29 primary coder jobs found

Coder, Physician Medical | Boston Childrens Hospital Performs complex ICD-10 and CPT review and validation or ASA coding for assigned primary or medical departments. Establishes and maintains working relationships with Physicians in order to resolve specific case issues, as well as general questions and or principles. Participates in coding and reimbursement training programs. Provides instruction and education to staff on accurate charge entry and medical record documentation. Develops and maintains professional skills and up to date knowledge of regulatory and compliance issues related to coding, documentation and billing. Participates in professional organizations and reviews current literature. Stays current on all coding and reimbursement rules, regulations, trends and new developments. Maintains credentials and certifications for CPC on an annual basis.

Claris Vision is seeking a Billing Specialist in Dartmouth, MA to handle paper and electronic claims for primary and secondary payers. You will monitor aging, respond to inquiries, and work with payers and patients to resolve denials and balance accounts. The role requires an Associates degree, CPC/HIT certification, and 2–5 years in medical billing, with ophthalmology exposure preferred. This position emphasizes accuracy, HIPAA compliance, and collaboration with the billing director and team. #J-18808-Ljbffr

Opportunities with Reliant Medical Group, part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as a team member. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together. Position Details Location: 5 Neponset St. Worcester, MA Hours: Full Time; Exempt- Office based non-production roles are expected to be in the office 1-2 days/week Specialty: Radiology The Referral Coordinator Supervisor supports and manages a group of Referral Coordinator Coordinators and serves as functional supervisor for Referral Coordinator support staff. The Supervisor is the subject matter expert for the team, so...

Boston Children's Hospital is seeking a Primary Care Physician Medical Coder to validate and review charges across departments, ensuring accurate and compliant submissions. The role codes, sequences, and edits codes, while staying current with coding guidelines and payer requirements. You will collaborate with physicians, participate in training, and maintain CPC credentials, with a hybrid work schedule and comprehensive benefits. #J-18808-Ljbffr

Position Summary The Primary Care Physician Medical Coder performs coding validation and review of charges for assigned medical departments to ensure timely, accurate, and compliant submission of charges. This position assigns, sequences, validates, and/or edits codes for assigned medical departments and initiates, reviews, and/or edits physician queries when appropriate. The Coder maintains current knowledge of coding guidelines, regulatory requirements, reimbursement practices, and hospital policies to ensure accurate and compliant coding. Key Responsibilities Performs complex ICD-10 and CPT/ASA coding review and validation for assigned medical departments. Reviews and validates physician charges to ensure accurate and compliant billing. Establishes and maintains working relationships with physicians to resolve coding, documentation, and case-related questions. Participates in coding and reimbursement training programs and provides education to staff on accurate charge entry...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. 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...

Title: Outpatient Coder Reports to: Director of Revenue Integrity Classification: Individual Contributor Location: Remote 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 multi-service organization 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 fulfill two primary business functions for the FQHCs we work with. First, we are an FQHC-led accountable care organization (ACO); second, we are a Management Services Organization (MSO) for FQHCs. As an ACO, we negotiate value-based payor contracts on behalf of our FQHCs, hold and operate those contracts (including fulfilling many compliance, financial management, and population health management functions), and maximize the return to FQHCs of any incentive dollars earned. We are proud to be the...

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...

Outpatient Coder IThe Outpatient Coder I reviews and abstracts ICD-10 codes per the outpatient coding guidelines. Reviews CCI and LCD/NCD edits for all lab accounts.Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high‑risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Primary Duties And Responsibilities Communicates directly with physicians to ensure that clinical documentation is coded...

Job title: Associate Director, Global Medical Affairs – Dermatology Location: Morristown, NJ About the Job The Associate Director, Global Medical Affairs – Dermatology will support the development and execution of global medical strategy across the Dermatology portfolio, with primary emphasis on Atopic Dermatitis (AD), the early-stage dermatology pipeline, and the Hidradenitis Suppurativa (HS) portfolio. The role will translate emerging science, clinical evidence, external expert insights, and cross-functional priorities into integrated medical strategies and high-impact execution. This individual will independently lead defined workstreams, partner closely with the Global Medical Lead, and help shape evidence generation, scientific engagement, and future portfolio differentiation across both established and investigational programs. Join the engine of Sanofi’s mission — where deep immunoscience meets bold, AI-powered research. In R&D, you’ll drive breakthroughs that could...

The Outpatient Coder I reviews and abstracts icd-10 codes per the outpatient coding guidelines. Reviews CCI and LCD/NCD edits for all lab accounts. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. PRIMARY DUTIES AND RESPONSIBILITIES: Communicates directly with physicians to ensure that clinical documentation is coded timely,...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate...

Job Description - Referral Supervisor - Radiology - Reliant Medical Group (2394287) Referral Supervisor - Radiology - Reliant Medical Group - 2394287 Improve the lives of others while Caring. Connecting. Growing together. Opportunities with Reliant Medical Group, part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as a team member. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together. Location: 5 Neponset St. Worcester, MA Hours: Full Time; Exempt- Office based non-production roles are expected to be in the office 1-2 days/week Specialty: Radiology The Referral Coordinator...

Title: Outpatient Coder Reports to: Director of Revenue Integrity Classification: Individual Contributor Location: Remote 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 multi-service organization 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 fulfill two primary business functions for the FQHCs we work with. First, we are an FQHC-led accountable care organization (ACO); second, we are a Management Services Organization (MSO) for FQHCs. As an ACO, we negotiate value-based payor contracts on behalf of our FQHCs, hold and operate those contracts (including fulfilling many compliance, financial management, and population health management functions), and maximize the return to FQHCs of any incentive dollars earned. We are proud to be the market leader in the...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate...

