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  • Health Information Specialist

    Motion Recruitment 4.5company rating

    Medical coder job in Somerville, MA

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

    Massachusetts Coastal Railroad

    Medical coder job in Massachusetts

    Cape Cod Central Railroad is a heritage, passenger railroad that operates primarily on 27 miles of former New Haven Railroad tracks on Cape Cod. Our trains run on special Holidays like Mother's Day, St. Patrick's Day, and Easter, and 5 days per week from June through October. We also run THE POLAR EXPRESSâ„¢ Train Ride in November and December. Cape Cod Central Railroad offers narrated excursions, lunch and brunch trains, dinner trains, and various special events. Departing regularly from Hyannis, with select additional departures from Buzzards Bay, the Cape Cod Central Railroad is a popular tourist attraction. Guests will travel through West Barnstable and Sandwich, and along the Cape Cod Canal. On the way, they travel through sand dunes and salt marshes, see glimpses of the bay, and have the opportunity to enjoy parts of Cape Cod that are only accessible by rail. Cape Cod Central Railroad Hires a varierty of positions, Including: Narrator Kitchen Staff: Sous Chef, Cook, Prep Cook, Dishwasher, Servers, Bussers, Bartenders, Snack Bar Dress Conductor Depot Supervisors Train and Depot Cleaners Parking Attendants Gift Shop Attendees Polar Express Train Cast members (November and December) To Apply, send your resume to ******************* or search "Cape Cod Central Railroad" on Indeed. Learn more about us at **************************
    $40k-60k yearly est. Easy Apply 60d+ ago
  • Psychiatry Career opportunity- Cape Cod (Part or Full Time)

    Olesky Associates

    Medical coder job in Massachusetts

    Olesky Associates, Inc. has been in the placement / recruiting industry for three decades. We offer an extensive array of services, ranging from physician placement to practice and hospital brokering. Our Search Consultants located in our home office in Massachusetts utilize a state-of-the-art computer network and database that allows instant access to all of the information necessary for mutually beneficial placements throughout the country. This technology, combined with our personal attention and expert screening of each candidate, has made our agency extremely successful in the placement of all specialties, including: Family Practitioners Internists, Pediatricians OB/Gyns Emergency Medicine Psychiatrist Nurse Practitioners Hospitalist Dermatologist Oncology / Radiology All medical specialties All surgical specialties LCSW / LICSW/ LMHC / BCBA Job Description Large Community Health Car Facility seeks a part time or full time psychiatrist (2 to 4 10-hour shifts - weekdays) to serve patients, many with multiple conditions, in a caring, collaborative and educational environment. The Psychiatrist establishes goals and objectives for patient care and works with BH team to reach these goals The Psychiatrist is responsible for diagnosing and treating patients with mental, addictive and behavioral disorders. The Psychiatrist serves as a supervisor and consultative resource to psychiatric mid-levels in their practice under collaborative practice agreements. Flexible work schedule, Excellent compensation and benefits package Contact Jerome at Olesky Associates for more Information Additional Information
    $40k-60k yearly est. 1h ago
  • Medical Coder II/III

