85 CPC jobs found

Location: Boston, Massachusetts, United StatesCompany: Community Care CooperativePosted: 2026-08-11Community Care Cooperative (C3) is seeking a Certified Outpatient Coder to join their coding team in Boston. This hybrid position involves reviewing ambulatory medical records for accurate coding of diagnoses and procedures, ensuring compliance with all guidelines.The ideal candidate has 3-5 years of outpatient coding experience, holds a CPC Certification, and is familiar with ICD-10 and CPT coding systems. This role offers the opportunity to contribute to the health and wellness of the community.#J-18808-Ljbffr

Community Care Cooperative (C3) is seeking a Certified Outpatient Coder to join their coding team in Boston. This hybrid position involves reviewing ambulatory medical records for accurate coding of diagnoses and procedures, ensuring compliance with all guidelines. The ideal candidate has 3-5 years of outpatient coding experience, holds a CPC Certification, and is familiar with ICD-10 and CPT coding systems. This role offers the opportunity to contribute to the health and wellness of the community. #J-18808-Ljbffr

UnitedHealth Group is seeking a skilled Medical Coder to work remotely from anywhere in the United States. You will code a variety of medical records using CPT, HCPCS, and ICD-10, prepare and transmit claims, and interface with providers and auditors to ensure accurate, compliant coding. The role requires 2+ years coding experience, CPC/ CCS-P/ CCS/ CPC-H credentials, and strong knowledge of government and payer guidelines. #J-18808-Ljbffr

CVS Health in New Hampshire is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit, ensuring coding accuracy and compliant documentation across medical, behavioral, transportation and other healthcare services. The role requires CPC certification, 3+ years of coding or auditing, and strong knowledge of CPT/HCPCS/ICD-10, CMS 1500/UB04, plus proficiency with Excel and Word. #J-18808-Ljbffr

Professional Surgical Coder IThe Professional Surgical Coder I is responsible for the accurate and timely assignment of ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. This role reviews clinical documentation, assigns appropriate diagnoses and procedures, identifies documentation gaps, and queries providers as needed to ensure coding accuracy, compliance, and optimal reimbursement. The Professional Surgical Coder I collaborates with physicians and leadership to support documentation improvement and maintain high-quality coding standards.Compensation Pay Range: $26.30 - $37.60Essential FunctionsAnalyzes patient medical records and interprets documentation to identify all diagnoses and procedures performed. Assigns proper ICD-10CM and CPT-4 diagnostic and procedural codes to charts and related records by reference to designated coding manuals and other reference material.Identifies any and/or all complications or comorbidities. Applies sequencing guidelines based...

Medical Coder, Per Diem (Hybrid Candidates Considered)Purpose of Position: To assign and group diagnoses, procedure and level codes based on medical record documentation in accordance with coding compliance, regulatory and reimbursement requirements. To ensure appropriate coding for case mix classification and expected reimbursement based on assigned diagnosis, procedure and level codes and reimbursement classifications as supported by medical record documentation. To enter diagnoses, procedure and level codes and patient demographic information into computer system.Description:Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources.Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information.Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and...

Job TitleDenials Management CoderJob PurposeResponsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.Duties and ResponsibilitiesRead and interpret insurance carrier EOBs.Review medical reports, verify coding.Resolve coding related denial.Make any necessary coding corrections.Generate replacement claims (electronic and paper)Research carrier specific coding policies.Review and interpret carrier NCD and LCD policies.Communicate any coding denial trends to coding manager.QualificationsCPC/COC certification AAPC or CCS certification from AHIMAMinimum one (1) year of coding...

Medical Coder and BillerChild Health Associates is looking for an experienced Medical Coder/Biller to join our Billing team! We're looking for someone with strong Evaluation & Management (E/M) coding experience who is detail-oriented, organized, and enjoys working collaboratively to support accurate coding, timely billing, and quality patient care.This is a full-time, on-site position based in our Auburn office.What You'll DoReview provider documentation and assign accurate ICD-10-CM, CPT, HCPCS, and E/M codes.Ensure coding is compliant with CMS guidelines, payer requirements, and current coding regulations.Submit and monitor insurance claims for timely reimbursement.Review documentation to ensure it supports the appropriate level of E/M services and identify opportunities for improvement.Research and resolve claim denials, coding edits, and payment discrepancies.Work closely with providers and staff to improve documentation and coding accuracy.Perform charge entry, payment...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 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: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture 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...

Job Title Denials Management Coder Job Purpose Responsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. Duties and Responsibilities Read and interpret insurance carrier EOBs. Review medical reports, verify coding. Resolve coding related denial. Make any necessary coding corrections. Generate replacement claims (electronic and paper) Research carrier specific coding policies. Review and interpret carrier NCD and LCD policies. Communicate any coding denial trends to coding manager. Qualifications CPC/COC certification AAPC or CCS certification from AHIMA...

Medical Coder/Biller – Full Time Child Health Associates is looking for an experienced Child Health Associates is looking for an experienced Medical Coder/Biller to join our Billing team! We're looking for someone with strong Evaluation & Management (E/M) coding experience who is detail-oriented, organized, and enjoys working collaboratively to support accurate coding, timely billing, and quality patient care. This is a full-time, on-site position based in our Auburn office. What You'll Do Review provider documentation and assign accurate ICD-10-CM, CPT, HCPCS, and E/M codes. Ensure coding is compliant with CMS guidelines, payer requirements, and current coding regulations. Submit and monitor insurance claims for timely reimbursement. Review documentation to ensure it supports the appropriate level of E/M services and identify opportunities for improvement. Research and resolve claim denials, coding edits, and payment discrepancies. Work closely with providers and staff to...

