Health Information Specialist
Medical coder job in Somerville, MA
Our Client, a hospital, is looking for someone to join their team as a Health Information Records Team Lead!
**This is an onsite 12-month contract role that takes place in Somerville, MA**
Responsibilities
In collaboration with the management team, oversees the day-to-day operational functions of special projects in the CRCC.
Coordinates assignment of team resources in operations of CRCC special projects.
Facilitates training and provide direction and guidance to direct reports in a complex environment to ensure that all staff are appropriately informed, trained, guided, supported and evaluated. Works to develop staff for special projects.
Manages daily scheduling and assists with timekeeping for unit team, including management of timekeeping exceptions
Establish and maintain a positive and productive team environment and a stable work environment through leadership, mentoring and coaching staff
Provides input to management regarding overall employee performance. Monitors the quality of work performed by staff throughout the fiscal year and informs management of any deficiencies
Assist in recruiting and interviewing personnel in collaboration with HIM Management for the special projects team
Provides orientation and training to new staff regarding the operational and system policies and procedures
Qualifications
Excellent communication and written skills
Detail-Oriented
Excellent analytical and problem-solving skills
Strong computer skills, Microsoft Window based computer skills
Ability to plan and manage projects, staff, other resources, and timelines; and to prioritize and delegate accordingly
Ability to be flexible, versatile, and adaptable in day-to-day activities conducted in a multi-site environment
Ability to manage workload and competing priorities in order to complete tasks within set limits
Ability to produce quality work on a consistent basis
You will receive the following benefits:
Medical Insurance - Four medical plans to choose from for you and your family
Dental & Orthodontia Benefits
Vision Benefits
Health Savings Account (HSA)
Health and Dependent Care Flexible Spending Accounts
Voluntary Life Insurance, Long-Term & Short-Term Disability Insurance
Hospital Indemnity Insurance
401(k)
Paid Sick Time Leave
Legal and Identity Protection Plans
Pre-tax Commuter Benefit
529 College Saver Plan
Motion Recruitment Partners (MRP) is an Equal Opportunity Employer. All applicants must be currently authorized to work on a full-time basis in the country for which they are applying, and no sponsorship is currently available. Employment is subject to the successful completion of a pre-employment screening. Accommodation will be provided in all parts of the hiring process as required under MRP's Employment Accommodation policy. Applicants need to make their needs known in advance.
Medical Coder
Medical coder job in Cambridge, MA
IRI believes in commitment, integrity and strategic workforce solutions.
Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.
We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.
Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success.
Job Description
Client: Direct Client
Location: Cambridge, MA
Job Title: Medical Coder (/Medical coding)
Duration: 10 Months+ (Possible Extension)
Job Summary:
The Medical Coder is responsible for conducting centralized medical coding activities using ag Encoder as part of the ARISg Safety database.
Principal Accountabilities:
• Perform medical coding (WHO Drug Dictionary Enhanced and MedDRA) activities according to the coding schedule.
• Maintain optimal communication with Safety staff and Safety vendors for all post marketing cases managed by Safety as per Client and/or applicable coding conventions
• Support senior coders in coding related activities and supversioning activities
• Contribute to the development of coding conventions and coding process
Qualifications
General Knowledge & Skills:
• Safety experience coding safety cases.
• Clinical trial experience in coding
• 2-5 years medical coding using the MedDRA and WHO Drug dictionaries as well as the structure and function of systems used to perform coding.
• Possesses a degree in nursing, pharmacy or other related medical field.
Feel free to forward my email to your friends/colleagues who might be available
Additional Information
Thanks!!!
Warm Regards,
Amrit Singh
Clinical Recruiter
Integrated Resources, Inc.
IT REHAB CLINICAL NURSING
Tel: (732) 429 1634 (Direct)
Ext: (732) 549 2030 x (212)
Fax: (732) 549 5549
http://www.irionline.com
Inc. 5000 - 2007, 2008, 2009, 2010, 2011, 2012, 2013 & 2014 (8th Year)
Certified MBE I GSA - Schedule 66 I GSA - Schedule 621I I GSA - Schedule 70
https://www.linkedin.com/company/46970?trk=prof-exp-company-name
Coder
Medical coder job in Watertown Town, MA
Job DescriptionAI Coder
Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems.
They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models.
Why Join This Team?
Earn up to $32/hr, paid weekly.
Payments via PayPal or AirTM.
No contracts, no 9-to-5. You control your schedule.
Most experts work 5-10 hours/week, with the option to work up to 40 hours from home.
Join a global community of experts contributing to advanced AI tools.
Free access to the Model Playground to interact with leading LLMs.
Requirements
Bachelor's degree or higher in Computer Science from a selective institution.
Proficiency in Python, Java, JavaScript, or C++.
Ability to explain complex programming concepts fluently in Spanish and English.
Strong Spanish and English grammar, punctuation, and technical writing skills.
Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer.
What You'll Do
Teach AI to interpret and solve complex programming problems.
Create and answer computer-science questions to train AI models.
Review, analyze, and rank AI-generated code for accuracy and efficiency.
Provide clear and constructive feedback to improve AI responses.
Apply now to help train the next generation of programming-capable AI models!
Trauma Coding Specialist, 40 Hours, Days
Medical coder job in Worcester, MA
Are you a current UMass Memorial Health caregiver? Apply now through Workday.
Exemption Status:
Non-Exempt
Hiring Range:
$23.81 - $40.14
Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations.