    Codametrix

    Medical coder job in Boston, MA

    CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare providers away from the keyboard and back to clinical care. Overview Reporting to the Manager, Medical Coding & Audit, as a Medical Coder II or III, this role will be a key member of the team responsible for ensuring that CodaMetrix meets-and exceeds-our customers' coding quality expectations. The Medical Coder II or III will be responsible for leveraging their strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. They will play a pivotal role in improving the quality and efficiency of coding operations by collaborating closely with cross-functional teams, including Machine Learning, Product, and Customer Implementations. They will also review and validate model-generated codes, annotate and label data to support model training, identify patterns in coding errors, and provide clear explanations and insights to both internal teams and external clients. This role requires a proven ability to communicate highly complex coding issues and solutions to a wide range of stakeholders, alongside an unwavering commitment to continuous learning, quality, and innovation in medical coding practices. Key Responsibilities Coding & Documentation review Serve as the internal and external Subject Matter Expert (SME) on medical coding and billing across assigned service lines. Review and validate model-generated CPT, ICD-10-CM, HCPCS, and E&M codes Perform high-quality coding and auditing on inpatient, outpatient, ED, or pro-fee encounters (depending on specialty) Ensure documentation fully supports coding decisions in alignment with AMA, CMS, and payer guidelines Identify missed codes, incorrect E/M leveling, modifier errors, and insufficient documentation Customer & Workflow Analysis Analyze and document customers' coding practices and workflows to facilitate optimal use of the CodaMetrix product. Identify and share Codametrix's best practices for coding automation and workflow improvements with the customer. Present audit results to customer stakeholders and facilitate sign-off for go-live milestones. Coding Quality Management Assist manager with Coding Quality Assessment (CQA) projects, including work assignments, training, and quality assurance for offshore coding staff. Leverage CodaMetrix coding standards to drive world-class coding quality and consistency. Collaboration & Knowledge Sharing Work with product and engineering to provide precise, consistent feedback on model training and data annotation Continuously improve evaluation and training materials on coding and billing to colleagues and customers. Share knowledge throughout CodaMetrix to build internal competencies and champion continuous improvement initiatives. Provide expert guidance on coding and billing questions to support Machine Learning and Product teams. Compliance & Professional Development Proactively stay up to date with changes in medical coding and billing by maintaining relevant certifications and participating in ongoing education. Uphold all legal and ethical requirements, ensuring accuracy, confidentiality, and compliance in all coding and audit activities. Customer Communication Help explain model decisions, error analyses, and coding rationales to clients Support customer success and implementation teams in understanding coding outputs Prepare clear written summaries of coding patterns, documentation issues, or model behavior Represent coding accuracy and detail in client conversations, as needed Collaborate with cross-functional teams-such as Data Science, Product, and Customer Success-to address client needs and optimize results. Qualifications & Experience Current AHIMA or AAPC coding credential held for 3+ (level II) or 5+ years (level III). 3-5 (level II) or 5+ years (level III) of coding and auditing experience with progressive growth in responsibilities. Strong understanding of CPT, ICD-10-CM, HCPCS, modifiers, and 2023 E/M guidelines Experience in one of the following specialties: Professional hospital coding; specifically in Surgery, Endoscopy, Hospitalist, Cardiology, Emergency coding Demonstrated ability to interpret clinical documentation and identify gaps Excellent communication and customer service skills, capable of effectively engaging executives, directors, data scientists, and other stakeholders with varying levels of coding knowledge. Ability to translate complex coding guidelines to non-clinical team members. Strong organizational and detail-oriented approach with a demonstrated commitment to excellence and precision. Critical thinking, intellectual curiosity, and creativity in problem-solving. Ability to thrive under time constraints in a fast-paced environment. Team-oriented approach with a positive and patient demeanor, fostering collaboration and continuous improvement. Bonus Points Experience in Radiology or Pathology Prior experience with ML/AI workflows Experience working with JIRA or other project management/ task management tools Familiarity with autonomous coding platforms Experience serving large health systems from a services or technology perspective What CodaMetrix can offer you: Learn more about our full-time employee benefits and how we take care of our team. Health Insurance: We cover 80% of the cost of medical and dental insurance and offer vision insurance Retirement: We offer a 401(k) plan that eligible employees can contribute to one month after their first day Flexibility: We have a generous Paid Time Off policy, which is managed but not limited, so you can take the time you need to relax and rejuvenate Learning: All new hires complete our 7-week Onboarding Program where they learn about our company and each of our departments through live sessions hosted by a variety of our leaders Development: We provide annual performance evaluations and prioritize working with employees on what their individual growth looks like Recognition: We recognize the outstanding achievements of our team through annual company awards where employees have the opportunity to nominate their peers Office Location: A modern open plan workspace located in the bustling Back Bay neighborhood of Boston Additional Employer Paid Benefits: We offer employer-paid life insurance and short-term and long-term disability insurance Background Check Notice All candidates will be required to complete a background check upon acceptance of a job offer. Equal Employment Opportunity Our company, as well as our products, are made better because we embrace diverse skills, perspectives, and ideas. CodaMetrix is an Equal Employment Opportunity Employer and all qualified applicants will receive consideration for employment. Don't meet every requirement? We invite you to apply anyway. Studies have shown that women, communities of color and historically underrepresented talent are less likely to apply to jobs unless they meet every single qualification. At CodaMetrix we are committed to building a diverse, inclusive and authentic workplace and encourage you to consider joining us.
    $39k-60k yearly est. Auto-Apply 14d ago
  • Coder II (Radiation Oncology Dept / On-Site)

    Tufts Medicine

    Medical coder job in Lowell, MA

    We are seeking a qualified Medical Coder to join our team at Lowell General Hospital's Oncology Department! This role is 100% onsite based out of Lowell General Hospital- Main Campus. This position reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges. Effectively utilizes ICD-10, CPT, and HCPCS, modifier and/or other codes according to coding guidelines. Communicates effectively with providers and/or all appropriate staff regarding missing information such as CPT, ICD-10, and documentation issues, to ensure proper coding and reimbursement. Works with leadership to review denial and reimbursement reports for accuracy, as well as conducting audits to ensure documentation, code capture, and billing are accurate and precise. Performs pre and post visit chart audits to ensure proper code assignment. Hours: Full time / 40 hours / Day shifts, Monday through Friday No major holidays / position will work on-site at Lowell General Hospital Location: Lowell General Hospital - Main Campus Minimum Qualifications: 1. High school diploma or equivalent. 2. Completion of medical coding certificate program. 3. Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT). 4. One (1) year of healthcare coding experience 5. ROCC certification HIGHLY PREFERRED Preferred Qualifications: 1. Associates degree. 2. Two (2) years of coding experience within clinical specialty. 3. 5. ROCC certification HIGHLY PREFERRED Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1. Verifies and abstracts specific clinical and demographic data from the patient record. 2. Performs pre-visit chart audits, and post encounter review to ensure coding accuracy and can determine medical records ensure codes reported are support by the documentation. 3. Assigns accurately Evaluation and Management (E&M) codes, ICD-10 diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for patient encounters. 4. Correlate information from various EMR systems supporting clinical documentation not limited to Pathology, Radiology and/or other Physician Consultations after review by the Attending Physician, wherever appropriate. 5. Reviews reports with leadership to identify reimbursement changes/discrepancies. 6. Reviews audit lists regarding coding/billing changes, as well as denial reports. 7. Identifies and evaluates coding issues, summarizes findings for leadership, makes recommendations for course of action. 8. Mentor coders and assist in training of new coders within the department. Identifies coding opportunities and issues, research for compliance, and educate providers and staff; Participates in creating of departmental policies and procedures related to the outpatient and ambulatory coding function. May be asked to provide input to coder performance appraisals. 9. Documents results of all special project work, and providing recommendations for revenue managing opportunities relating to special projects. 10. Performs related duties such as answering and routing telephone calls and receiving people requesting action or follow up to the designated patient account representative. 11. Attends meetings as necessary and participates on projects to ensure that all services are captured through codes, educate providers on how to properly document to support identified procedures, and cross train staff to ensure consistency. 12. Maintains good relationship with physicians, social workers, and office personnel to facilitate good communication in coding queries and to educate providers in relation to documentation requirements for services. Promote excellent customer service. Identify and communicate problems and/or opportunities to improve processes with appropriate department staff. 13. Maintains collaborative, team relationships with peers and colleagues in order to effectively contribute to the working groups achievement of goals, and to help foster a positive work environment What We Offer: * Competitive salaries & benefits * 403(b) retirement plan with hospital match * Opportunities for growth * Tuition reimbursement * Free on-campus parking About Lowell General For more than 125 years, Lowell General has served the Greater Lowell community with pride. We balance the first-rate care of a premier medical center with the warmth of a three-time Magnet-recognized community hospital. As a member of our team, you'll join over 3,000 dedicated care providers to offer complete, connected care, when and where patients need it most. Magnet Designation: The American Nurses Credentialing Center (ANCC) honored Lowell General Hospital with Magnet Recognition for excellence in nursing care, our fourth designation achieved in March 2025! The Magnet Recognition Program recognizes healthcare organizations dedicated to nursing excellence, professionalism, and patient-focused care. It is the highest level of recognition an organization can receive for providing the very best quality in patient care. Only nine percent of hospitals in the United States have achieved Magnet status and fewer than one percent of hospitals have achieved a fourth consecutive Magnet designation. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth-one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range: $23.04 - $28.80
    $23-28.8 hourly 9d ago
  • Payment Integrity Coder I