Child Health Associates in Auburn, MA is seeking an experienced Medical Coder/Biller to join our Billing team. The role focuses on accurate ICD-10-CM, CPT, HCPCS and E/M coding, timely claims submission, and collaboration with clinicians to support quality patient care. Ideal candidates have 2–3 years of coding and billing experience, CPC certification preferred, and proficiency with EPIC or similar EHRs. Strong attention to detail, communication, and ability to manage multiple priorities are #J-18808-Ljbffr

YO AI Labs is seeking experienced Medical Coders to contribute to an AI project by annotating medical records and ensuring accurate ICD-10 and CPT coding. You will review documentation, apply E/M guidelines, and provide expert feedback to improve dataset quality, with an emphasis on accuracy, compliance, and clear written and verbal communication. This remote contractor role requires meticulous attention to detail and the ability to work independently in a remote setting. #J-18808-Ljbffr

Birth Certificate RegistrarThe HIM Birth Registrar will work Monday-Friday (day shift). The HIM Birth Registrar will be responsible for managing the birth record preparation process by interviewing parents for correct information completing the legal birth record for all newborns born at the hospital obtaining and notarizing paternity papers when necessary and by maintaining birth data submitted to the state. 98 accuracy expected.Boston Medical Center (BMC) is more than a hospital. Its a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care BMC is committed to providing consistently excellent and accessible health services to all—and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a...

Billing Compliance Auditor III (Hybrid)Position Summary: Billing Compliance Auditor III (hybrid). Under general supervision performs audits of clinical documentation, physician billing and payment records and applicable industry standard codes by analyzing medical records, coding records and health system bills validating clinical documentation in conjunction with the bill; assessing the level and accuracy of coding, determining that governmental and third party payer regulations are being complied with; and evaluating appropriateness of billing and coding procedures. Evaluates accuracy and risk level of coding and billing performance by individuals and clinical units. Prepare reports and provide individual and/or group instruction to physicians and others based on results of audit. Works collaboratively with appropriate personnel to identify and recommend strategies for process improvement and to develop and draft billing and coding policies for the CHB Foundations in coordination...

Boston Children’s Hospital is seeking a Billing Compliance Auditor III to perform audits of clinical documentation and billing records. The role is hybrid and emphasizes accuracy, compliance, and process improvement. The auditor will prepare reports, train staff, and help develop billing policies in coordination with CHB Foundations and Hospital leadership. Applicants should have a High School Diploma or GED, CPC or CCS-P certification, and at least three years of CPT/ICD-10 coding experience, #J-18808-Ljbffr

Elliot Health System is seeking a Professional Production Coder for its Professional Coding Services. The role focuses on coding CPT, HCPCS and ICD-10 for professional services to ensure accurate reimbursements and compliant documentation. You will interpret notes, collaborate with providers and coding leadership, and sustain a 95% accuracy rate through audits and quality assurance, leveraging your 2+ years of coding experience and appropriate credentials. #J-18808-Ljbffr

Job Title: Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets. No prior AI experience is required—your coding expertise and attention to detail are what matter most. Key Responsibilities Review and annotate medical records to accurately assign ICD-10 and CPT codes based on clinical documentation. Apply Evaluation & Management (E&M) guidelines to assess coding levels and validate healthcare datasets. Ensure compliance with current medical coding standards and guidelines. Analyze clinical documentation and identify coding-related ambiguities or inconsistencies. Provide expert feedback on coding guidelines, edge cases, and...

Senior Medical Coding AnalystCodaMetrix 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.Reporting to the Senior Manager, Medical Coding & Audit, as a Senior Medical Coding Analyst, this role will be a key member of the team responsible for ensuring that CodaMetrix meets—and exceeds—our customers' coding quality expectations. They will leverage 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...

Outpatient CoderWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Description:Under the general supervision of the Outpatient (OP) Coding Manager and OP Coding Supervisor, the OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing.Essential Duties & Responsibilities including but not limited to:Hospital Coding:Review the complete electronic and...

Join Us As A Medical Coder!Full Time 40 Hours - Remote Massachusetts Residents PreferredAs a Medical Coder for MiraVista in Holyoke, Massachusetts, you'll bring your experience and knowledge where your voice matters. A Medical Coder is an integral part of our multidisciplinary team.As a Medical Coder:You will code hospital and professional inpatient visits using the International Classification of Disease 10-Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) coding methodology in accordance with official coding and reimbursement guidelinesYou will work under the general supervision and reporting to the Director of HIM.You are responsible for professional CPT coding for Medicare and Medicare like payers.You will abstract all data elements into the WellSky EMR platformYou will use the TruBridge encoder integration to review Medical Necessity edits and CCs, MCCs, coding order and DRG assignment.You will maintain current working knowledge with all coding rules,...

Join Our Team at OptumOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and other charges for physicians and other providers of...

HIMS CoderSalary Min $23.90 Salary Max $42.49 Pay Basis Hourly Compensation is determined based on experience and applicable certifications.Description Medical HIMS Coder Full-Time career opportunity Valued for your Expertise in HIMS Coding Are you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your passion and values? Join our team where we believe in careers close to home and heart. Your role is vital in ensuring accurate coding of medical records, maintaining data integrity, and supporting healthcare efficiency. Translating medical information into standardized codes, you'll contribute to quality patient care. As a HIMS Coder, responsibilities include precise coding based on ICD-10-CM and CMS 13 group codes and maintaining compliance with regulatory guidelines and company policies. If you're eager to make a meaningful impact, explore this exciting opportunity with us where your expertise meets personal values.A Glimpse into Our...