Health Information Specialist
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.
Medical Coder
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
Medical Device QMS Auditor
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.
Auto-ApplyMedical Device QMS Auditor
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.
Auto-ApplyOutpatient Coder II
Medical coder job in Worcester, MA
Are you a current UMass Memorial Health caregiver? Apply now through Workday.
Exemption Status:
Non-Exempt
Hiring Range:
$23.81 - $40.14
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:
0730-1600
Shift:
1 - Day Shift, 8 Hours (United States of America)
Hours:
40
Cost Center:
99940 - 5458 Coding Services
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.
Interprets a wide variety of clinical and diagnostic documentation in order to process hospital and / or pro-fee charges for episodes of outpatient care. Assigns appropriate ICD-CM (current edition) and CPT codes as well as modifiers. Based on account type, may assign ICD-PCS codes, as appropriate adhering to official coding guidelines.
I. Major Responsibilities:
1. Upon review of the medical record, performs analysis on documentation, which includes review of tests / reports to determine the appropriate ICD-CM (current edition) and / or CPT codes as well as modifiers. Based on account type, may assign ICD-PCS codes, as defined by official coding guidelines and other recognized reference materials.
2. Verifies documentation is present to substantiate codes assigned.
3. Assists in resolving incomplete and / or missing chart documentation in order to expedite coding and billing.
4. Participates in the continuous coding audit and performance management program.
5. Maintains coding accuracy rate of not less than 95% for optimal reimbursement as well as department productivity standards as outlined in department policies.
6. Attends required training classes and coding in-services each year to stay abreast of new regulations and coding guidelines.
7. Participates in improvement efforts and documentation training for medical and clinical staff as it relates to coding practices and guidelines.
8. Communicates to Manager when backlog situations arise or necessary documents are either incorrect or are not being received in a timely manner.
9. Refers all unusual, questionable situations to the direct Manager.
10. Alerts management to any coding irregularities, or trends contrary to policies / procedures, so corrective measures may be taken.
11. Adheres to the coding and billing regulations established by the American Hospital Association (AHA), American Medical Association (AMA), and Centers for Medicare and Medicaid Services (CMS).
12. Maintains direct and ongoing communications with other coding personnel to maximize overall effectiveness and efficiency of the operation.
13. Keeps current with all coding updates and information related to correct coding.
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 diploma or equivalent
Preferred:
1. Medical coding certification
2. Training in medical terminology from an accredited program, completing and passing certification program within one year from date of hire. (Recognized programs include: American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC).
3. Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P)
Experience/Skills:
Required:
1. Knowledge of ICD-CM (current edition) and CPT coding systems as well as CCI edits
2. Knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding and billing practices.
3. Good interpersonal and communications skills and demonstrates professionalism
4. Good customer service skills with the ability to communicate efficiently.
5. Good organizational skills with attention to detail.
6. Ability to work independently within established guidelines.
7. Ability to organize and coordinate multiple functions and tasks.
8. Ability to problem solve, organize and prioritize workload to meet productivity benchmarks.
9. Ability to withstand significant level of on-going pressure, and ability to deal with individuals with tact, discretion and diplomacy.
Preferred:
1. Three (3) years of medical abstraction and outpatient coding experience or related work experience
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.
Auto-ApplyMedical Coder II/III
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.
Auto-ApplyCoder II (Radiation Oncology Dept / On-Site)
Medical coder job in Lowell, MA
We are seeking a qualified Medical Coder to join our team at Lowell General Hospital's Oncology Department! This role is 100% onsite based out of Lowell General Hospital- Main Campus. This position reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges. Effectively utilizes ICD-10, CPT, and HCPCS, modifier and/or other codes according to coding guidelines. Communicates effectively with providers and/or all appropriate staff regarding missing information such as CPT, ICD-10, and documentation issues, to ensure proper coding and reimbursement. Works with leadership to review denial and reimbursement reports for accuracy, as well as conducting audits to ensure documentation, code capture, and billing are accurate and precise. Performs pre and post visit chart audits to ensure proper code assignment.
Hours: Full time / 40 hours / Day shifts, Monday through Friday
No major holidays / position will work on-site at Lowell General Hospital
Location: Lowell General Hospital - Main Campus
Minimum Qualifications:
1. High school diploma or equivalent.
2. Completion of medical coding certificate program.
3. Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).
4. One (1) year of healthcare coding experience
5. ROCC certification HIGHLY PREFERRED
Preferred Qualifications:
1. Associates degree.
2. Two (2) years of coding experience within clinical specialty.
3. 5. ROCC certification HIGHLY PREFERRED
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.
