practices. Distribute informational/educational correspondence as appropriate. Perform audits of claims data to flag unsupported diagnoses for deletion to mitigate audit risks. Identify errors through data validation; facilitate remediation with internal business areas. Assist and retrieve member information to correct informational errors as necessary. Review claims data to validate member risk scores; gather documentation for CMS appeals if risk scores are challenged. Analyze audit results to and be able to interpret those to leadership to inform coding policies. Use NLP (Natural Language Processing) software to audit records, identifying codes to submit for capture and codes eligible for deletion. Maintain expert industry knowledge as related to the risk adjuster process and coding regulations. Actively participate in physician coding review discussions. Participate in the retrieval and review of medical documentation relevant to risk adjuster activity for internal and external audits. Serve as subject matter expert on coding initiatives and member chart review. Participate in department initiatives and projects. Perform other duties as assigned. What you need to succeed: Certified Professional Coder (CPC, CPC-H), or Certified Coding Specialist (CCS) designation; or an equivalent combination of education and experience Three to five years of experience in medical claims review or claims processing Three to five years of experience in quantitative or statistical analysis (preferably in health care) Proven analytic experience using Microsoft Excel, database query capabilities and ability to evaluate data at various levels of detail Proficiency in ICD-9/10-CM medical coding Advanced analytical skills, with the ability to interpret and synthesize complex data sets Good business acumen and political savvy Knowledge of business process improvement techniques and strategies Excellent verbal and written communications skills Negotiation skills Presentation skills Decision-making skills Good problem-solving skills Ability to interface with employees at all levels Ability to effectively navigate ambiguous situations with limited direction Excellent organizational skills and ability to successfully prioritize multiple tasks Ability to handle multiple priorities/projects The Extras: Registered Nurse (RN) Bachelor's degree Knowledge of ICD-9-CM, ICD-10-CM and CPT coding Professional designations (e.g. CPC-H, or CPC-P, CRC) Knowledge of Hierarchical Condition Category (HCC) payment model and American Hospital Association Official Coding Guidelines Familiarity with hospital contract reimbursement Location: BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role: In-office: onsite 5 days per week Hybrid: onsite 2-4 days per week Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity employer. The law requires an employer to post notices describing the Federal laws. Please visit ************************************************************** to view the "Know Your Rights" poster.
    $64.6k-96.8k yearly Auto-Apply 21d ago
  • Medical Coder II/III

