Medical coder jobs in Newton, MA - 113 jobs

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

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

Shields Health Care Group is an independent, Massachusetts-based medical service provider with a national reputation for blending exceptional customer service with superior technology. Patients, partners and colleagues define our 30 + years of quality diagnostic services as a true mark of successful teamwork. Known for our advanced diagnostic imaging, we are a sought after provider - not only because of our technology but also because of our teamwork and tremendous opportunities for professional growth. The Medical Coder will accurately assign ICD-10 diagnosis codes and review CPT/HCPCS surgical procedure codes for accuracy, compliance, and proper reimbursement within the Ambulatory Surgical Center (ASC) setting. This role supports the ASC revenue cycle by ensuring compliant coding of surgical services and related procedures. The hours for this role are Monday-Friday, 7:30am-4pm : What you will do: Use available resources, including operative reports, clinical documentation, and coding guidelines, to obtain and assign the most accurate diagnosis. Perform account adjudication, including verifying applied adjustments, resolving coding-related edits, and designating the appropriate next payer to bill. Complete all tasks associated with daily coding correspondence and documentation review in an accurate and timely manner. Enter and transact charges using appropriate ICD-10, CPT, and HCPCS codes specific to ASC surgical services, ensuring correct modifier usage (e.g., 59, 51, RT/LT, 73/74). Keep management informed of any issues, trends, or conditions that could impact department operations, reimbursement, compliance, or patient flow. Support managers and team members as needed, demonstrating professionalism, respect, collaboration, and flexibility in a fast-paced ASC environment. What you will need: High School diploma, Certification in medical coding required (e.g., CPC, COSC, CGSC, CCS, or equivalent). Minimum of two years of medical billing/coding experience, preferably in an ambulatory surgical center or surgical specialty practice. Minimum of two years of medical billing/coding experience, preferably in an ambulatory surgical center or surgical specialty practice. Ability to focus on detailed clinical documentation with accuracy and consistency. Additional : Pay range for this position is $18-$34/hr + benefits. Individual pay is based on skills, experience, and other relevant factors. It is not intended that this Job Description include all details of the work functions of this position. The incumbent will perform work of a lower or equivalent classification as required or directed, and work of higher classification for training and development purposes or as situationally warranted. Shields Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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

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.

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.

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.