Schedule Details:
Monday through Friday
Scheduled Hours:
7-3:30pm
Shift:
1 - Day Shift, 8 Hours (United States of America)
Hours:
40
Cost Center:
10020 - 2322 Trauma Ctr
Union:
SHARE (State Healthcare and Research Employees)
This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.
Everyone Is a Caregiver
At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.
Responsible for interpreting medical record data in order to process physician and/or facility charges. Assigns appropriate ICD-CM, (current edition) and CPT codes and modifiers as appropriate.
Individual Departments, (Emergency Medicine, Trauma Center, Endoscopy Suite, Medical Group CBO, HIM, etc. will have unique procedures, processes and/or focus, so responsibilities and tasks can differ depending on departmental needs. However, many of the core tasks, required experience and qualifications are similar among all Coding Specialists.
I. Major Responsibilities:
1. Performs analysis on medical record documentation to include review of tests/reports, and determines appropriate codes, as defined by coding guidelines and other recognized reference materials.
2. Abstracts and enters all codes and required demographic information into the UMMHC computer system, the hospital's abstracting database, or onto encounter forms.
3. Assists in resolving incomplete and missing chart documentation in order to expedite chart abstraction and billing.
4. May participate in improvement efforts and documentation training for medical and clinical staff as relates to coding practices and guidelines.
5. May participate in quality assurance and performance measurement reviews and reporting.
II. Position Qualifications:
License/Certification/Education:
Required:
1. High School education
2. Recognized programs include: AHIMA, NHA, and AAPC.
Preferred:
1. Medical coding certification and training in medical terminology from an accredited program preferred.
Experience/Skills:
Required:
1. Three years of medical abstraction and coding experience or related work experience preferred
2. Knowledge of ICD-CM (current edition) and CPT-4 HCPCS coding systems, 3rd party payer requirements and federal/state guidelines and regulations pertaining to coding and billing practices.
3. Requires intermediate level computer skills with the ability to use standard office software applications, such as Microsoft Office Excel and Word.
4. Requires good interpersonal and communications skills and demonstrates professionalism when working with team members, management, and other staff members.
5 days a week, 8 hour shifts. No weekends or holidays. Hybrid model offered contingent on successful completion of orientation and required courses
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.
As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.
If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
Auto-ApplyRisk Adjustment Medical Coder
Medical coder job in Providence, RI
Pay Range:
$64,600.00 - $96,800.00
Please email HR_Talent_************************** if you are a candidate seeking a reasonable accommodation for the application and/or interview process.
At BCBSRI, our greatest resource is our people.
We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do-not just for our members, but for our employees as well.
We recognize that to do your best work, you have to be your best self.
It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees.
Our culture is one of belonging.
We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you're at in the organization, you're an integral part of our team and your input, thoughts, and ideas are valued.
Join others who value a workplace for all.
We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders.
We're dedicated to serving Rhode Islanders.
Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state-building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer.
Why this job matters:
Perform medical record reviews of Medicare Advantage members to ensure proper medical diagnoses are being submitted to Centers for Medicare & Medicaid Services (CMS) for accurate risk adjustment payments. Perform data validation of collected medical codes from both outpatient and inpatient settings. Assist with the review and perform on-site and remote retrieval of medical records for internal and external audits.
What you'll do:
Perform risk adjustment data validation of Medicare Advantage member charts including outpatient and inpatient services provided by physicians. Ensure primary and secondary diagnoses are reported in accordance with CMS payment guidelines to ensure Plan receives accurate risk adjustment payments. Achieve team annual recovery goal targets.
Detect trends in documentation to identify at-risk claims and documentation errors for provider education. Coordinate with provider education department in order to schedule physician on-site and remote chart reviews with physicians and/or office staff in a professional manner.
Provide recommendations to physicians to incorporate and promote industry best practices. Distribute informational/educational correspondence as appropriate.
Perform audits of claims data to flag unsupported diagnoses for deletion to mitigate audit risks.
Identify errors through data validation; facilitate remediation with internal business areas. Assist and retrieve member information to correct informational errors as necessary.
Review claims data to validate member risk scores; gather documentation for CMS appeals if risk scores are challenged.
Analyze audit results to and be able to interpret those to leadership to inform coding policies.
Use NLP (Natural Language Processing) software to audit records, identifying codes to submit for capture and codes eligible for deletion.
Maintain expert industry knowledge as related to the risk adjuster process and coding regulations. Actively participate in physician coding review discussions.
Participate in the retrieval and review of medical documentation relevant to risk adjuster activity for internal and external audits. Serve as subject matter expert on coding initiatives and member chart review.
Participate in department initiatives and projects.
Perform other duties as assigned.
What you need to succeed:
Certified Professional Coder (CPC, CPC-H), or Certified Coding Specialist (CCS) designation; or an equivalent combination of education and experience
Three to five years of experience in medical claims review or claims processing
Three to five years of experience in quantitative or statistical analysis (preferably in health care)
Proven analytic experience using Microsoft Excel, database query capabilities and ability to evaluate data at various levels of detail
Proficiency in ICD-9/10-CM medical coding
Advanced analytical skills, with the ability to interpret and synthesize complex data sets
Good business acumen and political savvy
Knowledge of business process improvement techniques and strategies
Excellent verbal and written communications skills
Negotiation skills
Presentation skills
Decision-making skills
Good problem-solving skills
Ability to interface with employees at all levels
Ability to effectively navigate ambiguous situations with limited direction
Excellent organizational skills and ability to successfully prioritize multiple tasks
Ability to handle multiple priorities/projects
The Extras:
Registered Nurse (RN)
Bachelor's degree
Knowledge of ICD-9-CM, ICD-10-CM and CPT coding
Professional designations (e.g. CPC-H, or CPC-P, CRC)
Knowledge of Hierarchical Condition Category (HCC) payment model and American Hospital Association Official Coding Guidelines
Familiarity with hospital contract reimbursement
Location:
BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:
In-office: onsite 5 days per week
Hybrid: onsite 2-4 days per week
Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia
Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity employer.