    Community Health Options 3.6company rating

    Medical coder job in Maine

    As a Payment Integrity Coder I, you will support the execution of Community Health Options claim payment accuracy strategy through performing complete claim reviews. You will collaborate with the payment integrity team to ensure existing programs, such as claim editing, are working correctly. This role will require coding experience, analytical skills, and solid communication and organizational adeptness. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Serve as a subject matter expert for claim payment accuracy including pre-payment claim editing, pre-payment claims auditing, contract compliance, post-payment payment integrity solutions, etc. Review appropriateness of services/supplies billed with respect to the patient s medical condition and contemplate commercially reasonable claim-related edits to be applied in both pre- and post-pay situations. Performs Quality Audits to include validation of accuracy and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG, POA, and all relevant coding elements. Audits can include inpatient, outpatient, and professional claims. Coordinate with internal teams to maintain payment integrity solutions that increase claim payment accuracy. Frequently reviews other payer policies and procedures to identify gaps within the Health Options policy library, promotes areas of opportunity to appropriate stakeholders within the organization, and leads reimbursement specific policy development Participate in technology/tool updates, testing, and troubleshooting with internal teams and external vendors. Manage the scope of multiple inquiries, projects, or audits under minimal direct supervision. JOB SPECIFIC KEY COMPETENCIES (KSAs) Proven problem-solving skills - demonstrated ability to solve complex problems, which must consider long-term company-wide planning. Strong analytical skills - demonstrated ability to ensure reliability and relevance of data collected. Excellent interpersonal, verbal, and written communication skills required with excellent analytical and problem-solving skills. Detail oriented and ability to thrive in fast-paced work environment. An intermediate level of knowledge with Local, State & Federal laws and regulations pertaining to health insurance (Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, and/or commercial health insurance) Advanced knowledge of Microsoft Office suite, including Word, Excel and PowerPoint. SQL and Datawarehouse query experience, preferred Excellent written communication skills - demonstrated ability to compose sensitive, non-routine correspondence requiring tact and diplomacy. DIVERSITY, EQUITY, AND INCLUSION STATEMENT Community Health Options is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion (DEI). Our human capital is the single most valuable asset we have. The collective sum of individual differences, life experiences, knowledge, inventiveness, innovation, self-expression, unique capabilities, and talent our employees invest in their work represents a significant part of not only our culture, but our reputation and achievement as well. Community Health Options DEI initiatives are applicable, but not limited to, our practices and policies on recruitment and selection; compensation and benefits; professional development, and training; promotions; transfers; social and recreational programs, and the ongoing development of a work environment built upon the premise of DEI, which encourages and enforces: Respectful, open communication and cooperation between all employees. Teamwork and participation, encouraging the representation of all groups and employee perspectives. Balanced approach to work culture through flexible schedules to accommodate varying needs of our people. Employer and employee contributions to the communities we serve to promote a greater understanding and respect for each other. QUALIFICATIONS AND CORE REQUIREMENTS Bachelor s degree in business, healthcare administration, or other related functional area is required. 5+ years of experience working in health care hospital and physician practices and/or health insurance environment 3+ years of experience as a certified coder with a health plan, provider/hospital billing, or revenue cycle management. Certified Internal Auditor (CIA) preferred Certified Coding Specialist (CCS) A dedicated workspace with high-speed internet (=50 Mbps down / =10 Mbps up) and wired connectivity is required.
    $40k-53k yearly est. 60d+ ago
  • Medical Device QMS Auditor