About SynapticureAs a patient and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. Partnering with providers and health plans, including CMS' new GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases such as Alzheimer's, Parkinson's, and ALS.Our clinical and operational teams rely on accurate, high-quality documentation to ensure exceptional patient care, regulatory compliance, and optimal performance in value-based care programs. This role sits at the intersection of clinical reasoning, coding expertise, and documentation excellence. The RoleSynapticure is seeking an experienced Clinical Documentation & Coding Specialist with deep expertise in Hierarchical Condition Category (HCC) coding and strong clinical interpretation skills-particularly in neurology, dementia, psychiatry, and behavioral health.In this role, you will execute the full lifecycle of chart preparation, diagnosis identification, documentation review, and accurate coding both before and after patient encounters. Your work ensures that providers have comprehensive, clinically supported information during visits and that Synapticure captures all relevant chronic conditions to support high-quality care and value-based performance.The ideal candidate is meticulous, clinically fluent, and highly organized-able to synthesize complex documentation from multiple sources and apply CMS risk adjustment guidelines with precision. You must be comfortable working independently, applying feedback consistently, and operating in a fast-paced, highly regulated environment. Job Duties - What you'll be doing Perform comprehensive chart preparation for dementia-care patients by reviewing multi-year clinical histories, consult notes, diagnostics, medication lists, and hospital records. Identify suspected, undocumented, or insufficiently supported chronic conditions and prepare findings for provider review. Review medical records for documentation gaps, inconsistencies, or unclear diagnostic specificity and flag issues in advance of visits. Accurately assign ICD-10-CM codes in compliance with CMS HCC guidelines and official coding rules. Validate that all diagnoses meet MEAT documentation standards and are supported within the medical record. Review post-visit documentation to reconcile diagnoses, address missed opportunities, and provide coding recommendations. Query providers for clarification when documentation is incomplete, ambiguous, or inconsistent, ensuring compliant query practices. Provide feedback and education to providers on documentation needs for accurate HCC capture. Collaborate with revenue cycle, CDI, and auditing teams to close documentation gaps and improve workflows. Maintain high accuracy and productivity benchmarks in both chart prep and coding. Participate in internal and external audits and implement corrective actions as needed. Stay current with CMS, HHS, and payer-specific risk adjustment updates, especially those impacting neurology and dementia care. Ensure CPT/HCPCS/ICD-10 coding for encounter-based services is accurate, compliant, and ready for timely claim submission. Requirements - What we look for in you High school diploma required; Associate's or Bachelor's degree in a health-related field preferred. Active CPC or CCS certification (AAPC or AHIMA). CRC certification strongly preferred. 2-3+ years of medical coding experience, including 1-2 years in HCC/risk adjustment. Demonstrated experience performing detailed pre-visit chart preparation. Experience coding neurology, psychiatry, behavioral health, or dementia conditions (strongly preferred). Strong understanding of ICD-10-CM, HCC models, MEAT criteria, and CMS/HHS risk adjustment principles. Ability to analyze medical records, identify unsupported diagnoses, and detect coding gaps. Excellent communication skills for provider interaction and compliant query writing. Proficiency with coding software, EHR platforms, and technology tools. Ability to work independently, maintain accuracy under volume, and meet tight deadlines. Preferred Qualifications Experience with multiple payer HCC methodologies (CMS RAF, ACA HHS, MA, etc.). Knowledge of CPT and HCPCS coding rules. Experience in managed care, value-based care programs, or large health systems. Advanced clinical literacy in neurology and dementia-related documentation patterns. Experience navigating multiple EHR systems and data workflows. Strong critical thinking and pattern-recognition skills for identifying clinical clues and documentation opportunities. We're founded by a patient and caregiver, and we're a remote-first company. This means our values are at the heart of everything we do, and while we're located all across the country, these principles tie us together around a common identity: Relentless focus on patients and caregivers. We provide exceptional experiences for the patients we serve and put them first in all decisions. Embody the spirit and humanity of those living with neurodegenerative disease. With empathy, compassion, kindness, and hope, we honor the seriousness of our patients' circumstances. Seek to understand, and stay curious. We listen first-with authenticity, humility, and a commitment to continual learning. Embrace the opportunity. We act with urgency and intention toward our mission. Competitive salary based on experience Comprehensive medical, dental, and vision coverage 401(k) plan with employer match Remote-first work environment with home office stipend Generous paid time off and sick leave Professional development and career growth opportunities

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff, identifying missing information and submitting information to insurers for reimbursement. Essential Functions * Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support inpatient visits and to ensure that data complies with legal standards and guidelines. * Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes. * Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. * Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. * Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors. * Identifies reportable elements, complications, and other procedures. Qualifications Education * High School Diploma or Equivalent required * Associate's Degree Finance preferred Licenses and Credentials * Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred Experience * Medical coding experience 0-1 year preferred Knowledge, Skills and Abilities * Proficiency in ICD-10, CPT, HCPCS, and modifiers for coding of professional fee services. * Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines are required. * Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations. * Proficient with computer applications (MS Office etc.), Excellent data entry skills. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $21.78 - $31.08/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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

