18 certified profee coder jobs found

Title: Certified Risk Coder Reports to: Manager, Risk Coding Classification: Individual Contributor Location: Boston (Remote) Job description revision number and date: 2.0, 01.06.2025 Organization Summary Community Care Cooperative (C3) is a 501(c)(3) non‑profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast‑growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners. Job Summary The Certified Risk Coder will be a part of an emerging coding team and coding service that performs...

Position Summary Associate Director, Medical Science Liaisons (MSLs), Rheumatology (field-based). Reports to the Executive National Director, US MSLs. Key Responsibilities Identify, establish, and maintain relationships and dialogue with key opinion leaders and allied healthcare professionals (international/national/regional/local). Educate healthcare professionals on the company’s product portfolio. Serve as a regional medical/scientific resource and align external stakeholder needs with available company resources. Deliver educational resources and clinical information in response to established requests. Liaise with investigators to support clinical research (investigator-initiated and company-sponsored). Facilitate speaker development and training. Conduct timely, fair-balanced scientific exchanges with HCPs in a compliant, ethical manner for unsolicited product-related information requests. Lead, contribute to, attend, and provide scientific support at medical conferences...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. 9 days ago Requisition ID: 1096 Salary Range: $50,217.00 To $57,749.00 Annually Reports to: Director of Revenue Integrity Job description revision number and date: V 2.0; 5.11.2026 Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) non‑profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast‑growing organization founded in 2016 and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices in Massachusetts and across the country. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to...

Title: Outpatient Coder Reports to: Director of Revenue Integrity Classification: Individual Contributor Location: Boston, Hybrid Job description revision number and date: V 2.0; 5.11.2026 Organization Summary Community Care Cooperative (C3) is a 501(c)(3) non‑profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast‑growing organization founded in 2016 and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices in Massachusetts and across the country. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners. Job Summary The Certified Outpatient Coder will be a part of an emerging coding team under the billing and...

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

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...

Title: Senior Outpatient Coder Reports to: Director of Revenue Integrity Classification: Individual Contributor Location: Boston, Hybrid Job description revision number and date : V 2.0; 5.11.2026 Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices in Massachusetts and across the country. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners. Job Summary: The Senior Certified Outpatient Coder will be a part of an emerging coding...

Title: Outpatient Coder Reports to: Director of Revenue Integrity Classification: Individual Contributor Location: Boston, Hybrid Job description revision number and date : V 2.0; 5.11.2026 Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices in Massachusetts and across the country. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners. Job Summary: The Certified Outpatient Coder will be a part of an emerging coding team under the...

Title: Certified Risk Coder Reports to: Manager, Risk Coding Classification: Individual Contributor Location: Boston (Remote) Job description revision number and date: 2.0, 01.06.2025 Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Quality Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners. Job Summary: The Certified Risk Coder will be a part of an emerging coding team and coding service that...

Medical Coding Specialist Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations. Essential Functions Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information. Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and...

Senior Medical Coding Analyst 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. 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...

Revenue Cycle - Medical Coder ASC page is loaded## Revenue Cycle - Medical Coder ASCremote type: Remotelocations: Quincy, MAtime type: Full timeposted on: Posted Todayjob requisition id: R-100367**Job Summary:**Shields Health Care Group is an independent, Massachusetts-based medical service provider with a national reputation for blending exceptional customer service with superior technology. Patients, partners and colleagues define our 30 + years of quality diagnostic services as a true mark of successful teamwork. Known for our advanced diagnostic imaging, we are a sought after provider – not only because of our technology but also because of our teamwork and tremendous opportunities for professional growth. The Medical Coder will accurately assign ICD-10 diagnosis codes and review CPT/HCPCS surgical procedure codes for accuracy, compliance, and proper reimbursement within the Ambulatory Surgical Center (ASC) setting. This role supports the ASC revenue cycle by ensuring compliant...

Title: Senior Outpatient Coder Reports to: Director of Revenue Integrity Classification: Individual Contributor Location: Boston, Hybrid Job description revision number and date: V 2.0; 5.11.2026 Organization Summary Community Care Cooperative (C3) is a 501(c)(3) non‑profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast‑growing organization founded in 2016 and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices in Massachusetts and across the country. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners. Job Summary The Senior Certified Outpatient Coder will be a part of an emerging coding team under the billing and...

Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations. Essential Functions -Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information. -Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies. -Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes. -Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials. -Utilize coding software, encoders, and electronic health record systems to facilitate the coding process. -Support coding compliance efforts by participating in coding...

JOB SUMMARY The Certified Coder is responsible for applying accurate diagnostic and procedural codes (ICD-10-CM, CPT, HCPCS) to patient health records to optimize reimbursement and ensure claims are submitted correctly. They are also responsible for managing and maintaining patient accounts as assigned by the Accounts Receivable Manager. This position works closely with internal and external customers to resolve unpaid claims, insurance discrepancies, and patient balances through timely and accurate follow-up. The goal of this role is to maximize reimbursement, ensure correct insurance payments, and uphold the principles of the "Flawless Reimbursement" system. RESPONSIBILITIES Coding Review patient records for completeness, documentation accuracy, and proper signatures. Apply ICD-10-CM, CPT, and HCPCS codes to ensure accurate claims and optimal reimbursement. Analyze provider documentation to assign correct Evaluation & Management (E&M) levels; query physicians when...

Professional Surgical Coder I 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...

If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-21350 Facility: LOC0014 - 549 Columbian Street549 Columbian StreetWeymouth, MA 02190 Department Name: SHS Physician Services Admin Status: Full time Budgeted Hours: 40 Shift: Day (United States of America) 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...

Why Join Our Team?At New York Cancer & Blood Specialists (NYCBS), we are dedicated to making a difference in the lives of our patients, their families, and our communities. Our passionate team of expert oncologists, hematologists, and healthcare professionals work together to provide world-class cancer care close to home. By offering cutting-edge treatments, innovative research, and a patient-centered approach, we are redefining what’s possible in the fight against cancer and blood disorders.If you want to be part of a growing organization committed to healing, hope, and advanced care, join us and help make a meaningful impact!Job Description:Certified Medical Coder- (On-Site)Location: Shirley, NY (5 days a week)Organization: New York Cancer & Blood Specialists (NYCBS)In This Role, You Will:Running daily reports for incomplete physician charges and notes for review.Once appropriately reviewed throughout the day you will send correspondence to providers on items for...