    Codametrix

    Medical coder job in Boston, MA

    CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare providers away from the keyboard and back to clinical care. Overview Reporting to the Manager, Medical Coding & Audit, as a Medical Coder II or III, this role will be a key member of the team responsible for ensuring that CodaMetrix meets-and exceeds-our customers' coding quality expectations. The Medical Coder II or III will be responsible for leveraging their strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. They will play a pivotal role in improving the quality and efficiency of coding operations by collaborating closely with cross-functional teams, including Machine Learning, Product, and Customer Implementations. They will also review and validate model-generated codes, annotate and label data to support model training, identify patterns in coding errors, and provide clear explanations and insights to both internal teams and external clients. This role requires a proven ability to communicate highly complex coding issues and solutions to a wide range of stakeholders, alongside an unwavering commitment to continuous learning, quality, and innovation in medical coding practices. Key Responsibilities Coding & Documentation review Serve as the internal and external Subject Matter Expert (SME) on medical coding and billing across assigned service lines. Review and validate model-generated CPT, ICD-10-CM, HCPCS, and E&M codes Perform high-quality coding and auditing on inpatient, outpatient, ED, or pro-fee encounters (depending on specialty) Ensure documentation fully supports coding decisions in alignment with AMA, CMS, and payer guidelines Identify missed codes, incorrect E/M leveling, modifier errors, and insufficient documentation Customer & Workflow Analysis Analyze and document customers' coding practices and workflows to facilitate optimal use of the CodaMetrix product. Identify and share Codametrix's best practices for coding automation and workflow improvements with the customer. Present audit results to customer stakeholders and facilitate sign-off for go-live milestones. Coding Quality Management Assist manager with Coding Quality Assessment (CQA) projects, including work assignments, training, and quality assurance for offshore coding staff. Leverage CodaMetrix coding standards to drive world-class coding quality and consistency. Collaboration & Knowledge Sharing Work with product and engineering to provide precise, consistent feedback on model training and data annotation Continuously improve evaluation and training materials on coding and billing to colleagues and customers. Share knowledge throughout CodaMetrix to build internal competencies and champion continuous improvement initiatives. Provide expert guidance on coding and billing questions to support Machine Learning and Product teams. Compliance & Professional Development Proactively stay up to date with changes in medical coding and billing by maintaining relevant certifications and participating in ongoing education. Uphold all legal and ethical requirements, ensuring accuracy, confidentiality, and compliance in all coding and audit activities. Customer Communication Help explain model decisions, error analyses, and coding rationales to clients Support customer success and implementation teams in understanding coding outputs Prepare clear written summaries of coding patterns, documentation issues, or model behavior Represent coding accuracy and detail in client conversations, as needed Collaborate with cross-functional teams-such as Data Science, Product, and Customer Success-to address client needs and optimize results. Qualifications & Experience Current AHIMA or AAPC coding credential held for 3+ (level II) or 5+ years (level III). 3-5 (level II) or 5+ years (level III) of coding and auditing experience with progressive growth in responsibilities. Strong understanding of CPT, ICD-10-CM, HCPCS, modifiers, and 2023 E/M guidelines Experience in one of the following specialties: Professional hospital coding; specifically in Surgery, Endoscopy, Hospitalist, Cardiology, Emergency coding Demonstrated ability to interpret clinical documentation and identify gaps Excellent communication and customer service skills, capable of effectively engaging executives, directors, data scientists, and other stakeholders with varying levels of coding knowledge. Ability to translate complex coding guidelines to non-clinical team members. Strong organizational and detail-oriented approach with a demonstrated commitment to excellence and precision. Critical thinking, intellectual curiosity, and creativity in problem-solving. Ability to thrive under time constraints in a fast-paced environment. Team-oriented approach with a positive and patient demeanor, fostering collaboration and continuous improvement. Bonus Points Experience in Radiology or Pathology Prior experience with ML/AI workflows Experience working with JIRA or other project management/ task management tools Familiarity with autonomous coding platforms Experience serving large health systems from a services or technology perspective What CodaMetrix can offer you: Learn more about our full-time employee benefits and how we take care of our team. Health Insurance: We cover 80% of the cost of medical and dental insurance and offer vision insurance Retirement: We offer a 401(k) plan that eligible employees can contribute to one month after their first day Flexibility: We have a generous Paid Time Off policy, which is managed but not limited, so you can take the time you need to relax and rejuvenate Learning: All new hires complete our 7-week Onboarding Program where they learn about our company and each of our departments through live sessions hosted by a variety of our leaders Development: We provide annual performance evaluations and prioritize working with employees on what their individual growth looks like Recognition: We recognize the outstanding achievements of our team through annual company awards where employees have the opportunity to nominate their peers Office Location: A modern open plan workspace located in the bustling Back Bay neighborhood of Boston Additional Employer Paid Benefits: We offer employer-paid life insurance and short-term and long-term disability insurance Background Check Notice All candidates will be required to complete a background check upon acceptance of a job offer. Equal Employment Opportunity Our company, as well as our products, are made better because we embrace diverse skills, perspectives, and ideas. CodaMetrix is an Equal Employment Opportunity Employer and all qualified applicants will receive consideration for employment. Don't meet every requirement? We invite you to apply anyway. Studies have shown that women, communities of color and historically underrepresented talent are less likely to apply to jobs unless they meet every single qualification. At CodaMetrix we are committed to building a diverse, inclusive and authentic workplace and encourage you to consider joining us.
    $39k-60k yearly est. Auto-Apply 4d ago
  • Certified Peer Specialist