    Environmental & Occupational

    Medical coder job in Boston, MA

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 12d ago
  • Medical Device QMS Auditor

    Bsigroup

    Medical coder job in Boston, MA

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 13d ago
  • APP - Digital Health (RPM)

    Umass Memorial Health 4.5company rating

    Medical coder job in Worcester, MA

    Are you a current UMass Memorial Health caregiver? Apply now through Workday. Hiring Range: $119,912.00 - $152,131.20 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Major Responsibilities: 1. Performs and documents a complete history and physical examination, including review of the available medical record, to formulate diagnoses and treatment plan. 2. Orders and reviews appropriate laboratory tests and imaging studies. 3. Participates in daily inpatient rounds, interviews and examines patients, reviews laboratory data and other clinical studies, and records daily progress notes. 4. Requests consultations and communicates with consultants. 5. Performs routine bedside or clinical procedures, as described in the Delineation of Privileges. 6. Assists in the operating room, or in other invasive procedures, as required; records brief operative or post-procedure notes; writes postoperative orders. 7. Prescribes and/or administers oral or parenteral medication to inpatients or outpatients in accordance with state law, UMMHC policy, and as provided in the Delineation of Privileges and Guidelines for Prescribing, which are in place for each individual Physician Assistant and Supervising Physician. 8. Orders routine nursing care, diet orders, and orders for allied health services, including speech, respiratory, and physical therapy. 9. Provides counseling and teaching, related to the management and prevention of disease, for patients and family members. Serves as liaison with discharge planners or with other agencies providing post-hospital care; accurately completes patient discharge instructions and/or discharge summaries. 10. Actively maintains all required credentials, including state licensure, state controlled substance registration, federal DEA registration, NCCPA certification, BLS and ACLS certification, as appropriate in each practice setting. This includes logging CME and completing re certification examinations as required for maintenance of the NCCPA certificate. 11. Serves as a resource for the teaching, training and orientation of students and colleagues. Participates in clinical research, and contributes to clinical conferences, rounds, and quality-control meetings, as appropriate in each practice setting. 12. Promptly completes all outstanding medical records as required by the needs of each clinical service. 13. Evaluates patients in outpatient clinics or in the Emergency Department, accurately documenting each encounter, and communicating with the Supervising Physician according to UMMHC policy. 14. Provides emergency care, as required, according to BLS and ACLS protocols. 15. Demonstrates a commitment to on-going quality improvement; complies with institutional and departmental policies and procedures; complies with health and safety regulations; performs other similar and related duties as required and directed. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. Position Qualifications: License/Certification/Education: Required: 1. Bachelor's degree and Graduation from an accredited Physician Assistant program. 2. Current Massachusetts license, issued by the Physician Assistant Board, and current NCCPA certification. 3. If prescribing medications is included in clinical duties and privileges, Massachusetts Controlled Substances Registration and federal DEA Controlled Substance Registration are required. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $119.9k-152.1k yearly Auto-Apply 42d ago
  • Behavioral Health Certified Professional Coder (20 Hours)

    Open Sky Community Services 4.3company rating

    Medical coder job in Worcester, MA

    Description and Responsibilities Come join our billing team! Open Sky is looking for a skilled, part-time Behavioral Health Coder to provide coding support to the organization. They will audit clinical documentation for Evaluation and Management and psychotherapy services by validating coded data, ensuring services rendered support reimbursement and reporting purposes. The coder will also evaluate electronic health records to identify any documentation deficiencies and ensure all revenue is captured. Other Key Responsibilities: * Serve as resource and subject matter expert to staff. * Collaborate with clinicians on documentation discrepancies. * Support the VP of Accounting & Financial Reporting and the Billing Manager with projects related to third party billing. * Comply with behavioral health coding guidelines and policies. Qualifications * High School diploma, GED or equivalent, required. * Certified professional coder with specialization in behavioral health, required. * 3-5 years of experience in human/social services, healthcare, or related field, required. * Experience in a behavioral health setting with use of electronic health record, required. * Must have knowledge of payor guidelines and 3rd party billing practices. * Valid drivers license and acceptable driving record, required. * Candidate must be currently geographically local to Central Massachusetts. About Us At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life. Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity, and justice for ALL. At Open Sky, you'll join over 1,300 compassionate and highly trained professionals who put innovative, evidence-based practices to work in ways that positively impact our communities across Central Massachusetts and beyond. As a trauma-informed organization, Open Sky strives for transparency and sensitivity to the experiences of those we interact with. Self-care is encouraged, and we are committed to providing a positive work culture that is focused on continuous learning and the value of diverse perspectives. Open Sky is proud to be an industry leader in pay and benefits. Open the Door to Possibility and begin your career with Open Sky today! Benefits of Working for Open Sky Include: * Excellent Supervision (Individual and Group), Professional Development, and Training Opportunities * Generous paid time off plan - you start with 29 days (almost 6 weeks!) in your first year, including 12 paid holidays. Increases to 32 days in your 2nd year, and the current maximum is 43 days (OVER 8 WEEKS!) * We pay for your higher education! Ask about our Tuition Reimbursement Program, and reimbursement for a variety of Human Services certifications. * Medical, Dental and Vision Insurance with Prescription Plan * 403b Retirement Plan with Employer Match * Life Insurance (100% Employer-Paid) * Eligible employer for the Public Student Loan Forgiveness Program * And more! Open Sky celebrates diversity and is proud to be an Equal Opportunity Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, veteran, or disabled Veteran status. IND123 Base Rate USD $25.58/Hr. Responsibilities 2025-10209
    $25.6 hourly Auto-Apply 58d ago
  • Store Management- Cape Cod, MA area