Analyst (Graduate Hire 2026) - Medical Important Dates: * Application Deadline: February 13, 2026 * Start Date Range: August - September 2026 Application & Recruitment Process As part of your application, please submit a cover letter addressing the questions below. Candidates who do not submit a cover letter with responses to these questions will not be considered. Cover Letter Questions: * Why are you interested in Prescient Healthcare Group? What attracted you to this role? * What are your top three attributes that will make you a successful consultant? * How many times have you practiced a case with a peer? * What interests you most about working in the life sciences and pharmaceutical industry, and how have your academic experiences, internships, or other relevant exposure prepared you for this role? Recruitment Timeline: * February 16- February 27: Selected candidates will complete an introductory interview with a member of our Talent Acquisition team * February 27: All candidates will be notified of next steps. * March 4th: Final in-person assessment day (behavioral + case interviews) To ensure availability, candidates are encouraged to tentatively block March 4th for the in-person interview day. About You Do you have a passion for: * Understanding tomorrows emerging therapeutic areas? * Unlocking the full potential of new therapies and shaping successful future therapies? * Understanding why healthcare professionals and patients behave the way they do, and applying this to medical, clinical, and commercial strategies? * Are you a highly motivated professional interested in being part of a new and exciting team, working with global healthcare and pharmaceutical clients across the full product life cycle? About Prescient Healthcare Group (PHG) Our goal is a simple one: we solve exciting, real-world pharma challenges that ultimately make a meaningful difference in patients' lives. PHG is a unique global biopharma, insight-led strategy consultancy. Our core focus is helping biopharmaceutical clients create clinical and commercial strategies that deliver groundbreaking new treatments for patients. With offices in ten major cities across the world, we are a truly global enterprise and are still growing fast, offering our people endless opportunities, supporting rapid personal and professional development. We work with industry leading companies across the full product life cycle, to help them unlock the full potential of their brands. About the Opportunity The role will be varied, giving you the opportunity to develop and hone new skills whilst improving your knowledge of the healthcare industry. You will receive exposure to a broad mix of projects - varied therapeutic areas, a range of client sizes, and domestic vs. global reach. This will enable you to get the experience to decide if you want to take a more specialized route as your career progresses. Our onboarding and training program will provide the support and development you need to hit the ground running; a mix of formal classroom training, shadowing colleagues on projects and 'on the job' coaching will equip you with the capabilities you need to succeed at Prescient. Key Responsibilities: * Exhibit high degrees of professionalism across each aspect of working life, demonstrating respect, integrity and support for colleagues and in our interactions with clients * Take pride in and full responsibility for meeting high levels of performance in work process and output; take charge of own professional development and proactively seek opportunities for growth * Demonstrate a strong willingness to learn and a 'can-do' attitude; showcase ability to gain expert status on a new topic and create an impact within the team and with clients * Demonstrate an ability to thrive in an environment through efficient planning * Demonstrate an ability and willingness to take risks, work in a non-hierarchical environment and take step-up/step-down roles to support strong outcomes * Act as a role model in line with company and client codes of ethics and processes; represent the company and promote its reputation to a high standard Desired Experience and Skills * Bachelors in a relevant field (e.g., Life Sciences, Biotechnology, Neuroscience, Pharmacology, Business, Economics, Marketing, or Psychology). * Demonstrated passion for the life sciences and pharmaceutical industry, supported by academic research, industry exposure, or relevant coursework. * Ability to rapidly synthesize, analyse, and apply new information, demonstrating intellectual agility and a proactive approach to problem-solving. * Exceptional verbal and written communication abilities, with a track record of delivering clear, concise, and impactful presentations and reports. * A drive for self-improvement - the best consultants are those that seek out and action on feedback to improve themselves. * Entrepreneurship - The ability to lead and drive outcomes, particularly in situations that have some ambiguity. * Consulting is a team sport so a demonstrated willingness and enthusiasm to collaborate with others is required. What We Offer * Highly competitive base salary plus performance-related bonus, 401K matching and Health & Dental benefits. * A strong values-based culture that promotes respect, inclusion and teamwork, encouragement to contribute and influence on the business - where everybody has a voice. * Leaders who are accessible, truly listen, are ambitious for our teams, and committed to coaching & sharing their expertise. * A high-growth, entrepreneurial environment where our thinking and our work are innovative, imaginative and bright. * Endless and tailored career development that stretches you and is based on your ambition, abilities and interests - not just box-ticking. * Flexible working, recognition for going the extra mile, and a flat hierarchy. More about Prescient Healthcare Group Prescient is a pharma services firm specializing in dynamic decision support and product and portfolio strategy. We partner with our clients to turn science into value by helping them understand the potential of their molecules, shaping their strategic plans and allowing their decision-making to be the biggest differentiating factor in the success of their products. When companies partner with Prescient, the molecules in their hands have a greater potential for success than the same science in the hands of their competitors. Founded in 2007, Prescient is a global firm with a footprint in ten cities across three continents. Our team of nearly 475 experts partners with 27 of the top 30 biopharmaceutical companies, the fastest-growing mid-caps and cutting-edge emerging biotechs, including some of the biggest and most innovative brands. More than 70% of our employees hold advanced life sciences degrees, and our teams deliver an impressive depth of therapeutic, clinical and commercial expertise. The annual full time base salary range for this role is ($75,000 - $85,000). Specific compensation is determined through interviews and a review of relevant education, experience, training, skills, geographic location and alignment with market data. Additionally, positions may be eligible to receive a discretionary bonus as determined by bonus program guidelines. Prescient offers PTO and paid holidays, the terms of which are set forth in the program policies. All full-time employees also are eligible to participate in various benefit plans, including medical, dental, vision, life, disability insurance and 401K; in each case in accordance with the terms of the applicable plans. Prescient has been a portfolio company of Bridgepoint Development Capital since 2021 and Baird Capital since 2017. For more information, please visit: ******************** We are an equal opportunity employer and fully comply with applicable legislation in all the geographies in which we operate. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable national, federal, state or local laws.

