Medical coder jobs in Providence, RI - 85 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

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.

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

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

**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. + The 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.

As a Data Analyst, you will play a key role on the Sleep and Respiratory Care (S&RC) team, transforming complex data into actionable insights that directly support better patient outcomes. In this role, you will manage, analyze, and visualize data to support strategic decision-making, maintain and enhance dashboards, and partner with cross-functional leadership stakeholders. You'll have the opportunity to work in a purpose-driven environment, leverage advanced analytics tools, and contribute to innovative solutions that improve the quality of life for patients worldwide. Your role: * Analyze complex datasets using advanced statistical methods and machine learning techniques to uncover insights that inform strategic business decisions and drive operational efficiencies. Translate complex data into clear, actionable business intelligence for stakeholders. * Develop predictive models and intuitive data visualizations using tools such as Power BI, Python, R, and Tableau to forecast trends, detect anomalies, and monitor operational performance, enabling proactive and data-driven decision-making. * Collaborate closely with senior leadership and cross-functional teams to prioritize, design, and execute analytics initiatives aligned with organizational goals. Contribute to proposal development for new analytics projects, evaluate business opportunities, and recommend data-driven strategies that support growth and performance. You're the right fit if: * You have a Bachelor's in areas such as Data Analytics, Data Modeling. * You've acquired 5+ years of working experience handling the analysis of complex datasets using advanced statistical methods and machine learning techniques to uncover deep insights that inform strategic business decisions and operational efficiencies - background in medical products a plus! * Your skills include creating sophisticated predictive models and data visualizations, utilizing tools like Power BI, Python, R, and Tableau, to forecast trends, patterns, and anomalies for proactive decision-making, working under limited supervision * You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this position. * You are adept at engaging with Quality Assurance stakeholders during strategy development, project planning, implementation and post implementation support. How we work together We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company's facilities. Field roles are most effectively done outside of the company's main facilities, generally at the customers' or suppliers' locations. This is an office-based role. About Philips We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others. * Learn more about our business. * Discover our rich and exciting history. * Learn more about our purpose. * Learn more about our culture. Philips Transparency Details The pay range for this position in (Cambridge, MA) is $103,000 to $165,000.00 The pay range for this position in (Murrysville, PA) is $92,000 to $147,500.00 The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity. In addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here. At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case. Additional Information US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future. Company relocation benefits will not be provided for this position. For this position, you must reside in or within commuting distance to Cambridge, MA or Murrysville, PA. #LI-PH1 #LI-Office This requisition is expected to stay active for 45 days but may close earlier if a successful candidate is selected or business necessity dictates. Interested candidates are encouraged to apply as soon as possible to ensure consideration. Philips is an Equal Employment and Opportunity Employer including Disability/Vets and maintains a drug-free 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.

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.

If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-21765 Facility: LOC0014 - 549 Columbian Street549 Columbian Street Weymouth, MA 02190 Department Name: SHS Revenue Integrity Status: Part time Budgeted Hours: 0 Shift: Day (United States of America) Under general supervision and according to established procedures, assigns diagnostic codes as well as EM leveling for facility to medical record information. The Coder I is responsible for accurate and timely assignment of codes to diagnoses and procedures for all Facility Outpatient cases including but not limited to same day surgery, Emergency Room and Observations. Using established department policies and procedures in conjunction with the current version of ICD-CM Classification for Hospitals, the Coder I will assign the most appropriate codes for OPPS. Coder I will utilize their experience and knowledge to determine the correct first list diagnosis, , secondary diagnoses, CPT procedure codes and secondary procedure codes. The Coder I is empowered at South Shore Hospital to query providers when documentation requires clarification and he/she proactively works with HIM and medical leadership to address concerning documentation trends. The Coder I works with direct support from and under the direction of the HIM Coding Manager to make certain their skills and knowledge remain in peak condition. As a vital member of our respected team the Coder I will work collaboratively with other areas of the Health Information Management department and the Clinical Documentation Integrity unit to advance the profession and reinforce the valuable contributions coders make to the care delivery system. Compensation Pay Range: $28.15 - $40.30 ESSENTIAL FUNCTIONS 1 - Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures. Assigns proper ICD-CM and CPT diagnostic and operative procedure codes to charts and related records by reference to designated coding manuals and other reference material. a - Codes ____ (# determined according to type of record coded) records per hour, consistently with 95% accuracy. b - Maintains within five (5) days after discharge coding requirements. 2 - Applies Uniform Hospital Discharge Data Set definitions to select the principal diagnosis, principal procedure and other diagnoses and procedures which require coding, as well as other data items required to maintain the Hospital data base. a - Verifies that coded information is entered into the databases without any errors within five (5) days of patient discharge. 3 - Applies sequencing guidelines to coded data according to official coding rules. 4 - Assesses the adequacy of medical record documentation to ensure that it supports the principal diagnosis, principal procedure, complications and comorbid conditions assigned codes. Consults with the appropriate physician and/or appropriate parties to clarify medical record information. a - Identifies any documentation inadequacies with physician and/or appropriate parties and clarifies medical record information with courtesy and tact. 5 - Answers physicians/clinician questions regarding coding principles, DRG assignment and Prospective Payment System. Assists Finance, Data Processing and other departments with coding/DRG issues. a - Assists physicians and ancillary departments with coding questions with timeliness, courtesy and tact. 6 - Remains abreast of developments in medical record technology by pursuing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent literature and so forth. a - Utilizes professional affiliations, etc., in order to maintain current in professional developments. b - Attends all pertinent coding seminars. c - Maintains updated coding books. JOB REQUIREMENTS Minimum Education - Preferred Equivalent to an Associate's Degree in Medical Information Technology (with course work in medical terminology, anatomy, physiology, disease processes, ICD-10-CM coding and prospective payment) preferred. Minimum Work Experience Six to twelve (6-12) months of experience preferred. Required Certifications - CCS or COC - Certified Coding Specialist OR Certified Outpatient Coder Required additional Knowledge and Abilities Eligible for designation as a RHIT, RHIA preferred. Per diem- various hours Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC), Certified Outpatient Coder - Apprentice (COC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)

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 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

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

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

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.

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

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

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. This is a per diem, remote, coding opportunity. This person will be on the Pathology coding team. Job Summary Summary: Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations. Does this position require Patient Care? No Essential Functions< Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information. * Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies. * Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes. * Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials. * Utilize coding software, encoders, and electronic health record systems to facilitate the coding process. * Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives. * Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges. Qualifications Education High School Diploma or Equivalent required or Associate's Degree Medical Billing and Coding preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred Experience Medical Coding Experience 3-5 years required Knowledge, Skills and Abilities - In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing. - Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations. - Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes. - Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding. - Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff. - Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 0 Employee Type Per Diem Work Shift Day (United States of America) Pay Range $21.78 - $31.08/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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.