    Shaw's 4.7company rating

    Medical coder job in Barnstable Town, MA

    Shaw's and Star Market is working to become the favorite food and drug retailer in every state it operates and is a proud member of the Albertson's family of stores. Shaw's is one of the oldest continuously operated supermarkets in the United States with its roots dating to 1860. Throughout five New England states, there are 155 store locations employing approximately 18,000 associates. For more information about Shaw's, please visit ************* or connect with us on Facebook at ****************************** Job Description Job Overview: The Store Manager's purpose is to: manage the store in the absence of the Store Director organize and direct store activities to ensure total store sales, profit and expense goals directly manage the Grocery, Drug and Fresh Departments Job Responsibilities and Accountabilities: Promotes a customer-focused approach to growth by creating an atmosphere of enthusiastic personalized customer service. In the absence of the Store Director, resolves customer relations issues Provides leadership and direction to all store associates. Trains and supervises Department Managers and other store associates Interviews and selects individuals to fill grocery/drug jobs Responsible for the profitability of the total store. Practices aggressive cost control for all in-store operating, maintenance and supply costs. Reviews and analyzes P&L statements Ensures proper merchandising of product by understanding and following schematics and merchandising protocol. Participates in all store activities in order to maximize sales, earnings, and customer satisfaction in the store Determines labor coverage needs for departments based on an analysis of current and projected sales and market conditions, and schedules associates based on those needs Determines proper inventory levels in departments and establishes procedures for maintaining proper inventory levels Qualifications Job Requirements: Relevant Experience, Education, Certification, Knowledge, Skills and Abilities Department Manager experience preferred Fresh department experience preferred College degree preferred Good management, leadership, interpersonal and communication skills Requires a thorough understanding of store operations Ability to work varying shifts and days of the week (may include evenings, weekends, early morning or late shifts) Ability to stand and walk for long periods of time. Ability to reach, lift, stack and maneuver objects of varying dimensions and weights up to approximately 55 lbs. Ability to push and pull fully loaded hand trucks and pallet jacks. Manual dexterity and good eye-hand coordination are necessary. Requires the physical ability to be able to cover for various positions throughout the store as required. EOE Additional Information Please apply online at ************* and email resume to [email protected]
    $57k-74k yearly est. 60d+ ago
  • Outpatient Coder II

    Maine Health 4.4company rating

    Medical coder job in Scarborough, ME

    MaineHealth Corporate Professional - Nonclinical The Outpatient Coder II role is responsible for the accurate assignment of ICD and CPT coding of diagnoses and procedures for outpatient medical records in multiple different outpatient settings including Outpatient Hospital Clinics, ASU, OBSV, interventional radiology/cardiac cath/angiography records, Provider Based Clinics (inclusive of E/M, Coding for both inpatient and outpatient professional procedures), IV therapy, Emergency department and other areas as needed. Performs abstracting to determine accuracy and completeness of the outpatient record. Required Minimum Knowledge, Skills, and Abilities (KSAs) * Education: Associates Degree in a science field preferred with completion of an accredited program through AHIMA or AAPC * License/Certifications: RHIT, RHIA, CCS, CCA, CPC, CPC-H, or CIRCC credential required. * Experience: Two years of multi-specialty, preferably surgical coding experience, with CPT/ICD and CM/HCPCS/modifier coding for physician professional charges and a minimum of two years of experience in an acute care facility as a Clinical Coder I required. Demonstrates competency in all essential functions of an Outpatient Coder I role. * Additional Skills/Requirements Required: Required experience coding E/M's, Outpatient Hospital Clinics, OBV, ASU, Professional Surgical CPT's, ED's, interventional radiology, cardiac cath/angiography, and simple visit coding. * Additional Skills/Requirements Preferred: N/A Additional Information With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it. We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.
    $28k-36k yearly est. 16d ago
  • Coder

    York Hospital 4.6company rating

    Medical coder job in York, ME

    # At York Hospital, we#re more than a hospital.# We are a team of providers, clinicians and staff members offering expertise within a Hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers# commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all.# # York Hospital, we are a Community. For Life. # We are looking for an experienced#Physician Coding # Charge Entry candidate.# This is a#part time, 24hrs/wk#position working in York Hospital#s Physician Practice Patient#Billing Team.# The hours for this position are#3 days/week#8:00am-4:30pm.# This position is located in York, Maine. # Primary responsibilities include: # # ######## Reviewing, posting and ensuring appropriate Medical Codes are utilized using ICD-10-CM and CPT-4 coding conventions. # ######## Periodically reviews medical records to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for professional charges. # ######## Provides follow up with physicians, staff and management related to any findings. # In order to help us continue to provide exceptional patient/customer service experiences, you must have the following: # # ######## Minimum (2) years of experience in#coding with ICD-10-CM and CPT. Inpatient/Hospital preferred # ######## Excellent customer service. # ######## Computer skills to#include Microsoft Office Suite.# Knowledge of McKesson#s Paragon software a plus. # ###### Certification AHIMA or AAPC preferred. YORK HOSPITAL IS AN EQUAL OPPORTUNITY EMPLOYER. At York Hospital, we're more than a hospital. We are a team of providers, clinicians and staff members offering expertise within a Hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers' commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all. York Hospital, we are a Community. For Life. We are looking for an experienced Physician Coding & Charge Entry candidate. This is a part time, 24hrs/wk position working in York Hospital's Physician Practice Patient Billing Team. The hours for this position are 3 days/week 8:00am-4:30pm. This position is located in York, Maine. Primary responsibilities include: * Reviewing, posting and ensuring appropriate Medical Codes are utilized using ICD-10-CM and CPT-4 coding conventions. * Periodically reviews medical records to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for professional charges. * Provides follow up with physicians, staff and management related to any findings. In order to help us continue to provide exceptional patient/customer service experiences, you must have the following: * Minimum (2) years of experience in coding with ICD-10-CM and CPT. Inpatient/Hospital preferred * Excellent customer service. * Computer skills to include Microsoft Office Suite. Knowledge of McKesson's Paragon software a plus. * Certification AHIMA or AAPC preferred. YORK HOSPITAL IS AN EQUAL OPPORTUNITY EMPLOYER.
    $53k-67k yearly est. 41d ago
  • Certified Coder

