202 jobs found

Job Title Help Job Description 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.

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...

and the job listing Expires on August 21, 2026 Full-Time Job Accounting, Data Analytics, Economics & Finance Calibre is an established and growing public accounting firm with a 80-year history in the Washington DC, NY, IL and CA markets. We are dedicated to providing the best possible working environment, including a commitment to the personal and professional growth of our employees. It is our goal to cultivate our employees and give them a variety of resources to develop and grow into a career at Calibre. Calibre CPA Group is seeking a Payroll Compliance Auditor to work in the firm’s Payroll Compliance Audit department. This position involves analyzing and reviewing payroll, tax, and personnel records to determine employer compliance with collective bargaining agreements. Our Compliance Auditors are responsible for creating and submitting reports of audit findings to fund administrators on a variety of employee benefit plans. This exciting entry-level opportunity involves...

Sturdy Memorial Hospital in Attleboro, MA is seeking a Charge Entry/Biller for a full-time position within the Revenue Cycle team. You will be responsible for entering, reviewing and modifying daily charges and handling billing questions from physicians and staff. The ideal candidate has 1–2 years of medical billing experience, excellent written and oral communication, and knowledge of ICD-10 and CPT coding guidelines. #J-18808-Ljbffr

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor 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. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

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...

Signature Performance is seeking an Inpatient Professional Fee, Profee Medical Coder to join our remote team. This role focuses on accurate E/M coding, ICD-10-CM/PCS, CPT and HCPCS coding for inpatient encounters, ensuring compliant documentation and optimal reimbursement. The ideal candidate has 2+ years of professional fee coding experience, AHIMA or AAPC credentials, and proficiency with EHR systems. This is a nationwide remote position with standard CST hours and competitive compensation. #J-18808-Ljbffr

Public Safety Operations Supervisor.Assists in the planning and organizing of effective delivery of security services to the medical center.Ensures customer satisfaction in the Public Safety Depart... Show more $51.50 hourly Full-time Site: The Brigham and Women's Hospital, Inc.Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts... Show more $115,000.00 yearly Full-time Primarily responsible for providing effective safety management services for all Region and Field employees by utilizing professional workplace safety problem-solving and relationship skills.Proact... Show more Full-time Supports Chief Medical Physicist and Radiation Safety Officer in Medical Physics and Radiation Safety compliance related activities at Boston University (BU) and Boston Medical Center (BMC).Assists... Show more Full-time Representing a leader in the industry, we are searching for an...

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

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...

Medical Biller  Eye Care Specialists is seeking a dependable, detail-oriented Medical Biller to join our growing ophthalmology and optometry practice. The ideal candidate will be organized, accurate, and comfortable working both independently and as part of a team. Responsibilities: Submit accurate and timely insurance claims Review claims for accuracy and proper coding Follow up on unpaid, rejected, and denied claims Investigate and resolve billing and payment discrepancies Post insurance and patient payments Work insurance accounts receivable and aging reports Verify insurance eligibility and benefits when needed Obtain prior authorizations and referrals as assigned Communicate with insurance companies regarding claim status and reimbursement Answer patient questions and assist with billing concerns Maintain accurate documentation and protect patient confidentiality Collaborate with providers and staff to resolve coding and documentation issues...

Job Description Summary 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.This is a hybrid position: 2 days onsite; 3 days remote option. Job Description 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...

The General Hospital Corporation in Somerville, MA is seeking a Senior Research Compliance Specialist to oversee and evaluate research activities for regulatory and ethical compliance. The role includes auditing projects, presenting findings, and guiding teams to maintain research integrity. Hybrid schedule with onsite work 2 days per week at Assembly Row, Somerville, MA or 125 Nashua Street, Boston, MA. Requires 3+ years of healthcare internal audit experience and a Bachelor’s in Healthcare #J-18808-Ljbffr

Inpatient Lead Coder - Remote 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...