    Child & Family Services 4.5company rating

    Medical coder job in Plymouth, MA

    Job Details Plymouth - Plymouth, MA High School/GED $23.50 - $25.50 HourlyDescription A Certified Peer Specialist (CPS) is an individual with lived experience in the mental health system and/or in recovery who has been trained to effectively share their experiences to support others. The CPS provides emotional support, advocacy, and practical assistance to individuals presenting for mental health crisis evaluations in various settings, including Emergency Departments (ED), Community Behavioral Health Centers (CBHCs), and during mobile crisis evaluations. CPS plays a key role in creating a welcoming and supportive environment while collaborating with clinical teams to facilitate recovery-oriented care. Child and Family Services recognizes the power in Diversity and believes that Equity is a Human Right. $1 per hour Language Differential! (eligible languages include: Cape Verdean Creole, Haitian Creole, Portuguese, or Spanish) Child & Family Services carefully considers a wide range of factors when determining compensation including, but not limited to, prior experience, education, certification(s), license(s), skills and expertise, location, internal equity and other factors that are job related and consistent with business need. Our goal is to support, reward and compensate the entire individual. Depending on role eligibility, your offer may include a bonus or other incentives. Therefore, final offer amounts may vary from the amount stated. SCHEDULE: 20 HOURS PER WEEK Tuesday (10-5) Thursday (10-5) Friday (10-4) Job Responsibilities & Essential Functions Establishes and maintains healthy boundaries regarding confidentiality and professional relationships while sharing lived experience as appropriate. Provides emotional support and reassurance to individuals undergoing crisis evaluations. Demonstrates strong knowledge of recovery principles and person-centered, trauma-informed care. Assists in facilitating communication between individuals in crisis, their families, and clinical staff. Offers comfort items, such as food, encouragement, and engaging activities, to individuals awaiting services. Works collaboratively with clinicians to support individuals in accessing appropriate services. Helps individuals understand the evaluation process and next steps in their care. Shares coping strategies and learned skills that promote recovery and stress management. Engages with individuals to identify their strengths, existing supports, and available community resources. Assists individuals receiving care in Adult Crisis Stabilization Units (ACSU) and other crisis settings as needed. Maintains up-to-date knowledge of local resources and community-based supports. Essential Staff Expectations As part of a 24-hour/Acute Care program, all staff are designated as essential personnel. Essential personnel are required to report to work as scheduled, regardless of holidays, emergency situations, or agency closings (e.g., inclement weather), to ensure uninterrupted program operations. May be required to work beyond a standard 40-hour workweek based on program needs. May need to remain on shift or work additional hours until relief staff are available. Overnight staff are required to remain awake for the entirety of their shift. Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Qualifications Required Education and Experience Must have personal experience with mental illness and recovery. Must be a Certified Peer Specialist (CPS) through an approved Massachusetts training program. Must be comfortable working with individuals experiencing severe mental illness and/or crisis. Must maintain appropriate boundaries when sharing personal experiences. Must be willing to work a flexible schedule, including evenings, weekends, and holidays, as needed. Cultural Competency Qualifications: Awareness of personal attitudes, beliefs, biases, and assumptions about others Knowledge of the various dimensions of diversity, including gender, race, and ethnicity Acknowledging that people from other cultural groups may not share the same beliefs and practices or perceive experiences in the same way Cultural knowledge of key populations that will be served to address disparities in service delivery Demonstrates positive attitudes towards cultural differences by showing respect and openness towards people whose social and cultural background is different from one's own Demonstrates skills for communication and interaction across cultures, including the ability to recognize and manage personal behaviors, moods, and impulses to create an inclusive, equitable, and welcoming climate within the agency Travel Required Must have a valid driver's license and reliable transportation that meets CFS Driver Policy. Travel is required to provide services in different settings and to attend agency meetings, events, and trainings Benefits: Benefit eligible at 20+ hours per week Medical - Harvard Pilgrim/HealthPlans Inc. Dental - Delta Dental of MA Vision - EyeMed Wellworks for You (Employee Wellness) 2 weeks' vacation accrued over 1st year, 3 weeks after 3 years, 4 weeks after 5 years and 5 weeks after 20 years 12 Sick Days, 10 Paid Holidays, and 2 Personal Days per year Tuition reimbursement - Up to $1,500 per calendar year Professional Licensure reimbursement (LICSW, LMHC) Flexible spending accounts - save on medical expenses and dependent care! 401K - CFS matches first 1% at 100%; 2%-6% of annual earnings are matched at 50% 100% Employer paid Life Insurance 100% Employer paid Long Term Disability and AD&D 24-hour travel assistance, mileage reimbursement, discounted Healthtrax gym membership, and employee appreciation events! Child and Family Services, Inc. values a diverse workplace and strongly encourages applicants from the BIPOC, LGBTQ+, AAPI, Hispanic, Latinx and Veteran communities to apply for employment. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, citizenship, age, gender, sex,( including gender identity, sexual orientation, and pregnancy) disability status, protected veteran status, or any other characteristic protected by law.
    $44k-53k yearly est. 60d+ ago
  • Behavioral Health Certified Professional Coder (20 Hours)

    Open Sky Community Services 4.3company rating

    Medical coder job in Worcester, MA

    Salary USD $25.58/Hr. 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. 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. * 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 drivers license and acceptable driving record, required. * Candidate must be currently geographically local to Central Massachusetts. 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. IND123 Responsibilities 2025-10209
    $25.6 hourly Auto-Apply 48d ago
  • Professional Surgical Coder