1. Verifies and abstracts specific clinical and demographic data from the patient record.
2. Performs pre-visit chart audits, and post encounter review to ensure coding accuracy and can determine medical records ensure codes reported are support by the documentation.
3. Assigns accurately Evaluation and Management (E&M) codes, ICD-10 diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for patient encounters.
4. Correlate information from various EMR systems supporting clinical documentation not limited to Pathology, Radiology and/or other Physician Consultations after review by the Attending Physician, wherever appropriate.
5. Reviews reports with leadership to identify reimbursement changes/discrepancies.
6. Reviews audit lists regarding coding/billing changes, as well as denial reports.
7. Identifies and evaluates coding issues, summarizes findings for leadership, makes recommendations for course of action.
8. Mentor coders and assist in training of new coders within the department. Identifies coding opportunities and issues, research for compliance, and educate providers and staff; Participates in creating of departmental policies and procedures related to the outpatient and ambulatory coding function. May be asked to provide input to coder performance appraisals.
9. Documents results of all special project work, and providing recommendations for revenue managing opportunities relating to special projects.
10. Performs related duties such as answering and routing telephone calls and receiving people requesting action or follow up to the designated patient account representative.
11. Attends meetings as necessary and participates on projects to ensure that all services are captured through codes, educate providers on how to properly document to support identified procedures, and cross train staff to ensure consistency.
12. Maintains good relationship with physicians, social workers, and office personnel to facilitate good communication in coding queries and to educate providers in relation to documentation requirements for services. Promote excellent customer service. Identify and communicate problems and/or opportunities to improve processes with appropriate department staff.
13. Maintains collaborative, team relationships with peers and colleagues in order to effectively contribute to the working groups achievement of goals, and to help foster a positive work environment
What We Offer:
* Competitive salaries & benefits
* 403(b) retirement plan with hospital match
* Opportunities for growth
* Tuition reimbursement
* Free on-campus parking
About Lowell General
For more than 125 years, Lowell General has served the Greater Lowell community with pride. We balance the first-rate care of a premier medical center with the warmth of a three-time Magnet-recognized community hospital. As a member of our team, you'll join over 3,000 dedicated care providers to offer complete, connected care, when and where patients need it most.
Magnet Designation:
The American Nurses Credentialing Center (ANCC) honored Lowell General Hospital with Magnet Recognition for excellence in nursing care, our fourth designation achieved in March 2025! The Magnet Recognition Program recognizes healthcare organizations dedicated to nursing excellence, professionalism, and patient-focused care. It is the highest level of recognition an organization can receive for providing the very best quality in patient care. Only nine percent of hospitals in the United States have achieved Magnet status and fewer than one percent of hospitals have achieved a fourth consecutive Magnet designation.
At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.
The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.
Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth-one of the many ways we invest in you so you can thrive both at work and outside of it.
Pay Range:
$23.04 - $28.80
Coder II (Clinic & E/M Coding)
Medical coder job in Boston, MA
**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:
+ We serve faithfully by doing what's right with a joyful heart.
+ We never settle by constantly striving for better.
+ We are in it together by supporting one another and those we serve.
+ We make an impact by taking initiative and delivering exceptional experience.
**Benefits**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Eligibility on day 1 for all benefits
+ Dollar-for-dollar 401(k) match, up to 5%
+ Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
+ Immediate access to time off benefits
At Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
**Job Summary**
The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data.
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**Essential Functions of the Role**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**Key Success Factors**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
**Belonging Statement**
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
**QUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ Must have ONE of the following coding certifications:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Behavioral Health Certified Professional Coder (20 Hours)
Medical coder job in Worcester, MA
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
Base Rate
USD $25.58/Hr. Responsibilities 2025-10209
Auto-ApplyMedical Records Specialist
Medical coder job in Waltham, MA
Job Description
About Us
Naveris is a rapidly growing precision oncology diagnostics company on a mission to change the way HPV-driven cancers are detected, monitored, and managed. Our flagship test, NavDx , is a cutting-edge, blood-based Lab Developed Test (LDT) that detects circulating Tumor Tissue Modified Viral (TTMV )-HPV DNA. NavDx provides clinicians with earlier insights into recurrence, enabling more informed and personalized patient care and outcomes.
Opportunity
The Medical Records Specialist plays a critical role in ensuring the accuracy and integrity of laboratory and patient data. This position focuses on performing quality control reviews of data entered in Salesforce, verifying information across Test Requisition Forms and laboratory records, and collaborating cross-functionally to ensure compliance, operational excellence, and timely reporting.