    Healthcare Support Staffing

    Medical coder job in Bedford, NH

    HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Are you an experienced Certified Coder looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you! Daily Responsibilities: • Audit high dollar claims to identify areas of improvement • Perform complex tracking, trending, and analyses of errors in structured excel spreadsheets and/or databases • Analyze trends in pricing issues, identify and quantify issues and implement changes to work processes • Collaborate with all departments to analyze complex claims issues and special claim projects • • Verify information on submitted claims, reviewing contracts, eligibility, and authorizations to determine reimbursement, and ensuring payment instructions are sent to claims department for claims payment Hours for this Position: • Monday-Friday; 8AM-5PM • Pay rate starting at $27 per hour Advantages of this Opportunity: • Competitive salary, negotiable based on relevant experience • Benefits offered, Medical, Dental, and Vision • Fun and positive work environment Qualifications Qualifications/ Requirements: • Associates degree in business, healthcare management, or equivalent experience • 3+ years of medical billing/coding experience • Knowledge of coding/billing practices for hospitals, providers, and insurance • CPC preferred Additional Information Interested in being considered? If you are interested in applying to this position, please contact (Katleen Angala, 321-445-8243) and click the Green I'm Interested Button to email your resume.
    $27 hourly 60d+ ago
  • Medical Records Specialist

    Naveris 3.7company rating

    Medical coder job in Waltham, MA

    Job Description About Us Naveris is a rapidly growing precision oncology diagnostics company on a mission to change the way HPV-driven cancers are detected, monitored, and managed. Our flagship test, NavDx , is a cutting-edge, blood-based Lab Developed Test (LDT) that detects circulating Tumor Tissue Modified Viral (TTMV )-HPV DNA. NavDx provides clinicians with earlier insights into recurrence, enabling more informed and personalized patient care and outcomes. Opportunity The Medical Records Specialist plays a critical role in ensuring the accuracy and integrity of laboratory and patient data. This position focuses on performing quality control reviews of data entered in Salesforce, verifying information across Test Requisition Forms and laboratory records, and collaborating cross-functionally to ensure compliance, operational excellence, and timely reporting. Job Responsibilities Enter, review, and maintain patient medical and insurance data in Laboratory Information Systems (LIS). Maintain policies and procedures for specimen processing and data entry tasks. Perform quality checks of data entered by the external data vendor, ensuring accuracy between TRFs and Salesforce records. Support the data entry vendor by monitoring their performance and accuracy. Identify and correct discrepancies in medical records, accounts, and documentation, collaborating closely with the Exception Handling and Resolution (EHR) department. Log and categorize data discrepancies using the internal error-tracking system. Contribute to continuous process improvement initiatives to streamline daily processes, reduce turnaround time, and enhance data quality. Participate in audits, performance reviews, and data validation projects. Assist in the generation and review of patient reports within the scope of the position. Determine specimen acceptability, consulting with the supervisor or Lab Director as needed, and taking appropriate action when necessary. Recognize unclear or ambiguous information presented on requisitions and follow appropriate corrective actions. Communicate effectively via written, verbal, face-to-face, telephone, and computer methods. Respect and maintain the confidentiality of information relative to clients and patients. Maintain strict adherence to CAP/CLIA, HIPAA, and company data security protocols. Requirements Bachelor's degree in Biology, Healthcare Administration, Health Information Management, or related field preferred. An associate's degree and a high school diploma are acceptable with relevant experience. Experience in a clinical, laboratory, or healthcare data environment preferred. Familiarity with Laboratory Information Systems (LIS) and platforms such as Salesforce and Tableau is preferred. Strong analytical and problem-solving skills with meticulous attention to detail. Excellent written and verbal communication abilities. Demonstrated ability to prioritize and manage tasks in a fast-paced environment. Working knowledge of HIPAA compliance and medical confidentiality. Compliance Responsibilities Health Insurance Portability and Accountability Act (HIPAA) is a federal law that describes the national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge. All roles at Naveris require compliance with legal and regulatory requirements of HIPAA and acceptance and adherence to all policies and standards at Naveris. Personnel acknowledges they are personally responsible for reporting any suspected violations or abuse and are required to complete HIPAA training when joining the company. Why Naveris? In addition to our great team and advanced medical technology, we offer our employees competitive compensation, work/life balance, remote work opportunities, and more! Naveris is an Equal Opportunity Employer Naveris is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We don't just accept differences - we celebrate and support them. We do not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor. Salary Range : $24.04 - $28.85 per hour Powered by JazzHR DowU8Ejoj2
    $24-28.9 hourly 13d ago
  • Certified Coder