    South Shore Hospital 4.7company rating

    Medical coder job in Weymouth Town, MA

    If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-21350 Facility: LOC0014 - 549 Columbian Street549 Columbian Street Weymouth, MA 02190 Department Name: SHS Physician Services Admin Status: Full time Budgeted Hours: 40 Shift: Day (United States of America) Under experienced leadership the Professional Surgical Coder is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding. Using established department policies and procedures in conjunction with the current versions of ICD-10 and CPT-4, the Professional Surgical Coder will determine the proper diagnosis, assign co-morbidities and complications, secondary diagnoses and any HAC (Hospital Acquired conditions) documented. As well as both E/M codes and procedure codes. The Professional Surgical Coder is expected at South Shore Physician Ambulatory Enterprise to query providers when documentation requires clarification and he/she proactively works with medical leadership to address concerning documentation trends. The Professional Surgical Coder works with direct support from and under the direction of the Billing and Coding Manager to make certain their skills and knowledge remain in peak condition. Compensation Pay Range: $33.33 - $44.86 ESSENTIAL FUNCTIONS 1 - Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures performed. Assigns proper ICD-10CM and CPT-4 diagnostic and procedural codes to charts and related records by reference to designated coding manuals and other reference material. a - Codes 6-9 (# determined according to type of record coded) records per hour, consistently with 95% accuracy. b - Assigns diagnostic and procedural codes for physicians in the inpatient, outpatient, and observation setting. 2 - Identifies any and/or all complications or comorbidities. a - Applies sequencing guidelines based on medical record information provided according to official coding rules 3 - Assesses the appropriateness of medical record documentation to ensure that it supports the procedure(s), diagnosis', as well as complications and/or comorbid conditions documented. Consults with the appropriate provider to clarify medical record information. a - Identifies any documentation inadequacies with provider and clarifies medical record information with courtesy and tact. b - Retrieves any and all records corresponding to surgical cases including laboratory/path reports to ensure accurate assignment of ICD-10-CM and CPT-4 codes. c - Ensures accurate, correctly coded information is entered into Epic 4 - Answers provider/clinician questions regarding coding principles, a - Assists with coding queries for claims appeals and resolution. b - Refer ancillary department coding questions to Professional Coding Manager 5 - Remains abreast of developments in medical record technology by pursuing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent literature and so forth. a - Utilizes professional affiliations, etc., in order to maintain current in professional developments. b - Attends all pertinent coding seminars and manager assigned training. c - Utilize all available hospital-provided electronic resources 6 - Works collaboratively with appropriate team members to recommend strategies for process improvement 7 - Assists in responses to billing review requests 8 - Abides by Standards of Ethical Coding as set forth by American Health Information Management Association (AHIMA) 9 - Meets coding, quality and productivity standards. 10 - Performs all job functions in compliance with applicable federal, state and local laws as well as hospital policy and procedures JOB REQUIREMENTS Minimum Education - Preferred Equivalent to an Associate's Degree in Medical Information Technology (with course work in medical terminology, anatomy, physiology, disease processes, ICD-10-CM coding required and prospective payment preferred). Minimum Work Experience Two to three (2-3) years in a surgical practice preferred. Required Certifications CPC - Certified Professional Coder OR CCS-P Certified Coding Specialist- Physician Based Required additional Knowledge and Abilities Strong proficient computer and data entry skills to gather and interpret data. Strong analytical skills to gather and interpret data. 7-3:30 Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: Certified Coding Specialist - Physician Based - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)
    $33.3-44.9 hourly Auto-Apply 4d ago
  • Medical Billing Coder