Map Supervisor/Medical Care Coordinator Waltham House is the first residential group home designed specifically for LGBTQIA+ youth in New England. Its founding principles are that every child deserves to live in an environment in which they feel safe, respected, supported and cared for by those around them. The group home provides a safe and supportive living environment with 24-hour staffing for up to 12 gay, lesbian, bisexual, and/or transgender youth ages 1418. Many youth at Waltham House have experienced difficulty at home or in placement due to their gender expression or sexuality identities. How You Will Be Making a Difference Supervise all medication related and medical/psychiatry appointment related aspects of the program Participate in training new staff on MAP procedures and communicate/coordinate the MAP certification process Provide staff refresher trainings as needed Collaborate closely with the program nurse Responsible for preparing for and managing the...

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 meetsand exceedsour 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...

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.

Associate Director/Medical Director, Clinical Development Climb Bio is a clinical-stage biotechnology company developing therapeutics for patients with immune-mediated diseases. Our product candidates include budoprutug, an anti-CD19 monoclonal antibody that presents us with an exciting opportunity given its broad potential applicability across a number of B-cell mediated diseases, including systemic lupus erythematosus, immune thrombocytopenia, and membranous nephropathy and CLYM116, an anti-APRIL monoclonal antibody in development for IgA nephropathy. At Climb Bio, our team has a knack for seeing what no one else seesand a drive to achieve results no one expects. We believe that our combined strength conquers any summit, and our core values Build Trust, Decide & Commit, Accelerate Impact, and Mark the Moment guide how we work, collaborate and innovate. They reflect our commitment to patients, each other, and the pursuit of transformative science. Reporting the Head of...

Associate Director, Medical Affairs Location: Cambridge, MA (100% Remote) Duration: 6 Months+ Possible Extension Pay Range: $100-$120/hr Manager Notes: Hybrid preferred. But remote candidates can also be considered. If Hybrid, expected to visit the office at least twice a week. No specific days, depends upon the requirement. High likelihood of further extensions beyond the given end date. Summary & Purpose of the Position Reporting to the Senior Director, Medical Affairs (Adult Cholestatic Diseases), the Associate Director, Medical Affairs, will support and oversee select medical affairs activities related to biliary atresia. This role will contribute to the U.S. medical strategy for elafibranor and the broader Medical Affairs plan for cholestatic diseases. Responsibilities include medical review of non-promotional and promotional content, information responses (in collaboration with Medical Information), scientific communications including poster presentations and...

UMass Memorial Health is seeking an Outpatient Coder II to interpret clinical documentation and assign ICD-CM and CPT codes for outpatient encounters across the hospital system. The role focuses on accurate coding, supports reimbursement, and requires close attention to detail. Responsibilities include verifying documentation, minimizing coding backlogs, participating in audits, and maintaining a high accuracy rate while working with billing teams. #J-18808-Ljbffr

UnitedHealth Group is hiring a Medical Coding Supervisor to remotely oversee a surgical coding team of eight coders, ensuring accurate, compliant coding across CPT, HCPCS and ICD-10 for diverse care settings. You will coordinate workflows, assign tasks, and liaise with clinicians to maximize revenue and maintain quality standards. This role requires leadership experience, strong communication, Epic proficiency, and a deep knowledge of coding regulations. #J-18808-Ljbffr

Job Information Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 (final offer may vary based on experience, skills, qualifications, and internal equity considerations) Schedule: Monday through Friday, 7:00 a.m. – 3:30 p.m. (1 – Day Shift, 8 Hours, United States of America) Hours: 40 per week Cost Center: 99940 – 5470 ED Coding and Revenue Capture Sign‑off: This position may have a signing bonus available. A member of the Recruitment Team will confirm eligibility during the interview process. Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Major Responsibilities Upon review of the medical record, perform analysis on documentation, which includes review of tests/reports to determine the appropriate ICD‑CM (current edition) and/or CPT codes as well as modifiers. Based on account type, may assign ICD‑PCS codes, as defined by official coding guidelines and other recognized...

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...

Calibre CPA Group is seeking a Payroll Compliance Auditor to join the Payroll Compliance Audit team in Chicago, IL. The role travels to client sites in the Chicago metropolitan area, conducts payroll and contract audits, and supports report creation for fund administrators. The position is based in Chicago with travel as needed, offering benefits such as health and vision insurance, a 401(k) and profit-sharing plan, and generous PTO. Expires August 21, 2026. #J-18808-Ljbffr