The law requires an employer to post notices describing the Federal laws. Please visit ************************************************************** to view the "Know Your Rights" poster.
Auto-ApplyMedical Device QMS Auditor
Medical coder job in Boston, MA
We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
* Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
* Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
* Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
* Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
* Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
* Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
* Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
* Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
* Associate's degree or higher in Engineering, Science or related degree required
* Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
* The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
* Knowledge of business processes and application of quality management standards.
* Good verbal and written communication skills and an eye for detail.
* Be self-motivated, flexible, and have excellent time management/planning skills.
* Can work under pressure.
* Willing to travel on business intensively.
* An enthusiastic and committed team player.
* Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
Auto-ApplyMedical Device QMS Auditor
Medical coder job in Boston, MA
We exist to create positive change for people and the planet. Join us and make a difference too!
Do you believe the world deserves excellence?
BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
Associate's degree or higher in Engineering, Science or related degree required
Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
Knowledge of business processes and application of quality management standards.
Good verbal and written communication skills and an eye for detail.
Be self-motivated, flexible, and have excellent time management/planning skills.
Can work under pressure.
Willing to travel on business intensively.
An enthusiastic and committed team player.
Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
Auto-ApplyMedical Coder II/III
Medical coder job in Boston, MA
CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare providers away from the keyboard and back to clinical care.
Overview
Reporting to the Manager, Medical Coding & Audit, as a Medical Coder II or III, this role will be a key member of the team responsible for ensuring that CodaMetrix meets-and exceeds-our customers' coding quality expectations.
The Medical Coder II or III will be responsible for leveraging their strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. They will play a pivotal role in improving the quality and efficiency of coding operations by collaborating closely with cross-functional teams, including Machine Learning, Product, and Customer Implementations. They will also review and validate model-generated codes, annotate and label data to support model training, identify patterns in coding errors, and provide clear explanations and insights to both internal teams and external clients.
This role requires a proven ability to communicate highly complex coding issues and solutions to a wide range of stakeholders, alongside an unwavering commitment to continuous learning, quality, and innovation in medical coding practices.
Key Responsibilities
Coding & Documentation review
Serve as the internal and external Subject Matter Expert (SME) on medical coding and billing across assigned service lines.
Review and validate model-generated CPT, ICD-10-CM, HCPCS, and E&M codes
Perform high-quality coding and auditing on inpatient, outpatient, ED, or pro-fee encounters (depending on specialty)
Ensure documentation fully supports coding decisions in alignment with AMA, CMS, and payer guidelines
Identify missed codes, incorrect E/M leveling, modifier errors, and insufficient documentation
Customer & Workflow Analysis
Analyze and document customers' coding practices and workflows to facilitate optimal use of the CodaMetrix product.
Identify and share Codametrix's best practices for coding automation and workflow improvements with the customer.
Present audit results to customer stakeholders and facilitate sign-off for go-live milestones.
Coding Quality Management
Assist manager with Coding Quality Assessment (CQA) projects, including work assignments, training, and quality assurance for offshore coding staff.
Leverage CodaMetrix coding standards to drive world-class coding quality and consistency.
Collaboration & Knowledge Sharing
Work with product and engineering to provide precise, consistent feedback on model training and data annotation
Continuously improve evaluation and training materials on coding and billing to colleagues and customers.
Share knowledge throughout CodaMetrix to build internal competencies and champion continuous improvement initiatives.
Provide expert guidance on coding and billing questions to support Machine Learning and Product teams.
Compliance & Professional Development
Proactively stay up to date with changes in medical coding and billing by maintaining relevant certifications and participating in ongoing education.
Uphold all legal and ethical requirements, ensuring accuracy, confidentiality, and compliance in all coding and audit activities.
Customer Communication
Help explain model decisions, error analyses, and coding rationales to clients
Support customer success and implementation teams in understanding coding outputs
Prepare clear written summaries of coding patterns, documentation issues, or model behavior
Represent coding accuracy and detail in client conversations, as needed
Collaborate with cross-functional teams-such as Data Science, Product, and Customer Success-to address client needs and optimize results.
Qualifications & Experience
Current AHIMA or AAPC coding credential held for 3+ (level II) or 5+ years (level III).
3-5 (level II) or 5+ years (level III) of coding and auditing experience with progressive growth in responsibilities.
Strong understanding of CPT, ICD-10-CM, HCPCS, modifiers, and 2023 E/M guidelines
Experience in one of the following specialties: Professional hospital coding; specifically in Surgery, Endoscopy, Hospitalist, Cardiology, Emergency coding
Demonstrated ability to interpret clinical documentation and identify gaps
Excellent communication and customer service skills, capable of effectively engaging executives, directors, data scientists, and other stakeholders with varying levels of coding knowledge.