    Littleton Hospital Association

    Medical coder job in Littleton, NH

    The Medical Coder will be responsible for accurately assigning diagnostic and procedural codes to patient records for billing, reimbursement, and data analysis. The ideal candidate will have strong knowledge of medical terminology, coding guidelines, and regulatory requirements to ensure compliance and optimize hospital revenue cycle processes. The coder will assist with performing documentation audits and provide feedback and education to providers. The. ESSENTIAL FUNCTIONS AND WORK ROLE RESPONSIBILITIES Review and analyze patient medical records to assign appropriate ICD-10, CPT, and HCPCS codes for diagnoses and procedures. Ensure accurate coding to maximize reimbursement and minimize claim denials. Work closely with physicians, nurses, and other healthcare professionals to clarify diagnoses and procedures as needed. Maintain compliance with federal, state, and payer-specific coding guidelines and regulations. Assist in identifying coding discrepancies and resolving coding-related issues. Participate in audits and quality improvement initiatives to ensure coding accuracy and compliance. Stay updated with changes in coding standards, guidelines, and regulations through continuous education and training. Utilize electronic health records (EHR) and coding software to efficiently code and process patient information. Audit accounts for documentation completeness. Provide education to providers on accurate documentation and coding. Serve as a back up to assist with denial and patient complaints as related to coding Perform regular review of the DNFB and ATB Other department functions as deemed necessary REPORTS TO: Manager of Health Information Management SUPERVISES: None QUALIFICATIONS: Strong understanding of medical terminology, anatomy, and disease processes. Experience with electronic health records (EHR) and coding software. Excellent analytical, problem-solving, and communication skills. Ability to work independently and maintain a high level of accuracy. Experience/Specialized Skills: Minimum of 3-5 years of medical coding experience, preferably in a hospital setting. Proficiency in ICD-10-CM, CPT, and HCPCS coding. Education/Course(s)/Training: Associate's or Bachelor's degree in Health Information Management, Medical Coding, or a related field preferred. Certification in medical coding (e.g., CPC, CCS, CCA, or RHIT) required. Preferred Certification/Registration: PHYSICAL DEMANDS: See Physical Demands worksheet
    $29k-43k yearly est. Auto-Apply 1d ago
  • Hospital Coder 2 (Experienced) - Health Information Management - Full Time

    Concord Hospital 4.6company rating

    Medical coder job in Concord, NH

    Reviews a variety of reports for clinical and demographic information, assigns appropriate ICD-10-CM diagnosis codes and/or CPT/HCPC procedure codes and enters this information into the electronic system for the purpose of maintaining a complete and accurate clinical data base. Production coding is primarily responsible for performing advanced coding of outpatient hospital services, including Emergency Department/Urgent Care encounters, Observation/IV administration, Outpatient in a Bed, Ambulatory Surgery, and Ancillary/Recurring accounts. This role ensures accurate, complete, and compliant assignment of ICD-10-CM, CPT, and HCPCS codes in accordance with AMA, CMS, and official coding guidelines. Audits provider documentation to ensure compliance with documentation and coding guidelines. Utilizes both manual and AI-assisted coding platforms to optimize accuracy, compliance, and throughput. Ensures data integrity for quality reporting, population health, and financial reimbursement purposes. Queries providers for clarifying documentation and other documentation as needed. Education Minimum: High school diploma or equivalent required. Preferred: Associate degree in Health Information Technology or related field. Certification, Registration & Licensure Required: Certified Coding Specialist (CCS), Certified Coding Specialist Physician (CCS-P), Certified Inpatient Coder (CIC), or Certified Outpatient Coder (COC) (AHIMA or AAPC). Preferred: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT). CPC credentialed coders with hospital-based experience may be considered. Experience Minimum 1 year of recent hospital coding experience required. Responsibilities Analyze electronic medical record to identify all episodes of care, extracts demographic and clinical documentation and applies accurate codes based on ICD-10-CM/AMA guidelines, Concord Hospital policies, and CMS local/national coding rules. Processes work to meet or exceed departmental productivity and quality targets, consistent with industry standards. Demonstrates competency to perform role by completing yearly competency testing related to a combination of organizational compliance education, departmental operations and regulatory coding standards. Uses encoder (3M) with Coders Desk Reference, CPT Assistant, and AHA Coding Clinics reference tools to enhance standardization, quality and consistency. Queries physicians when documentation is incomplete, unclear, or inconsistent, following CDI and query compliance guidelines. Prioritizes and manages daily work queues to support DNFB reduction and timely billing. Protects patient privacy and ensures data integrity in compliance with HIPAA and facility policies. Participates in internal/external audits and responds to coding denials or compliance reviews with appropriate documentation to support code assignment. Maintains continuing education and credentials by completing required CEU education focused on current knowledge of coding updates, regulatory guidance (CMS, AMA), and Coding Clinic releases. Review claim edits and front-end billing rejections in real-time to resolve coding issues and minimize delays in billing. Attend and contribute to coder education huddles, team meetings, coding update reviews, and training sessions via online platforms. Present a professional image in all virtual communications, meet deadlines, and maintain availability during scheduled working hours. Ensure workstations and remote systems function properly for virtual meetings, screen sharing, and communication platforms (e.g., Teams, Zoom, Outlook) to maintain active engagement with leads, peers, and auditors. Promptly follow established IT protocols to report and resolve any technical issues or software malfunctions. Demonstrate flexibility by coding in multiple outpatient areas (e.g., ED, ASC, radiology, recurring therapies) based on department needs. Collaborates with Management, Coding Resource team, and IT to resolve coding/documentation-related workflow issues or barriers to work completion. Demonstrates a commitment to ethical coding practices, teamwork, and continuous improvement. Knowledge and Skills Solid understanding of official coding guidelines, including CPT, HCPCS, and ICD-10-CM, and how they apply to outpatient coding workflows. Strong grasp of medical terminology, human anatomy, disease processes, pharmacology, and the interpretation of clinical test results. Ability to adapt quickly and master complex coding scenarios often encountered in academic or multispecialty healthcare settings. Familiarity with outpatient reimbursement methodologies, including the Outpatient Prospective Payment System (OPPS) and associated regulations. Comfortable using modern coding tools, such as encoder software, AI-assisted coding platforms, and coding reference applications. Skilled in written and verbal communication, with the ability to collaborate across teams in a virtual, hybrid, or remote environment. Highly organized and detail-oriented, with strong critical thinking and analytical abilities for interpreting provider documentation accurately. Proficient in Microsoft Office tools like Outlook, Word, and Excel, particularly for documentation, data tracking, and team collaboration. Able to work independently with minimal supervision, maintaining high performance and productivity standards in a remote setting. Willing to work flexible hours, including weekends or evenings if needed, to support business needs and workflow turnaround times. Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at ************. Physical and Work Requirements The physical demands and characteristics of the remote or hybrid work environment described here are representative of those that may be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. This position is classified as SEDENTARY per the Dictionary of Occupational Titles. It primarily involves prolonged periods of sitting while using a computer and engaging in virtual communication platforms. The employee may occasionally be required to lift or carry items weighing up to 10 pounds, such as reference materials or office equipment. While performing the duties of this job, the employee is regularly required to: Sit at a desk or workstation for extended periods. Perform repetitive tasks involving keyboarding and data entry. Use auditory and visual perception to interpret documentation, communicate via headset or video calls, and navigate electronic systems. Occasional physical movements may include reaching, bending, or standing briefly. Specific vision abilities required include close vision, peripheral vision, depth perception, and the ability to adjust focus to digital screens. The noise level in a remote setting is typically quiet. Employees are expected to provide a work environment conducive to focused, uninterrupted tasks, with minimal background distractions when participating in meetings or collaborative virtual sessions.
    $42k-77k yearly est. Auto-Apply 58d ago
  • Medical Records Specialist