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 Powered by JazzHR DowU8Ejoj2

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Are you an experienced Certified Coder looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you! Daily Responsibilities: • Audit high dollar claims to identify areas of improvement • Perform complex tracking, trending, and analyses of errors in structured excel spreadsheets and/or databases • Analyze trends in pricing issues, identify and quantify issues and implement changes to work processes • Collaborate with all departments to analyze complex claims issues and special claim projects • • Verify information on submitted claims, reviewing contracts, eligibility, and authorizations to determine reimbursement, and ensuring payment instructions are sent to claims department for claims payment Hours for this Position: • Monday-Friday; 8AM-5PM • Pay rate starting at $27 per hour Advantages of this Opportunity: • Competitive salary, negotiable based on relevant experience • Benefits offered, Medical, Dental, and Vision • Fun and positive work environment Qualifications Qualifications/ Requirements: • Associates degree in business, healthcare management, or equivalent experience • 3+ years of medical billing/coding experience • Knowledge of coding/billing practices for hospitals, providers, and insurance • CPC preferred Additional Information Interested in being considered? If you are interested in applying to this position, please contact (Katleen Angala, 321-445-8243) and click the Green I'm Interested Button to email your resume.

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 ************

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

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. You will: * Schedule: Monday-Friday 8:30am-5:00pm - Watertown, NY 13601 * Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. * Maintain confidentiality and security with all privileged information. * Maintain working knowledge of Company and facility software. * Adhere to the Company's and Customer facilities Code of Conduct and policies. * Inform manager of work, site difficulties, and/or fluctuating volumes. * Assist with additional work duties or responsibilities as evident or required. * Consistent application of medical privacy regulations to guard against unauthorized disclosure. * Responsible for managing patient health records. * Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. * Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. * Ensures medical records are assembled in standard order and are accurate and complete. * Creates digital images of paperwork to be stored in the electronic medical record. * Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. * Answering of inbound/outbound calls. * May assist with patient walk-ins. * May assist with administrative duties such as handling faxes, opening mail, and data entry. * Must meet productivity expectations as outlined at specific site. * May schedules pick-ups. * Other duties as assigned. What you will bring to the table: * High School Diploma or GED * Must be at least 18 years old. * Ability to commute between locations as needed. * Able to work overtime during peak seasons when required. * Basic computer proficiency. * Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. * Professional verbal and written communication skills in the English language. Bonus points if: * Experience in a healthcare environment. * Previous production/metric-based work experience. * In-person customer service experience. * Ability to build relationships with on-site clients and customers. * Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $16.50-$19.69 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

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.

Job DescriptionOphthalmic Consultants of Boston (OCB is seeking a detail-oriented and experienced Certified Professional Coder (CPC) to join our team on a full time basis. The primary responsibility of this role is to review modifier 25 ophthalmology claims and associated documentation, providing feedback and guidance to clinical teams to ensure accurate coding and compliance with regulatory standards. Working Hours: Full time position Monday through Friday. Travel is required. Waltham 3 days per week, Plymouth 1 day per week, and an optional remote day(work from home). Key Responsibilities: Review and analyze modifier 25 claims and related documentation for accuracy and compliance. Provide detailed feedback and recommendations to clinical teams to improve coding practices. Collaborate with clinical teams to address coding and documentation questions and concerns. Maintain up-to-date knowledge of coding regulations and industry best practices. Assist in the development and implementation of coding policies and procedures. Generate reports and maintain logs to track coding accuracy and identify areas for improvement. Qualifications: Certified Professional Coder (CPC) certification required. Minimum of 5 years of experience in medical coding, with a focus on modifier 25 claims. Strong understanding of coding guidelines, regulations, and compliance standards. Excellent analytical and problem-solving skills. Effective communication and interpersonal skills. Ability to work independently and as part of a team. Proficiency in using coding software and EPIC EHR systems. OCB offers industry leading benefits including: Medical & dental insurance (starts on the 1st day of employment!) 401(k) plan with Company match Company paid Life Insurance Company paid Long Term Disability Eye care discounts Generous Paid Time Off and Paid Holidays To learn more about OCB, please visit our website at ***************** #seabrighterfuture #OCBjobs Powered by JazzHR AoRxsx0OOG

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