Ability to translate complex coding guidelines to non-clinical team members.
Strong organizational and detail-oriented approach with a demonstrated commitment to excellence and precision.
Critical thinking, intellectual curiosity, and creativity in problem-solving.
Ability to thrive under time constraints in a fast-paced environment.
Team-oriented approach with a positive and patient demeanor, fostering collaboration and continuous improvement.
Bonus Points
Experience in Radiology or Pathology
Prior experience with ML/AI workflows
Experience working with JIRA or other project management/ task management tools
Familiarity with autonomous coding platforms
Experience serving large health systems from a services or technology perspective
What CodaMetrix can offer you:
Learn more about our full-time employee benefits and how we take care of our team.
Health Insurance: We cover 80% of the cost of medical and dental insurance and offer vision insurance
Retirement: We offer a 401(k) plan that eligible employees can contribute to one month after their first day
Flexibility: We have a generous Paid Time Off policy, which is managed but not limited, so you can take the time you need to relax and rejuvenate
Learning: All new hires complete our 7-week Onboarding Program where they learn about our company and each of our departments through live sessions hosted by a variety of our leaders
Development: We provide annual performance evaluations and prioritize working with employees on what their individual growth looks like
Recognition: We recognize the outstanding achievements of our team through annual company awards where employees have the opportunity to nominate their peers
Office Location: A modern open plan workspace located in the bustling Back Bay neighborhood of Boston
Additional Employer Paid Benefits: We offer employer-paid life insurance and short-term and long-term disability insurance
Background Check Notice
All candidates will be required to complete a background check upon acceptance of a job offer.
Equal Employment Opportunity
Our company, as well as our products, are made better because we embrace diverse skills, perspectives, and ideas. CodaMetrix is an Equal Employment Opportunity Employer and all qualified applicants will receive consideration for employment.
Don't meet every requirement? We invite you to apply anyway. Studies have shown that women, communities of color and historically underrepresented talent are less likely to apply to jobs unless they meet every single qualification. At CodaMetrix we are committed to building a diverse, inclusive and authentic workplace and encourage you to consider joining us.
Auto-ApplyCoding Specialist III
Medical coder job in Somerville, MA
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 ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations.
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
* Associate's Degree Medical Billing and Coding preferred
Licenses and Credentials
* Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred
Experience
* Medical Coding Experience 3-5 years required
Knowledge, Skills and Abilities
* In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
* Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
* Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
* Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
* Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
* Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$21.78 - $31.08/Hourly
Grade
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplyCertified Peer Specialist
Medical coder job in Plymouth, MA
Job Details Plymouth - Plymouth, MA High School/GED $23.50 - $25.50 HourlyDescription
A Certified Peer Specialist (CPS) is an individual with lived experience in the mental health system and/or in recovery who has been trained to effectively share their experiences to support others. The CPS provides emotional support, advocacy, and practical assistance to individuals presenting for mental health crisis evaluations in various settings, including Emergency Departments (ED), Community Behavioral Health Centers (CBHCs), and during mobile crisis evaluations. CPS plays a key role in creating a welcoming and supportive environment while collaborating with clinical teams to facilitate recovery-oriented care.
Child and Family Services recognizes the power in Diversity and believes that Equity is a Human Right.
$1 per hour Language Differential! (eligible languages include: Cape Verdean Creole, Haitian Creole, Portuguese, or Spanish)
Child & Family Services carefully considers a wide range of factors when determining compensation including, but not limited to, prior experience, education, certification(s), license(s), skills and expertise, location, internal equity and other factors that are job related and consistent with business need. Our goal is to support, reward and compensate the entire individual. Depending on role eligibility, your offer may include a bonus or other incentives. Therefore, final offer amounts may vary from the amount stated.
SCHEDULE: 20 HOURS PER WEEK
Tuesday (10-5)
Thursday (10-5)
Friday (10-4)
Job Responsibilities & Essential Functions
Establishes and maintains healthy boundaries regarding confidentiality and professional relationships while sharing lived experience as appropriate.
Provides emotional support and reassurance to individuals undergoing crisis evaluations.
Demonstrates strong knowledge of recovery principles and person-centered, trauma-informed care.
Assists in facilitating communication between individuals in crisis, their families, and clinical staff.
Offers comfort items, such as food, encouragement, and engaging activities, to individuals awaiting services.
Works collaboratively with clinicians to support individuals in accessing appropriate services.
Helps individuals understand the evaluation process and next steps in their care.
Shares coping strategies and learned skills that promote recovery and stress management.
Engages with individuals to identify their strengths, existing supports, and available community resources.
Assists individuals receiving care in Adult Crisis Stabilization Units (ACSU) and other crisis settings as needed.
Maintains up-to-date knowledge of local resources and community-based supports.
Essential Staff Expectations
As part of a 24-hour/Acute Care program, all staff are designated as essential personnel. Essential personnel are required to report to work as scheduled, regardless of holidays, emergency situations, or agency closings (e.g., inclement weather), to ensure uninterrupted program operations.
May be required to work beyond a standard 40-hour workweek based on program needs.
May need to remain on shift or work additional hours until relief staff are available.
Overnight staff are required to remain awake for the entirety of their shift.
Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Qualifications
Required Education and Experience
Must have personal experience with mental illness and recovery. Must be a Certified Peer Specialist (CPS) through an approved Massachusetts training program. Must be comfortable working with individuals experiencing severe mental illness and/or crisis. Must maintain appropriate boundaries when sharing personal experiences. Must be willing to work a flexible schedule, including evenings, weekends, and holidays, as needed.