    Us Tech Solutions 4.4company rating

    Medical coder job in Wellesley, MA

    US Tech Solutions is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit our website ************************ We are constantly on the lookout for professionals to fulfill the staffing needs of our clients, sets the correct expectation and thus becomes an accelerator in the mutual growth of the individual and the organization as well. Keeping the same intent in mind, we would like you to consider the job opening with US Tech Solutions that fits your expertise and skillset. Job Description Medical Record Reviewer will primarily be responsible for completing medical record reviews (on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data Validation (RADV) Audits. This role will also assist with building the medical chart review program at Client's Duties and Responsibilities Utilize comprehensive knowledge American Hospital Association (AHA) coding principles of CPT, HCPCS, ICD9-CM/ICD10-CM diagnosis and procedure codes to evaluate medical record documentation for HCC risk adjustment related activities including Medicare Advantage and Commercial Risk adjustment supplemental diagnosis capture, Medicare and Commercial RADV support, and the auditing of Client's medical chart retrieval and coding vendors. Collect and document chart and coding information as required for Commercial Risk Adjustment and Medicare Advantage Risk Adjustment Client's data collection procedures and systems. Assist with building the medical chart review program at Client's including defining the operating policies and procedures, mentoring team members and input into infrastructure needs and organization. Utilize coding expertise to inform Revenue Management strategy development activities and may support initiatives related to coding such as provider office education. Responsible for developing and maintaining internal and vendor based coding guidelines. Provide subject matter expertise on projects related to coding practices including provider education and communications. Prepare reports of the data gathered and received from Client's providers/members, ensuring reports are completed with the highest quality and integrity and that all work is in full compliance with Client's and Regulatory requirements. Participate in all required training - maintaining of coding certification or other professional credentials Completing inter-rater reliability testing as requested Abide by all HIPAA and associated patient confidentiality requirements. Coordinate with third party and internal auditors as required. Other duties and projects as needed. Qualifications Minimum Requirements Bachelor's Degree; Clinical experience or licensed nursing professional and 3-5 years related experience. RHIA, RHIT, CCS or CPC-H with demonstrated outpatient coding experience required. ICD -9/ICD-10 certification required. Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC extraction. Experience of healthcare delivery systems is preferred. Proven project leadership skills and ability to mentor and motivate others in the team. Advanced PC skills (e.g., Excel, Access, etc.) required; Excellent written and verbal communication skills, customer service skills, organization and problem solving skills, research skills, and the ability to work independently. Additional Information Thanks & Regards Dishant ************
    $37k-47k yearly est. 18h ago
  • PGA Certified STUDIO Performance Specialist

    PGA Tour Superstore 4.3company rating

    Medical coder job in Peabody, MA

    Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis. Position Summary Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships. The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results. Key Responsibilities: Customer Experience & Engagement * Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors. * Build lasting relationships that encourage repeat business and client referrals. * Educate and inspire customers by connecting instruction and equipment performance to game improvement. Instruction & Coaching * Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels. * Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction. * Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement. * Proactively organize clinics and performance events to build customer engagement and community participation. Fitting & Equipment Performance * Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology. * Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals. * Educate customers on product features, benefits, and performance differences across brands. * Accurately enter and manage custom orders, ensuring all specifications are documented precisely. Operational & Visual Excellence * Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards. * Ensure equipment, software, and technology remain functional and calibrated. * Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions. * Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays. Performance & Business Growth * Achieve key performance indicators (KPIs) such as: * Lessons and fittings completed * Sales per hour and booking percentage * Clinic participation and conversion to sales * Proactively grow the STUDIO business through client outreach, networking, and relationship management. * Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience. Qualifications and Skills Required * Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment. * Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers. * Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule). * Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines. * Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred. * Experience: * 2+ years of golf instruction and club fitting experience preferred. * Experience with swing analysis tools and custom club building highly valued. * Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments. * Availability: Must maintain flexible availability, including nights, weekends, and holidays. * Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment. We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination. An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
    $42k-57k yearly est. Auto-Apply 13d ago
  • Medical Records Specialist w/HRD-FT

    Enhabit Inc.

    Medical coder job in Andover, MA

    Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative. At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include: * 30 days PDO - Up to 6 weeks (PDO includes company observed holidays) * Continuing education opportunities * Scholarship program for employees * Matching 401(k) plan for all employees * Comprehensive insurance plans for medical, dental and vision coverage for full-time employees * Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees * Flexible spending account plans for full-time employees * Minimum essential coverage health insurance plan for all employees * Electronic medical records and mobile devices for all clinicians * Incentivized bonus plan Responsibilities Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned orders, 485's, and other key documents. Ensure documents are saved to the patient medical record. Qualifications Education and experience, essential * Must possess a high school diploma or equivalent. * Must have demonstrated experience in the use of a computer, including typing and clerical skills. * Must have basic demonstrated technology skills, including operation of a mobile device. Education and experience, preferred * Six months experience in medical records in a health care office is highly preferred. Requirements * Must possess a valid state driver license * Must maintain automobile liability insurance as required by law * Must maintain dependable transportation in good working condition * Must be able to safely drive an automobile in all types of weather conditions * For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license. Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
    $32k-41k yearly est. Auto-Apply 15d ago
  • Medical Records Specialist