    Jeffrey S. Glassman

    Medical coder job in Boston, MA

    Job Description We are seeking a detail-oriented Medical Records Specialist to join our values- driven personal injury firm. The ideal candidate has experience with medical terminology, strong organizational skills, and the ability to work in a fast-paced legal environment. Responsibilities: Request, track, and obtain medical records and bills from providers Review and organize records; identify missing documents Summarize treatment and prepare medical/billing reports for attorneys Maintain accurate logs and upload documents into the case management system Communicate with clients, providers, and staff Qualifications: High School Diploma or equivalent work experience required 2+ years of experience in a personal injury law firm or medical office Knowledge of medical terminology and HIPAA regulations Strong attention to detail, communication skills, and follow-through Proficiency with case management software and Microsoft Office Perform other duties as assigned Benefits: - Competitive salary based on experience - Paid time off and holidays -Medical Insurance -401k -Public transportation reimbursement
    $32k-41k yearly est. 3d ago
  • Medical Records Specialist w/HRD-FT

    Enhabit Inc.

    Medical coder job in Andover, MA

    Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative. At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include: * 30 days PDO - Up to 6 weeks (PDO includes company observed holidays) * Continuing education opportunities * Scholarship program for employees * Matching 401(k) plan for all employees * Comprehensive insurance plans for medical, dental and vision coverage for full-time employees * Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees * Flexible spending account plans for full-time employees * Minimum essential coverage health insurance plan for all employees * Electronic medical records and mobile devices for all clinicians * Incentivized bonus plan Responsibilities Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned orders, 485's, and other key documents. Ensure documents are saved to the patient medical record. Qualifications Education and experience, essential * Must possess a high school diploma or equivalent. * Must have demonstrated experience in the use of a computer, including typing and clerical skills. * Must have basic demonstrated technology skills, including operation of a mobile device. Education and experience, preferred * Six months experience in medical records in a health care office is highly preferred. Requirements * Must possess a valid state driver license * Must maintain automobile liability insurance as required by law * Must maintain dependable transportation in good working condition * Must be able to safely drive an automobile in all types of weather conditions * For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license. Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
    $32k-41k yearly est. Auto-Apply 25d ago
  • Medical Records Specialist

    Spire Orthopedic Partners

    Medical coder job in Peabody, MA

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

Learn more about medical coder jobs

How much does a medical coder earn in Scarborough, ME?

The average medical coder in Scarborough, ME earns between $29,000 and $60,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Scarborough, ME

$41,000

What are the biggest employers of Medical Coders in Scarborough, ME?

The biggest employers of Medical Coders in Scarborough, ME are:
  1. Maine Health/maine Mental Health Partners
  2. New England Life Care
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