Cultural Competency Qualifications:
Awareness of personal attitudes, beliefs, biases, and assumptions about others
Knowledge of the various dimensions of diversity, including gender, race, and ethnicity
Acknowledging that people from other cultural groups may not share the same beliefs and practices or perceive experiences in the same way
Cultural knowledge of key populations that will be served to address disparities in service delivery
Demonstrates positive attitudes towards cultural differences by showing respect and openness towards people whose social and cultural background is different from one's own
Demonstrates skills for communication and interaction across cultures, including the ability to recognize and manage personal behaviors, moods, and impulses to create an inclusive, equitable, and welcoming climate within the agency
Travel Required
Must have a valid driver's license and reliable transportation that meets CFS Driver Policy. Travel is required to provide services in different settings and to attend agency meetings, events, and trainings
Benefits:
Benefit eligible at 20+ hours per week
Medical - Harvard Pilgrim/HealthPlans Inc.
Dental - Delta Dental of MA
Vision - EyeMed
Wellworks for You (Employee Wellness)
2 weeks' vacation accrued over 1st year, 3 weeks after 3 years, 4 weeks after 5 years and 5 weeks after 20 years
12 Sick Days, 10 Paid Holidays, and 2 Personal Days per year
Tuition reimbursement - Up to $1,500 per calendar year
Professional Licensure reimbursement (LICSW, LMHC)
Flexible spending accounts - save on medical expenses and dependent care!
401K - CFS matches first 1% at 100%; 2%-6% of annual earnings are matched at 50%
100% Employer paid Life Insurance
100% Employer paid Long Term Disability and AD&D
24-hour travel assistance, mileage reimbursement, discounted Healthtrax gym membership, and employee appreciation events!
Child and Family Services, Inc. values a diverse workplace and strongly encourages applicants from the BIPOC, LGBTQ+, AAPI, Hispanic, Latinx and Veteran communities to apply for employment. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, citizenship, age, gender, sex,( including gender identity, sexual orientation, and pregnancy) disability status, protected veteran status, or any other characteristic protected by law.
Behavioral Health Certified Professional Coder (20 Hours)
Medical coder job in Worcester, MA
Salary USD $25.58/Hr. Description and Responsibilities
Come join our billing team! Open Sky is looking for a skilled, part-time Behavioral Health Coder to provide coding support to the organization. They will audit clinical documentation for Evaluation and Management and psychotherapy services by validating coded data, ensuring services rendered support reimbursement and reporting purposes. The coder will also evaluate electronic health records to identify any documentation deficiencies and ensure all revenue is captured.
Other Key Responsibilities:
Serve as resource and subject matter expert to staff.
Collaborate with clinicians on documentation discrepancies.
Support the VP of Accounting & Financial Reporting and the Billing Manager with projects related to third party billing.
Comply with behavioral health coding guidelines and policies.
Qualifications
High School diploma, GED or equivalent, required.
Certified professional coder with specialization in behavioral health, required.
3-5 years of experience in human/social services, healthcare, or related field, required.
Experience in a behavioral health setting with use of electronic health record, required.
Must have knowledge of payor guidelines and 3
rd
party billing practices.
Valid drivers license and acceptable driving record, required.
Candidate must be currently geographically local to Central Massachusetts.
About Us
At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life.
Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity, and justice for ALL.
At Open Sky, you'll join over 1,300 compassionate and highly trained professionals who put innovative, evidence-based practices to work in ways that positively impact our communities across Central Massachusetts and beyond.
As a trauma-informed organization, Open Sky strives for transparency and sensitivity to the experiences of those we interact with. Self-care is encouraged, and we are committed to providing a positive work culture that is focused on continuous learning and the value of diverse perspectives.
Open Sky is proud to be an industry leader in pay and benefits. Open the Door to Possibility and begin your career with Open Sky today!
Benefits of Working for Open Sky Include:
Excellent Supervision (Individual and Group), Professional Development, and Training Opportunities
Generous paid time off plan - you start with 29 days (almost 6 weeks!) in your first year, including 12 paid holidays. Increases to 32 days in your 2nd year, and the current maximum is 43 days (OVER 8 WEEKS!)
We pay for your higher education! Ask about our Tuition Reimbursement Program, and reimbursement for a variety of Human Services certifications.
Medical, Dental and Vision Insurance with Prescription Plan
403b Retirement Plan with Employer Match
Life Insurance (100% Employer-Paid)
Eligible employer for the Public Student Loan Forgiveness Program
And more!
Open Sky celebrates diversity and is proud to be an Equal Opportunity Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, veteran, or disabled Veteran status.
IND123
Auto-ApplyHIM Certified Coder Per Diem
Medical coder job in Providence, RI
Job Summary: The HIM Certified Coder reviews medical records and appropriately assigns Diagnosis and Procedure codes. Classification systems include ICD-9CM, CPT, HCPCS as well as other specialty systems as required by diagnostic category and current coding standards. All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD9 (ICD10 when applicable), AMA CPT and CMS coding guidelines.
Specifications: High school graduation plus active certification as a Certified Coding Specialist (CCS) with evidence of additional education in Medical Terminology and Anatomy & Physiology required. . Minimum of 2 years experience in a hospital inpatient or outpatient setting required.
