18 specialty coder jobs found

Physician Specialty Coder | Boston Childrens Hospital At Boston Children's Hospital, the quality of our care and our inclusive hospital working environment lies in the diversity of our people. With patients from local communities and 160 countries around the world, we're committed to reflecting the spectrum of their cultures while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us and discover how your unique contribution can change lives. Yours included. Position Summary: The Physician Specialty Coder works independently to manage complex coding review, validation, and charge submission processes for assigned specialty departments. Specifically Surgical Coding. 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...

Community-Care-Cooperative is seeking a Certified Outpatient Coder in Boston, MA, who will review ambulatory medical records and ensure accurate coding. The role involves interaction with healthcare providers and adherence to coding guidelines. The ideal candidate will have 3-5 years of outpatient coding experience and knowledge of ICD-10-CM and CPT codes. Benefits include a competitive salary and the opportunity to be part of a growing organization focused on healthcare improvement. #J-18808-Ljbffr

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 credentialing...

Job Description Come work at the best place to give and receive care! Job Description: Preferred candidate locations in New Hampshire and Massachusetts ED coding experience required. Who We Are 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. About the Job The Coding Specialist –...

Medical Coder A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description Position Details: Client Direct Client Location Cambridge, MA Job Title Medical Coder Position Duration 9+ Months Must have skill-set [Job Description] Job Summary The Medical Coder is responsible for conduct of centralized medical coding activities. As part of the study management team (SMT), the Medical Coder works in partnership with the Clinical Data Project Manager (CDPM) and Clinical Programmer (CP) to ensure coding targets are identified during...

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....

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, 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...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

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

Job Description OBJECTIVES / PURPOSE Provides enterprise-level governance, portfolio and operational leadership for medical grants, medical education grants and sponsorships within Global Medical. Ensures that funding decisions are transparent, objective, well documented, aligned with enterprise Medical priorities, Therapeutic Area strategies, unmet scientific or educational need, patient-centric outcomes, and compliant with Takeda standards and applicable industry requirements. Establishes and maintains clear funding frameworks, decision criteria, review pathways, committee operations, documentation expectations, budget visibility, system/repository requirements and lifecycle oversight from intake through close-out. The role partners with Global Therapeutic Areas, regions, LOC Medical, Ethics & Compliance, Legal and Finance to define areas of scientific and educational interest, prioritize funding and enable consistent decision-making across geographies. Chairs and/or...

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 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. Position : Inpatient Lead Coder Department : Clinical Documentation Schedule : Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: Abiding by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adhering to...

locationsNorthborough, MAjob requisition idR24105177Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health?Exemption Status:Non-ExemptSchedule Details:Scheduled Hours:Shift:Hours:40Cost Center:This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.Everyone Is a CaregiverAt 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.Performs selected and delegated nursing tasks in the care of...

Job Title Health Information Management & Privacy Officer Job Description Under the general direction of the Corporate Director, Health Information Management & Privacy Officer provides leadership and technical support for ambulatory coding auditing and educating functions. Responsible for ensuring accurate diagnosis and procedure coding as well as providing documentation and coding related feedback and educational services to providers. Location: West Center Street, West Bridgewater, MA Department: Health Information This is a full-time 40 hour/ week position. Responsibilities Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment. Commits to recognize and respect cultural diversity for all customers (internal and external). Communicates effectively with internal and external customers with respect of differences in cultures, values,...

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...

Allegheny Health Network is seeking a Coding Supervisor to assist the Coding Manager in daily operations. You will supervise coders, manage workload, and participate in training while ensuring accuracy of ICD-10-CM/PCS and CPT/HCPCS coding. You will coordinate scheduling, payroll, and education for physicians, support special coding projects, and report on performance metrics to improve revenue cycle outcomes. #J-18808-Ljbffr

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 Office Coder Shift details: Per diem Job Summary: The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bills are satisfied in a timely manner. Essential Duties: Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims. Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10. Westborough...

Medical Office Coder Shift details: Per diem Job Summary: The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bill are satisfied in a timely manner. Essential Duties: Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims. Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10....