Who We Are: The Revenue Integrity Department at the Elliot Hospital is responsible for the medical coding of our hospital and professional providers. We take pride in our work and observe best practices to ensure accurate, optimal coding. If you are a credentialed coder with strong coding skills, can work in a dynamic and changing environment, and are seeking a change, please consider Coding with our team. About the Job: The Hospital Inpatient Coder is responsible for accurately assigning ICD-10 and DRG codes to hospital inpatient services in accordance with current coding guidelines, payer requirements, and regulatory requirements. This role supports the integrity of clinical documentation and ensures timely, compliant coding to facilitate optimal reimbursement and minimize denials. The Hospital Inpatient Coder collaborates with providers and coding leadership to resolve coding discrepancies, contribute to quality improvement efforts, and uphold organizational goals related to...

Are you an experienced Medical Billing Specialist interested in working for the premier, privately-owed women's health practice in the Greater Springfield, MA area? Would you like to join the billing department team of a successful Ob/Gyn group with an excellent provider group, strong management team, and amazing support staff? If you answered yes, we invite you to apply to BOGG! (Baystate Ob/Gyn Group, Inc.) Job Summary The Billing Specialist plays a crucial role in supporting efficient medical billing workflows and maintaining the financial integrity of BOGG.This position is responsible for accurately processing medical claims from start to finish within the electronic medical record (EMR) and practice management systems.Key duties include reviewing clinical documentation, ensuring accurate ICD-10 and CPT coding (specifically in Ob/Gyn), verifying payment postings, resolving claim denials, assisting patients and staff with billing inquiries, and ensuring compliance with...

DEFINITION / PRIMARY FUNCTIONThe Senior Coder / Abstractor (remote) codes inpatient records and / or outpatient records using commonly accepted classificationsystems and abstracts the information into the coding software or EMR abstracting.POSITION QUALIFICATIONS (Minimum qualifications are required unless stated otherwise.)Experience :Two years of experience in coding with ICD-10-CM, ICD-10-PCS required.Experience in outpatient coding, or willingness to learn outpatient coding including CPT-4 and HCPCS required.Experience using coding software and EMR required.Previous coding in a teaching facility preferred.Education and Training :High School Graduate, advance education in medical terminology, anatomy and physiology, and pathophysiology are all required.Completion of a medical coding program required.License, Certification & Registration :CCSHRR - Certified Professional Coder-Hospital.Other Requirements :Ability to code all inpatient record types i.e.med / surg, behavioral...

Job Description About the role: Join Takeda as an Associate Director, US Medical Ad/Promo Regulatory Review where you will serve as an internal expert on FDA regulations, guidance, and enforcement trends governing the promotion of prescription drug and biologic products. You will also provide regulatory strategic oversight for at least one complex product or therapeutic area/multiple products to help ensure regulatory compliance of promotional materials generated for assigned US products and compounds. You will report to the Director, US Medical Ad/Promo Regulatory. This is a remote role. How you will contribute: Understand and interpret complex issues in relation to regulatory requirements and promotional strategy. Mentor and help develop staff. Supervises, trains and provides technical and regulatory guidance to staff. Serve as the chair of promotional review meetings and assist Commercial with the planning and prioritization of proposed promotional and disease state...

Job Description Job Description Benefits: 401(k) Health insurance Paid time off About Us: We are a growing Interventional Pain Management practice dedicated to providing compassionate, comprehensive care to our patients. Our team thrives in a fast-paced, supportive environment with a strong emphasis on professional development and career growth. Position Overview: Premier Pain Management is seeking an experienced, organized, and dependable Medical Receptionist Supervisor to oversee daily front desk operations, coordinate patient referrals, and manage insurance prior authorizations. The ideal candidate will have strong leadership skills, excellent communication abilities, and extensive knowledge of medical office procedures, insurance verification, referrals, and authorization requirements. This individual will serve as the primary point of contact for front desk staff, ensure efficient patient flow, maintain accurate scheduling, and work closely with...

Pharmacy Supervisor- Baystate Franklin Hospital- Pharmacy Baystate Health Careers Department: Pharmacy Location: Baystate Franklin Medical Center, Greenfield MA Job Type: Salary, full time Make an Impact with Baystate Health Baystate Health is seeking a Pharmacy Supervisor to join our Pharmacy at Baystate Franklin Medical Center in Greenfield, Massachusetts . Schedule Details Job Type: Full time- Hours: 40 Schedule: Days Required Work Experience: 3 years leadership 5 years preceptor/educator experience Required Education: Licensed Pharmacist Doctorate The Pharmacy Operations Supervisor will be an expert in pharmacy operations and medication-use systems. This leadership position will be primarily responsible for supporting pharmacy operations, staffing and scheduling, personnel management (pharmacists, technicians, and interns) and training across all shifts at Baystate Medical Center. The Supervisor will work with the front-line staff and use data and...

Job Description About the role: Join Takeda as an Associate Director, US Medical Ad/Promo Regulatory Review where you will serve as an internal expert on FDA regulations, guidance, and enforcement trends governing the promotion of prescription drug and biologic products. You will also provide regulatory strategic oversight for at least one complex product or therapeutic area/multiple products to help ensure regulatory compliance of promotional materials generated for assigned US products and compounds. You will report to the Director, US Medical Ad/Promo Regulatory. This is a remote role. How you will contribute: Understand and interpret complex issues in relation to regulatory requirements and promotional strategy. Mentor and help develop staff. Supervises, trains and provides technical and regulatory guidance to staff. Serve as the chair of promotional review meetings and assist Commercial with the planning and prioritization of proposed promotional and disease state...

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...