    Spire Orthopedic Partners

    Medical coder job in Peabody, MA

    Job Details Experienced Peabody, MA Full Time High School or Equivalent $16.35 - $19.50 Hourly None Day Health CareDescription Who we are: Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. What you'll do: Responsibilities/Duties: Daily scanning of all paperwork generated per protocols. Retrieving and sorting superbills and other paperwork left after clinic. Maintain fax log and ensure failed faxes are resent properly. Send patient notes to other offices via secure email, faxing, etc. Update and maintain referring physician hospital affiliation list in practice management system. Deal with problems that come up as the day progresses/troubleshooting. Back up for chart preparation and indexing clerk roles. Any duties or projects as assigned by any Supervisor or Manager. Requesting additional tasks during downtime. Qualifications Who you are: Qualifications: High school diploma or equivalent experience. One-year medical office experience. Familiarity with HIPAA, insurance regulations, policies, procedures and other regulatory policies. Knowledge of common safety hazards and precautions to establish a safe working environment. Medical office procedures, policies, practices and medical terminology, telephone protocol and professional etiquette. Familiarity with electronic medical systems is a plus, including Athena/Centricity, and Medi-Tech. Ability to interpret, adapt and apply guidelines and procedures. Develop and maintain effective and professional working relationships with patients, medical staff, coworkers and the public by displaying sympathy, tact and understanding. Must be a team player with a positive attitude, adjust to various personalities, work with a diverse population, demonstrating patience and professionalism. Promotes teamwork through collaboration. Represents the clinic in a professional manner. Able to maintain strict confidentiality on all patient issues. Excellent verbal and written communication skills. What we offer: Excellent growth and advancement opportunities Dynamic environment Access to a diverse network of practitioners Broad infrastructure of tools and programs to enhance the employee experience Competitive Compensation Generous PTO Benefits package: health, dental, vision, 401(k), etc. We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”). The final pay offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and years of experience within the job, the type of years and experience within the industry, education, etc.
    $16.4-19.5 hourly 60d+ ago
  • Release of Information Specialist

    Hospital for Behavioral Medicine

    Medical coder job in Worcester, MA

    Job Details Hospital for Behavioral Medicine - Worcester, MA Part Time High School/GED $19.00 - $23.00 Hourly None Days Health CareDescription JOIN OUR TEAM AS A RELEASE OF INFORMATION (ROI) SPECIALIST! Your Work Matters How will you make a difference? The HIM Release of Information (ROI) Specialist coordinates the release of Protected Health Information (PHI) for the Hospital for Behavioral Medicine and from multiple storage media (paper), including electronic records, while utilizing ROI software (Medhost) to process medical record requests. Reviews requests and authorizations to release PHI and medical record documentation to ensure completion accuracy and compliance with State and Federal guidelines before release. Collaborates with internal and external parties on the phone, in person, verbally, and in writing to meet/exceed customer needs and/or organizational requirements/goals. Models appropriate behavior as exemplified in HBMs Mission, Vision and Values. Prepares records for departmental audits and investigations and issues medical files to persons and agencies according to laws and regulations. Analyzes and validates all Subpoenas and hospital attorney requests received for HIPAA compliance. Researches and validates to ensure all requested records are present and prepared for certification. Under the supervision of the Director of HIM and CEO, answers, analyzes, and resolves questions from patients, payers, attorneys, regulatory agencies, auditors, healthcare facilities, and 3rd party requesters. Communicates to customer the specific laws or regulations of why something is required or unable to be released while maintaining confidentiality. Using the knowledge of the laws and regulations determines the best solution to provide customers with the requested records. Has the latitude to take the initiative to find HIM Release of Information Specialist 2 of 4 alternative ways to help the customer while still following all Federal and State laws and Regulations. Collaborates with internal and external parties verbally (by telephone), in writing, or in-person to accomplish established departmental goals. Prepare as requested statistical reports for administration. Assist in the abstraction and analysis of data from the medical record for medical care evaluation studies, patterns of patient care, and Performance Improvement. Maintain quality and accurate records by following hospital procedures, retrieve medical records by following chart-out procedures; documenting reasons charts cannot be retrieved for statistical and follow-up purposes. Ensures patient charts, paperwork, and reports are completed in an accurate and timely manner. Your Experience Matters What we're looking for: Education & Licensure (if applicable): High school diploma or GED and equivalent combination of education and experience required. Associates' Degree in Health Information Technology or related field of study preferred. Experience: A minimum of two (2) years of experience in the mental health and chemical dependency field is preferred. Additional Skill Requirements: Certification as a Registered Health Information Technologist (RHIT) with AHIMA preferred. Your Care Matters What we provide for our team: 401(k) + matching Health insurance Vision insurance Dental insurance Paid time off Paid holidays Cafeteria on site + discounted meals Employee engagement events Employee assistance program Employee recognition program Free parking What sets us apart? Career & training development opportunities Dynamic and inclusive work environment Engaged management team dedicated to your success A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations Disclaimer: Select benefits are available to full-time positions only. Benefits are subject to change at the discretion of Hospital for Behavioral Medicine. Compensation: This is a Part-Time role and the expected compensation range for this role is $19.00 - $23.00 hourly. We're eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Release of Information (ROI) Specialist! About HBM Get to know us Outstanding Care, Compassionate People, Unparalleled Service Discover a fulfilling career at Hospital for Behavioral Medicine (HBM)! Welcome to the heart of mental health treatment innovation in Worcester, MA! HBM, a cutting-edge 120-bed inpatient facility, is the leading provider of exceptional therapeutic care, prioritizing patient comfort and safety. In proud collaboration with UMass Memorial Health Care, our facility is conveniently situated near the UMass Memorial Medical Center, allowing us to serve the community with unwavering dedication. At HBM, we go beyond inpatient care by offering an outpatient partial hospitalization program, ensuring continuous support while respecting the rhythm of daily lives. Our commitment to accessible care knows no bounds, as we emphasize availability irrespective of one's ability to pay. Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Hospital for Behavioral Medicine. To learn more about HBM, visit us at: ********************************************** TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S. Individuals Maintaining Positive Attitude and Commitment To Service At Hospital for Behavioral Medicine, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
    $19-23 hourly 60d+ ago
  • APP - Digital Health (RPM)