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
WIH - Internal Posting Period: 3/19/2025-3/28/2025
Medical Billing Coder
Medical coder job in Wellesley, MA
US Tech Solutions is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit our website ************************ We are constantly on the lookout for professionals to fulfill the staffing needs of our clients, sets the correct expectation and thus becomes an accelerator in the mutual growth of the individual and the organization as well.
Keeping the same intent in mind, we would like you to consider the job opening with US Tech Solutions that fits your expertise and skillset.
Job Description
Medical Record Reviewer will primarily be responsible for completing medical record reviews (on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data Validation (RADV) Audits. This role will also assist with building the medical chart review program at Client's
Duties and Responsibilities
Utilize comprehensive knowledge American Hospital Association (AHA) coding principles of CPT, HCPCS, ICD9-CM/ICD10-CM diagnosis and procedure codes to evaluate medical record documentation for HCC risk adjustment related activities including Medicare Advantage and Commercial Risk adjustment supplemental diagnosis capture, Medicare and Commercial RADV support, and the auditing of Client's medical chart retrieval and coding vendors.
Collect and document chart and coding information as required for Commercial Risk Adjustment and Medicare Advantage Risk Adjustment Client's data collection procedures and systems.
Assist with building the medical chart review program at Client's including defining the operating policies and procedures, mentoring team members and input into infrastructure needs and organization.
Utilize coding expertise to inform Revenue Management strategy development activities and may support initiatives related to coding such as provider office education.
Responsible for developing and maintaining internal and vendor based coding guidelines.
Provide subject matter expertise on projects related to coding practices including provider education and communications.
Prepare reports of the data gathered and received from Client's providers/members, ensuring reports are completed with the highest quality and integrity and that all work is in full compliance with Client's and Regulatory requirements.
Participate in all required training - maintaining of coding certification or other professional credentials
Completing inter-rater reliability testing as requested
Abide by all HIPAA and associated patient confidentiality requirements.
Coordinate with third party and internal auditors as required.
Other duties and projects as needed.
Qualifications
Minimum Requirements
Bachelor's Degree; Clinical experience or licensed nursing professional and 3-5 years related experience. RHIA, RHIT, CCS or CPC-H with demonstrated outpatient coding experience required. ICD -9/ICD-10 certification required.
Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC extraction.
Experience of healthcare delivery systems is preferred. Proven project leadership skills and ability to mentor and motivate others in the team.
Advanced PC skills (e.g., Excel, Access, etc.) required; Excellent written and verbal communication skills, customer service skills, organization and problem solving skills, research skills, and the ability to work independently.
Additional Information
Thanks & Regards
Dishant
************
PGA Certified STUDIO Performance Specialist
Medical coder job in Peabody, MA
Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis.
Position Summary
Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships.
The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results.
Key Responsibilities:
Customer Experience & Engagement
* Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors.
* Build lasting relationships that encourage repeat business and client referrals.
* Educate and inspire customers by connecting instruction and equipment performance to game improvement.
Instruction & Coaching
* Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels.
* Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction.
* Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement.
* Proactively organize clinics and performance events to build customer engagement and community participation.
Fitting & Equipment Performance
* Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology.
* Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals.
* Educate customers on product features, benefits, and performance differences across brands.
* Accurately enter and manage custom orders, ensuring all specifications are documented precisely.
Operational & Visual Excellence
* Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards.
* Ensure equipment, software, and technology remain functional and calibrated.
* Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions.
* Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays.
Performance & Business Growth
* Achieve key performance indicators (KPIs) such as:
* Lessons and fittings completed
* Sales per hour and booking percentage
* Clinic participation and conversion to sales
* Proactively grow the STUDIO business through client outreach, networking, and relationship management.
* Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience.
Qualifications and Skills Required
* Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment.
* Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers.
* Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule).
* Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines.
* Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred.
* Experience:
* 2+ years of golf instruction and club fitting experience preferred.
* Experience with swing analysis tools and custom club building highly valued.
* Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments.
* Availability: Must maintain flexible availability, including nights, weekends, and holidays.
* Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.
We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination.
An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
Auto-ApplyMedical Records Specialist
Medical coder job in Peabody, MA
Job Details Experienced Peabody, MA Full Time High School or Equivalent $16.35 - $19.50 Hourly None Day Health CareDescription
Who we are:
Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
What you'll do:
Responsibilities/Duties:
Daily scanning of all paperwork generated per protocols.
Retrieving and sorting superbills and other paperwork left after clinic.
Maintain fax log and ensure failed faxes are resent properly.
Send patient notes to other offices via secure email, faxing, etc.
Update and maintain referring physician hospital affiliation list in practice management system.
Deal with problems that come up as the day progresses/troubleshooting.
Back up for chart preparation and indexing clerk roles.
Any duties or projects as assigned by any Supervisor or Manager.
Requesting additional tasks during downtime.
Qualifications
Who you are:
Qualifications:
High school diploma or equivalent experience.
One-year medical office experience.
Familiarity with HIPAA, insurance regulations, policies, procedures and other regulatory policies.
Knowledge of common safety hazards and precautions to establish a safe working environment.
Medical office procedures, policies, practices and medical terminology, telephone protocol and professional etiquette.
Familiarity with electronic medical systems is a plus, including Athena/Centricity, and Medi-Tech.
Ability to interpret, adapt and apply guidelines and procedures.
Develop and maintain effective and professional working relationships with patients, medical staff, coworkers and the public by displaying sympathy, tact and understanding.