Job Responsibilities
Enter, review, and maintain patient medical and insurance data in Laboratory Information Systems (LIS).
Maintain policies and procedures for specimen processing and data entry tasks.
Perform quality checks of data entered by the external data vendor, ensuring accuracy between TRFs and Salesforce records.
Support the data entry vendor by monitoring their performance and accuracy.
Identify and correct discrepancies in medical records, accounts, and documentation, collaborating closely with the Exception Handling and Resolution (EHR) department.
Log and categorize data discrepancies using the internal error-tracking system.
Contribute to continuous process improvement initiatives to streamline daily processes, reduce turnaround time, and enhance data quality.
Participate in audits, performance reviews, and data validation projects.
Assist in the generation and review of patient reports within the scope of the position.
Determine specimen acceptability, consulting with the supervisor or Lab Director as needed, and taking appropriate action when necessary.
Recognize unclear or ambiguous information presented on requisitions and follow appropriate corrective actions.
Communicate effectively via written, verbal, face-to-face, telephone, and computer methods.
Respect and maintain the confidentiality of information relative to clients and patients.
Maintain strict adherence to CAP/CLIA, HIPAA, and company data security protocols.
Requirements
Bachelor's degree in Biology, Healthcare Administration, Health Information Management, or related field preferred. An associate's degree and a high school diploma are acceptable with relevant experience.
Experience in a clinical, laboratory, or healthcare data environment preferred.
Familiarity with Laboratory Information Systems (LIS) and platforms such as Salesforce and Tableau is preferred.
Strong analytical and problem-solving skills with meticulous attention to detail.
Excellent written and verbal communication abilities.
Demonstrated ability to prioritize and manage tasks in a fast-paced environment.
Working knowledge of HIPAA compliance and medical confidentiality.
Compliance Responsibilities
Health Insurance Portability and Accountability Act (HIPAA) is a federal law that describes the national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge. All roles at Naveris require compliance with legal and regulatory requirements of HIPAA and acceptance and adherence to all policies and standards at Naveris. Personnel acknowledges they are personally responsible for reporting any suspected violations or abuse and are required to complete HIPAA training when joining the company.
Why Naveris?
In addition to our great team and advanced medical technology, we offer our employees competitive compensation, work/life balance, remote work opportunities, and more!
Naveris is an Equal Opportunity Employer
Naveris is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We don't just accept differences - we celebrate and support them. We do not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
Salary Range : $24.04 - $28.85 per hour
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HIM Certified Coder 40D
Medical coder job in Providence, RI
Job Summary: The HIM Certified Coder reviews medical records and appropriately assigns Diagnosis and Procedure codes. Classification systems include ICD-9CM, CPT, HCPCS as well as other specialty systems as required by diagnostic category and current coding standards. All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD9 (ICD10 when applicable), AMA CPT and CMS coding guidelines.
Specifications: High school graduation plus active certification as a Certified Coding Specialist (CCS) with evidence of additional education in Medical Terminology and Anatomy & Physiology required. . Minimum of 2 years experience in a hospital inpatient or outpatient setting required.
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
WIH - Internal Posting Period:3/19/2025 - 3/28/2025
Medical Records Specialist
Medical coder job in Boston, MA
Job Description
We are seeking a detail-oriented Medical Records Specialist to join our values- driven personal injury firm. The ideal candidate has experience with medical terminology, strong organizational skills, and the ability to work in a fast-paced legal environment.
Responsibilities:
Request, track, and obtain medical records and bills from providers
Review and organize records; identify missing documents
Summarize treatment and prepare medical/billing reports for attorneys
Maintain accurate logs and upload documents into the case management system
Communicate with clients, providers, and staff
Qualifications:
High School Diploma or equivalent work experience required
2+ years of experience in a personal injury law firm or medical office
Knowledge of medical terminology and HIPAA regulations
Strong attention to detail, communication skills, and follow-through
Proficiency with case management software and Microsoft Office
Perform other duties as assigned
Benefits:
- Competitive salary based on experience
- Paid time off and holidays
-Medical Insurance
-401k
-Public transportation reimbursement
Medical Billing Coder
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
************
PGA Certified STUDIO Performance Specialist
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.
Auto-ApplyMedical Records Specialist w/HRD-FT
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.
Auto-ApplyMedical Records Specialist
Medical coder job in Peabody, MA
Job Details Experienced MSO SMN Peabody 1700 - 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.
APP - Digital Health (RPM)
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.
Auto-ApplyBehavioral Health Certified Professional Coder (20 Hours)
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
Auto-ApplyMedical Billing Coder
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
************
Medical Records Specialist
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.