    Umass Memorial Health 4.5company rating

    Medical coder job in Worcester, MA

    Are you a current UMass Memorial Health caregiver? Apply now through Workday. Hiring Range: $119,912.00 - $152,131.20 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Major Responsibilities: 1. Performs and documents a complete history and physical examination, including review of the available medical record, to formulate diagnoses and treatment plan. 2. Orders and reviews appropriate laboratory tests and imaging studies. 3. Participates in daily inpatient rounds, interviews and examines patients, reviews laboratory data and other clinical studies, and records daily progress notes. 4. Requests consultations and communicates with consultants. 5. Performs routine bedside or clinical procedures, as described in the Delineation of Privileges. 6. Assists in the operating room, or in other invasive procedures, as required; records brief operative or post-procedure notes; writes postoperative orders. 7. Prescribes and/or administers oral or parenteral medication to inpatients or outpatients in accordance with state law, UMMHC policy, and as provided in the Delineation of Privileges and Guidelines for Prescribing, which are in place for each individual Physician Assistant and Supervising Physician. 8. Orders routine nursing care, diet orders, and orders for allied health services, including speech, respiratory, and physical therapy. 9. Provides counseling and teaching, related to the management and prevention of disease, for patients and family members. Serves as liaison with discharge planners or with other agencies providing post-hospital care; accurately completes patient discharge instructions and/or discharge summaries. 10. Actively maintains all required credentials, including state licensure, state controlled substance registration, federal DEA registration, NCCPA certification, BLS and ACLS certification, as appropriate in each practice setting. This includes logging CME and completing re certification examinations as required for maintenance of the NCCPA certificate. 11. Serves as a resource for the teaching, training and orientation of students and colleagues. Participates in clinical research, and contributes to clinical conferences, rounds, and quality-control meetings, as appropriate in each practice setting. 12. Promptly completes all outstanding medical records as required by the needs of each clinical service. 13. Evaluates patients in outpatient clinics or in the Emergency Department, accurately documenting each encounter, and communicating with the Supervising Physician according to UMMHC policy. 14. Provides emergency care, as required, according to BLS and ACLS protocols. 15. Demonstrates a commitment to on-going quality improvement; complies with institutional and departmental policies and procedures; complies with health and safety regulations; performs other similar and related duties as required and directed. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. Position Qualifications: License/Certification/Education: Required: 1. Bachelor's degree and Graduation from an accredited Physician Assistant program. 2. Current Massachusetts license, issued by the Physician Assistant Board, and current NCCPA certification. 3. If prescribing medications is included in clinical duties and privileges, Massachusetts Controlled Substances Registration and federal DEA Controlled Substance Registration are required. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $119.9k-152.1k yearly Auto-Apply 32d ago
  • Behavioral Health Certified Professional Coder (20 Hours)

    Open Sky Community Services 4.3company rating

    Medical coder job in Worcester, MA

    Salary USD $25.58/Hr. 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. 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. 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 3 rd party billing practices. Valid drivers license and acceptable driving record, required. Candidate must be currently geographically local to Central Massachusetts. 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. IND123
    $25.6 hourly Auto-Apply 48d ago
  • Medical Billing Coder