Must be a team player with a positive attitude, adjust to various personalities, work with a diverse population, demonstrating patience and professionalism.
Promotes teamwork through collaboration.
Represents the clinic in a professional manner.
Able to maintain strict confidentiality on all patient issues.
Excellent verbal and written communication skills.
What we offer:
Excellent growth and advancement opportunities
Dynamic environment
Access to a diverse network of practitioners
Broad infrastructure of tools and programs to enhance the employee experience
Competitive Compensation
Generous PTO
Benefits package: health, dental, vision, 401(k), etc.
We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).
The final pay offered to a successful candidate will be dependent on several factors that may include but are not limited
to the type and years of experience within the job, the type of years and experience within the industry, education, etc.
Medical Records Specialist Home Health - Full-time
Medical coder job in Warwick, RI
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative.
At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients.
Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include:
* 30 days PDO - Up to 6 weeks (PDO includes company observed holidays)
* Continuing education opportunities
* Scholarship program for employees
* Matching 401(k) plan for all employees
* Comprehensive insurance plans for medical, dental and vision coverage for full-time employees
* Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees
* Flexible spending account plans for full-time employees
* Minimum essential coverage health insurance plan for all employees
* Electronic medical records and mobile devices for all clinicians
* Incentivized bonus plan
Responsibilities
Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned orders, 485's, and other key documents. Ensure documents are saved to the patient medical record.
Qualifications
Education and experience, essential
* Must possess a high school diploma or equivalent.
* Must have demonstrated experience in the use of a computer, including typing and clerical skills.
* Must have basic demonstrated technology skills, including operation of a mobile device.
Education and experience, preferred
* Six months experience in medical records in a health care office is highly preferred.
Requirements*
* Must possess a valid state driver license
* Must maintain automobile liability insurance as required by law
* Must maintain dependable transportation in good working condition
* Must be able to safely drive an automobile in all types of weather conditions* For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license.
Additional Information
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
Auto-ApplyAPP - Digital Health (RPM)
Medical coder job in Worcester, MA
Are you a current UMass Memorial Health caregiver? Apply now through Workday.
Hiring Range:
$119,912.00 - $152,131.20
Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations.
Everyone Is a Caregiver
At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.
Major Responsibilities:
1. Performs and documents a complete history and physical examination, including review of the available medical record, to formulate diagnoses and treatment plan.
2. Orders and reviews appropriate laboratory tests and imaging studies.
3. Participates in daily inpatient rounds, interviews and examines patients, reviews laboratory data and other clinical studies, and records daily progress notes.
4. Requests consultations and communicates with consultants.
5. Performs routine bedside or clinical procedures, as described in the Delineation of Privileges.
6. Assists in the operating room, or in other invasive procedures, as required; records brief operative or post-procedure notes; writes postoperative orders.
7. Prescribes and/or administers oral or parenteral medication to inpatients or outpatients in accordance with state law, UMMHC policy, and as provided in the Delineation of Privileges and Guidelines for Prescribing, which are in place for each individual Physician Assistant and Supervising Physician.
8. Orders routine nursing care, diet orders, and orders for allied health services, including speech, respiratory, and physical therapy.
9. Provides counseling and teaching, related to the management and prevention of disease, for patients and family members. Serves as liaison with discharge planners or with other agencies providing post-hospital care; accurately completes patient discharge instructions and/or discharge summaries.
10. Actively maintains all required credentials, including state licensure, state controlled substance registration, federal DEA registration, NCCPA certification, BLS and ACLS certification, as appropriate in each practice setting. This includes logging CME and completing re certification examinations as required for maintenance of the NCCPA certificate.
11. Serves as a resource for the teaching, training and orientation of students and colleagues. Participates in clinical research, and contributes to clinical conferences, rounds, and quality-control meetings, as appropriate in each practice setting.
12. Promptly completes all outstanding medical records as required by the needs of each clinical service.
13. Evaluates patients in outpatient clinics or in the Emergency Department, accurately documenting each encounter, and communicating with the Supervising Physician according to UMMHC policy.
14. Provides emergency care, as required, according to BLS and ACLS protocols.
15. Demonstrates a commitment to on-going quality improvement; complies with institutional and departmental policies and procedures; complies with health and safety regulations; performs other similar and related duties as required and directed.
Standard Staffing Level Responsibilities:
1. Complies with established departmental policies, procedures and objectives.
2. Attends variety of meetings, conferences, seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
6. Maintains, regular, reliable, and predictable attendance.
7. Performs other similar and related duties as required or directed.
All responsibilities are essential job functions.
Position Qualifications:
License/Certification/Education:
Required:
1. Bachelor's degree and Graduation from an accredited Physician Assistant program.
2. Current Massachusetts license, issued by the Physician Assistant Board, and current NCCPA certification.
3. If prescribing medications is included in clinical duties and privileges, Massachusetts Controlled Substances Registration and federal DEA Controlled Substance Registration are required.
Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.
Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.
As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.
If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
Auto-ApplyBehavioral Health Certified Professional Coder (20 Hours)
Medical coder job in Worcester, MA
Salary USD $25.58/Hr. Description and Responsibilities Come join our billing team! Open Sky is looking for a skilled, part-time Behavioral Health Coder to provide coding support to the organization. They will audit clinical documentation for Evaluation and Management and psychotherapy services by validating coded data, ensuring services rendered support reimbursement and reporting purposes. The coder will also evaluate electronic health records to identify any documentation deficiencies and ensure all revenue is captured.
