36 associate coder jobs found

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. 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. Job Description: Essential Duties & Responsibilities including but not limited to: Hospital Coding: Review the complete electronic...

Overview Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center—a 188‑bed, DNV‑accredited hospital in downtown Nashua with a Level III‑N trauma center, Level II Special Care Nursery, and Magnet® designation for nursing excellence—we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners and local practices. Foundation Medical Partners, our multi‑specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient‑centered care to thousands each year. What You’ll Do Review and analyze professional medical records, including office visits, hospital‑based professional services, and outpatient encounters. Assign accurate ICD‑10‑CM, CPT, and HCPCS codes. Apply appropriate...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. 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. Job Description: Essential Duties & Responsibilities including but not limited to: Hospital Coding: Review the complete electronic...

Coding & Compliance Auditor The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements. Compensation Pay Range: $73,000.00 - $104,400.00 Job Responsibilities Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process. Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC's, PCS and ICD-10-CM codes. Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection. Analyzes data to identify deficiencies,...

Ready to help us transform healthcare? Bring your true colors to blue. The Role The Clinical Appeals Nurse Reviewer facilitates, coordinates, and responds to provider appeals for denied services utilizing extensive clinical, regulatory, business, and coding knowledge. Collaborates with the Physician Review Units, Medical & Payment Policy Departments, Provider Service, Member Service and Claims Area to research and resolve provider claims appeals. The Team As an integral part of the Clinical Appeals team, the Appeals Nurse Reviewer will serve as a liaison and business expert for claims appeals. This role works collaboratively with Provider Service, Claims, Network Management, Physician Review, and Medical and Payment Policy teams. Key Responsibilities: Review appeals utilizing sound clinical judgement, medical policy, payment policy guidelines, pricing files, contractual obligations, and billing practices, all to appropriately adjudicate provider and facility claims appeals Use...

POSITION SUMMARY The Risk Adjustment Coder determines the appropriate ICD10-CM diagnoses codes based on clinical documentation that follows the Official Guidelines for Coding and Reporting and Risk Adjustment guidelines for risk adjustment and Hierarchical Condition Categories (HCC). Risk adjustment coding relies on ICD-10-CM coding to assign risk scores to patients. The incumbent reviews retrospective medical record documentation and ensures that the codes are appropriately assigned. The outcome will be documentation that accurately and completely captures the clinical picture/severity of illness/complexity of the patient while providing specific and complete information to be utilized in coding, profiling and outcomes reporting of both the facility and the physicians. The Risk Adjustment Coder utilizes standards of compliance, specifically in OP compliant query processes and clinical knowledge to identify opportunities and to achieve results. Also required is advanced knowledge...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Join us as a Medical Coder! Full Time 40 Hours - Remote Massachusetts Residents Only As a Medical Coder for TaraVista in Devens, 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 guidelines You 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 platform You will use the TruBridge encoder integration to review Medical Necessity edits and CCs, MCCs, coding order and DRG assignment. You will maintain current working...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Mass General Brigham (Enterprise Services) in Somerville, Massachusetts, is looking for a Medical Coder responsible for ensuring coding compliance, documentation accuracy, and adherence to all regulations. Candidates should have 2-3 years of experience and preferably hold a Certified Professional Coder credential. The role includes analyzing medical records, assigning appropriate codes, and maintaining high accuracy to minimize claim denials. A high school diploma is required, while an associate's degree is preferred. Join a diverse and equal opportunity employer. #J-18808-Ljbffr

Job Description Summary Under experienced leadership the Professional Surgical Coder I is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding. Using established department policies and procedures in conjunction with the current versions of ICD-10 and CPT-4, the Professional Surgical Coder I will determine the proper diagnosis, assign co‑morbidities and complications, secondary diagnoses and any HAC (Hospital Acquired Conditions) documented. As well as both E/M codes and procedure codes. The Professional Surgical Coder I is expected at South Shore Physician Ambulatory Enterprise to query providers when documentation requires clarification and he/she proactively works with medical leadership to address concerning documentation trends. The Professional Coder I works with direct support from and under the direction of the Billing and Coding Manager to...

Inpatient Lead Coder Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center's computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. Essential Responsibilities / Duties: Assists IP Coding Manager with assignment of work to Coders, analysis of the daily unbilled report, and follow-up on unanswered physician queries and missing documentation. Assists PFS in researching unbilled accounts and...

Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding and medical terminology commensurate with coding guidelines. Education/Training Associates required with Bachelor’s Degree preferred. Approved Coding Course completion Licenses/Certification RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist) required Required Qualifications and Skills Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate Proficiency in technology usage, including 3M encoder. Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology. Knowledge of ICD-10CM and ICD-10-PCS coding systems, guidelines, and...

Position Summary Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center’s computerized database, converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments to correctly submit the optimal reimbursement for each patient encounter coded. Assists the IP Coding Manager with administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. Essential Responsibilities / Duties Assists IP Coding Manager with assignment of work to coders, analysis of the daily unbilled report, and follow‑up on unanswered physician queries and missing documentation. Assists PFS in researching unbilled accounts and updating incorrect...

Astera Cancer Care is seeking a Certified Medical Coder to work on-site in Shirley, MA, 5 days a week. The role involves running reports for incomplete charges, assigning accurate ICD codes, and ensuring compliance with guidelines. Candidates must hold a CPC certification and an associates degree, along with experience in the healthcare field. The position offers a starting salary of $27/hr, health insurance from day one, and generous PTO. #J-18808-Ljbffr

South Shore Health System in Weymouth, MA is hiring a Professional Coder I to ensure accurate coding for outpatient and inpatient procedures. You will analyze medical documentation, assign diagnostic codes, and work collaboratively with healthcare providers to clarify information. The role demands strong analytical skills and requires certification as a Certified Professional Coder or Certified Coding Specialist. Ideal candidates will have an Associate's Degree and prefer candidates with 2-3 years of surgical practice experience. #J-18808-Ljbffr

Massachusetts Health Information Management Association in Worcester seeks a Coding Specialist responsible for accurate coding and recording of patient care data. Applicants must have an Associate’s degree (Bachelor’s preferred) and possess certifications such as RHIA, RHIT, or CCS. The position requires a self-starter with knowledge of ICD-10 coding, medical terminology, and proficiency in technology, including 3M encoder. Salary ranges from $28.32 to $43.45 per hour. #J-18808-Ljbffr

Westboroughbehavioral is seeking a Medical Office Coder to join their team in Westborough, Massachusetts. This per diem position requires the coder to accurately assign medical codes for billing purposes, perform audits, and ensure compliance with coding regulations. Applicants should have a High School degree and an Associate's Degree or Certificate in Medical Coding/CPC, alongside at least one year of coding experience, preferably in psychiatric services. The role offers benefits like 401K, medical, dental, and vision coverage. #J-18808-Ljbffr

Position Summary The Physician Specialty Coder works independently to manage complex coding review, validation, and charge submission processes for assigned specialty departments. This role ensures accurate and compliant ICD-10, CPT, and or ASA coding while partnering closely with physicians, billing teams, and operational staff to resolve coding and reimbursement issues. The position also serves as a resource for coding guidance, documentation improvement, and workflow optimization to support timely and accurate reimbursement. Key Responsibilities Perform complex ICD-10, CPT, and/or ASA coding review and validation for assigned specialty departments. Partner with physicians and clinical staff to resolve coding questions and documentation issues. Review and edit physician queries in compliance with hospital policies and coding standards. Collaborate with Billing teams to ensure timely and accurate charge submission and workflow completion. Provide education and training to staff on...

Description Established in 1972, Dermatology Associates of Concord is a leading Physician‑owned dermatology practice dedicated to providing exceptional care to our patients. The practice consists of 14 providers and has offices in Concord, Cambridge, and Waltham. We specialize in both medical and cosmetic dermatology, offering a comprehensive range of services to meet the diverse needs of our community. Our commitment to excellence, innovation, and patient satisfaction has established us as a trusted leader in dermatologic care. Our billing specialists are responsible for performing routine billing, collections, and accounting functions. Following up on insurance accounts by researching past‑due claims, contacting insurance companies, and assisting patients to coordinate benefits. Reconciling EDI files and posting insurance payments in our practice management software. Verifying claims and medical codes and coding‑based appeals with assistance from other team members, submitting...

0100 Mass General Brigham Incorporated is seeking a Medical Coder to ensure proper coding compliance, documentation accuracy, and adherence to coding guidelines. In this role, you will assign appropriate diagnosis and procedure codes to patient encounters based on documentation from physicians. Ideal candidates will have a High School Diploma or Equivalent, with a preference for an Associate's Degree in Medical Billing and Coding. A Certified Professional Coder credential from the AAPC is also preferred. #J-18808-Ljbffr

Medical Records Technician Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.