    Us Tech Solutions 4.4company rating

    Medical coder job in Wellesley, MA

    US Tech Solutions is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit our website ************************ We are constantly on the lookout for professionals to fulfill the staffing needs of our clients, sets the correct expectation and thus becomes an accelerator in the mutual growth of the individual and the organization as well. Keeping the same intent in mind, we would like you to consider the job opening with US Tech Solutions that fits your expertise and skillset. Job Description Medical Record Reviewer will primarily be responsible for completing medical record reviews (on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data Validation (RADV) Audits. This role will also assist with building the medical chart review program at Client's Duties and Responsibilities Utilize comprehensive knowledge American Hospital Association (AHA) coding principles of CPT, HCPCS, ICD9-CM/ICD10-CM diagnosis and procedure codes to evaluate medical record documentation for HCC risk adjustment related activities including Medicare Advantage and Commercial Risk adjustment supplemental diagnosis capture, Medicare and Commercial RADV support, and the auditing of Client's medical chart retrieval and coding vendors. Collect and document chart and coding information as required for Commercial Risk Adjustment and Medicare Advantage Risk Adjustment Client's data collection procedures and systems. Assist with building the medical chart review program at Client's including defining the operating policies and procedures, mentoring team members and input into infrastructure needs and organization. Utilize coding expertise to inform Revenue Management strategy development activities and may support initiatives related to coding such as provider office education. Responsible for developing and maintaining internal and vendor based coding guidelines. Provide subject matter expertise on projects related to coding practices including provider education and communications. Prepare reports of the data gathered and received from Client's providers/members, ensuring reports are completed with the highest quality and integrity and that all work is in full compliance with Client's and Regulatory requirements. Participate in all required training - maintaining of coding certification or other professional credentials Completing inter-rater reliability testing as requested Abide by all HIPAA and associated patient confidentiality requirements. Coordinate with third party and internal auditors as required. Other duties and projects as needed. Qualifications Minimum Requirements Bachelor's Degree; Clinical experience or licensed nursing professional and 3-5 years related experience. RHIA, RHIT, CCS or CPC-H with demonstrated outpatient coding experience required. ICD -9/ICD-10 certification required. Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC extraction. Experience of healthcare delivery systems is preferred. Proven project leadership skills and ability to mentor and motivate others in the team. Advanced PC skills (e.g., Excel, Access, etc.) required; Excellent written and verbal communication skills, customer service skills, organization and problem solving skills, research skills, and the ability to work independently. Additional Information Thanks & Regards Dishant ************
    $37k-47k yearly est. 60d+ ago
  • Medical Records Specialist

    Spire Orthopedic Partners

    Medical coder job in Peabody, MA

    Who we are: Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. What you'll do: Responsibilities/Duties: * Daily scanning of all paperwork generated per protocols. * Retrieving and sorting superbills and other paperwork left after clinic. * Maintain fax log and ensure failed faxes are resent properly. * Send patient notes to other offices via secure email, faxing, etc. * Update and maintain referring physician hospital affiliation list in practice management system. * Deal with problems that come up as the day progresses/troubleshooting. * Back up for chart preparation and indexing clerk roles. * Any duties or projects as assigned by any Supervisor or Manager. * Requesting additional tasks during downtime. Qualifications Who you are: Qualifications: * High school diploma or equivalent experience. * One-year medical office experience. * Familiarity with HIPAA, insurance regulations, policies, procedures and other regulatory policies. * Knowledge of common safety hazards and precautions to establish a safe working environment. * Medical office procedures, policies, practices and medical terminology, telephone protocol and professional etiquette. * Familiarity with electronic medical systems is a plus, including Athena/Centricity, and Medi-Tech. * Ability to interpret, adapt and apply guidelines and procedures. * Develop and maintain effective and professional working relationships with patients, medical staff, coworkers and the public by displaying sympathy, tact and understanding. * Must be a team player with a positive attitude, adjust to various personalities, work with a diverse population, demonstrating patience and professionalism. * Promotes teamwork through collaboration. * Represents the clinic in a professional manner. * Able to maintain strict confidentiality on all patient issues. * Excellent verbal and written communication skills. What we offer: * Excellent growth and advancement opportunities * Dynamic environment * Access to a diverse network of practitioners * Broad infrastructure of tools and programs to enhance the employee experience * Competitive Compensation * Generous PTO * Benefits package: health, dental, vision, 401(k), etc. We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as "protected characteristics"). The final pay offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and years of experience within the job, the type of years and experience within the industry, education, etc.
    $32k-41k yearly est. 60d+ ago

Learn more about medical coder jobs

How much does a medical coder earn in Boston, MA?

The average medical coder in Boston, MA earns between $32,000 and $73,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Boston, MA

$49,000

What are the biggest employers of Medical Coders in Boston, MA?

The biggest employers of Medical Coders in Boston, MA are:
  1. Datavant
  2. Integrated Resources
  3. Beth Israel Lahey Health
  4. Humana
  5. Cognizant
  6. Codametrix
  7. Quality Talent Group
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