Other Key Responsibilities:
* Serve as resource and subject matter expert to staff.
* Collaborate with clinicians on documentation discrepancies.
* Support the VP of Accounting & Financial Reporting and the Billing Manager with projects related to third party billing.
* Comply with behavioral health coding guidelines and policies.
Qualifications
* High School diploma, GED or equivalent, required.
* Certified professional coder with specialization in behavioral health, required.
* 3-5 years of experience in human/social services, healthcare, or related field, required.
* Experience in a behavioral health setting with use of electronic health record, required.
* Must have knowledge of payor guidelines and 3rd party billing practices.
* Valid drivers license and acceptable driving record, required.
* Candidate must be currently geographically local to Central Massachusetts.
About Us
At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life.
Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity, and justice for ALL.
At Open Sky, you'll join over 1,300 compassionate and highly trained professionals who put innovative, evidence-based practices to work in ways that positively impact our communities across Central Massachusetts and beyond.
As a trauma-informed organization, Open Sky strives for transparency and sensitivity to the experiences of those we interact with. Self-care is encouraged, and we are committed to providing a positive work culture that is focused on continuous learning and the value of diverse perspectives.
Open Sky is proud to be an industry leader in pay and benefits. Open the Door to Possibility and begin your career with Open Sky today!
Benefits of Working for Open Sky Include:
* Excellent Supervision (Individual and Group), Professional Development, and Training Opportunities
* Generous paid time off plan - you start with 29 days (almost 6 weeks!) in your first year, including 12 paid holidays. Increases to 32 days in your 2nd year, and the current maximum is 43 days (OVER 8 WEEKS!)
* We pay for your higher education! Ask about our Tuition Reimbursement Program, and reimbursement for a variety of Human Services certifications.
* Medical, Dental and Vision Insurance with Prescription Plan
* 403b Retirement Plan with Employer Match
* Life Insurance (100% Employer-Paid)
* Eligible employer for the Public Student Loan Forgiveness Program
* And more!
Open Sky celebrates diversity and is proud to be an Equal Opportunity Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, veteran, or disabled Veteran status.
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Responsibilities 2025-10209
Auto-ApplyMedical Records Specialist
Medical coder job in Peabody, MA
Who we are: Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
What you'll do:
Responsibilities/Duties:
* Daily scanning of all paperwork generated per protocols.
* Retrieving and sorting superbills and other paperwork left after clinic.
* Maintain fax log and ensure failed faxes are resent properly.
* Send patient notes to other offices via secure email, faxing, etc.
* Update and maintain referring physician hospital affiliation list in practice management system.
* Deal with problems that come up as the day progresses/troubleshooting.
* Back up for chart preparation and indexing clerk roles.
* Any duties or projects as assigned by any Supervisor or Manager.
* Requesting additional tasks during downtime.
Qualifications
Who you are:
Qualifications:
* High school diploma or equivalent experience.
* One-year medical office experience.
* Familiarity with HIPAA, insurance regulations, policies, procedures and other regulatory policies.
* Knowledge of common safety hazards and precautions to establish a safe working environment.
* Medical office procedures, policies, practices and medical terminology, telephone protocol and professional etiquette.
* Familiarity with electronic medical systems is a plus, including Athena/Centricity, and Medi-Tech.
* Ability to interpret, adapt and apply guidelines and procedures.
* Develop and maintain effective and professional working relationships with patients, medical staff, coworkers and the public by displaying sympathy, tact and understanding.
* Must be a team player with a positive attitude, adjust to various personalities, work with a diverse population, demonstrating patience and professionalism.
* Promotes teamwork through collaboration.
* Represents the clinic in a professional manner.
* Able to maintain strict confidentiality on all patient issues.
* Excellent verbal and written communication skills.
What we offer:
* Excellent growth and advancement opportunities
* Dynamic environment
* Access to a diverse network of practitioners
* Broad infrastructure of tools and programs to enhance the employee experience
* Competitive Compensation
* Generous PTO
* Benefits package: health, dental, vision, 401(k), etc.
We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as "protected characteristics").
The final pay offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and years of experience within the job, the type of years and experience within the industry, education, etc.
Medical Records Specialist w/HRD-FT
Medical coder job in Andover, MA
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative.
At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients.
Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include:
* 30 days PDO - Up to 6 weeks (PDO includes company observed holidays)
* Continuing education opportunities
* Scholarship program for employees
* Matching 401(k) plan for all employees
* Comprehensive insurance plans for medical, dental and vision coverage for full-time employees
* Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees
* Flexible spending account plans for full-time employees
* Minimum essential coverage health insurance plan for all employees
* Electronic medical records and mobile devices for all clinicians
* Incentivized bonus plan
Responsibilities
Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned orders, 485's, and other key documents. Ensure documents are saved to the patient medical record.
Qualifications
Education and experience, essential
* Must possess a high school diploma or equivalent.
* Must have demonstrated experience in the use of a computer, including typing and clerical skills.
* Must have basic demonstrated technology skills, including operation of a mobile device.
Education and experience, preferred
* Six months experience in medical records in a health care office is highly preferred.
Requirements
* Must possess a valid state driver license
* Must maintain automobile liability insurance as required by law
* Must maintain dependable transportation in good working condition
* Must be able to safely drive an automobile in all types of weather conditions
* For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license.
Additional Information
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
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