29 certified professional coder jobs found in Boston, MA

Job Type: Regular Time Type: Full time Work Shift: Day (United States of America) FLSA Status: Non-Exempt When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. With oversight from the department Manager and exercising independent judgment within the scope of their professional practice, the Certified Professional Coder performs a variety of tasks associated with coding physician and other provider charges, and providing coding education to providers in that area. Duties include hands-on documentation review, surgical coding of physician or other qualified healthcare provider services. Coding of inpatient and outpatient Evaluation and Management by assigning the appropriate CPT, ICD-10-CM and HCPCs codes. Job Description: Essential Duties & Responsibilities including but not limited to: Coding Responsibilities: Provides review and/or coding of any professional services including...

Job Type: Regular Time Type: Full time Work Shift: Day (United States of America) FLSA Status: Non-Exempt 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 direction of the Hospital Coding Manager or Supervisor, and exercising independent judgment within the scope of the job, the Hospital Inpatient Coder II assigns applicable ICD-10 Codes, Present on Admission (POA), Hospital Acquired Condition (HAC), and Patient Safety Indicators (PSI) using current industry standards, the Official Coding Guidelines, Coding Clinic, UHDDS and regulatory requirements. Ensures the integrity and quality of patient data to achieve minimal variation in coding practices; assigns codes only as supported by physician/licensed independent practitioner (LIP) documentation within the body of the medical record. Applies in-depth knowledge of medical terminology and anatomy and physiology specific to coding. Job...

Job Description Job Description Seeking a Claims Reconsideration Coder for a temporary to permanent hire position with a prestigious insurance company in RI. This position is immediately available for the successful candidate. Experience is preferred; however, consideration will be given to newly certified applicants who have passed the certification exam and can present their certification number. This is a full-time position working 37 1/2 hours weekly, on site, and offers a comprehensive benefits package when/if hired permanently. Responsibilities include, but are not limited to: Responsible for all aspects of Claim Reconsideration Requests and Contracted Provider Administrative Appeals including reviewing, resolving, adjusting, and development of written communication to providers Independently abstract and interpret of all medical notes required to determine if the services billed are supported for reimbursement using current industry standard coding, CMS guidelines,...

Job Posting Description The Physician Billing Coder oversees the department's revenue integrity process by managing coding work queues and reviewing registration and charge interfaces. The role includes auditing clinical documentation, billing, and payment records to ensure compliance with medical records and coding standards. The coder assesses coding accuracy and risk, prepares reports, and provides feedback based on audit findings. They also work with staff and physicians to identify issues and suggest improvements for the revenue cycle process. Principal Duties and Responsibilities Selects then follows established protocols and selects and reviews a percentage of records to assess coding documentation, billing, and/or reimbursement practices for compliance with all regulations of federal and state agencies and third-party payors and hospital policy. Review the department coding work queues, ensuring that all physicians are accounted for on the community hospital...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Become a part of our caring community and help us put health first The Supervisor, Medical Coding confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions are typically related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates. Ensures consistency in execution across team. Holds team members accountable for following established policies. Use your skills to make an impact Required Qualifications Bachelor's Degree or equivalent experience 4 - 6 years of billing and coding experience in a health care organization CPC (Certified Professional Coder) Certification required through AAPC or CSS Certification through AHIMA Preferred Qualifications...

Job Type: Regular Time Type: Full time Work Shift: Day (United States of America) FLSA Status: Non-Exempt When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Medical Coder will support the Medical Specialties Department at Beth Israel Deaconess Medical Center in Boston, MA. This is a full-time position and may have the opportunity to work remotely. Job Description: This position is responsible for the assignment of ICD-10-CM diagnosis and procedure codes and as appropriate, CPT-4. Essential Responsibilities: Reviews the complete electronic and paper medical record of discharged patients. Assigns ICD-10-CM diagnosis and procedure codes from documentation in the medical record, when indicated assigns CPT-4 procedure codes. Abstracts coded data and patient information into the coding abstracting system in use by BIDMC (information includes attending physician, surgeon, dates of...

JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) WORK MODEL/SALARY 100% Remote The pay range for this position is $32.02 (entry-level qualifications) - $49.63 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or...

**Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of America) **FLSA Status:** Non-Exempt **When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** Under general supervision of the IP Coding Manager and IP Coding Supervisor, the IP Coder the review of inpatient record and accurate, timely, and compliant assignment of ICD-10-CM and ICD-10-PCS codes to assure the correct MS-DRG, APR DRG, SOI assignment. **The IP coder will work closely with the Coding leadership, IP Coding Validators, and collaborates with Clinical Documentation Staff to assure coding uniformity, consistency and accuracy with ICD-10-CM, ICD-10-PCS, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. **The IP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding...

**Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of America) **FLSA Status:** Non-Exempt **When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** Under the direction of the Hospital Coding Manager or Supervisor, and exercising independent judgment within the scope of the job, the Hospital Inpatient Coder II assigns applicable ICD-10 Codes, Present on Admission (POA), Hospital Acquired Condition (HAC), and Patient Safety Indicators (PSI) using current industry standards, the Official Coding Guidelines, Coding Clinic, UHDDS and regulatory requirements. Ensures the integrity and quality of patient data to achieve minimal variation in coding practices; assigns codes only as supported by physician/licensed independent practitioner (LIP) documentation within the body of the medical record. Applies in-depth knowledge of medical terminology and anatomy and physiology specific to...

If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-18929 Facility: LOC0014 - 549 Columbian Street549 Columbian StreetWeymouth, MA 02190 Department Name: SHS Revenue Integrity Status: Full time Budgeted Hours: 40 Shift: Day (United States of America) Under experienced leadership committed to continuing education you will be part of a skilled Health Information Management team that codes more than 2,000 inpatient charts per month. The Coder II is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all inpatient cases. Using established department policies and procedures in conjunction with the current version of ICD-CM Classification for Hospitals, the Coder II will assign the most appropriate DRG. Coder II will utilize their experience and knowledge to determine the correct principal diagnosis,...

Job Description Job Description Duties and responsibilities 1. Philosophy a) Supports the center’s ideology, mission, goals, and objectives b) Performs in accordance with the center’s policies and procedures c) Follows the center’s standards for ethical business conduct d) Conducts self as a positive role model and team member e) Recognizes patients’ rights and responsibilities and supports them in performance of job duties f) Participates in center committees, meetings, in-services, and activities 2. Communication a) Communicates effectively and professionally with patients, visitors, physicians, and coworkers b) Interacts with others in a positive, respectful, and considerate manner 3. Financial practices a) Uses center resources appropriately and avoids wasteful practices b) Reports wasteful practices c) Analyzes work area and makes recommendations for potential cost-effective improvements 4. Compliance program a) Contributes to the progress and...

Signature Healthcare is Southeastern Massachusetts premier local provider of quality, personalized medical services. We are comprised of the award-winning not-for-profit Signature Healthcare Brockton Hospital; Signature Medical Group (SMG), a multi-specialty physician group of more than 150 physicians practicing in 18 ambulatory locations. We believe our distinctive Signature Healthcare team approach is the way healthcare should be: medical professionals across many locations communicating and collaborating, taking advantage of technologies and resources to make a difference in the lives and health of our patients. Position Summary: Under the general supervision of the Ambulatory Coding Manager, and the Senior Risk Coder, the primary function of this position is to ensure accurate documentation, coding (ICD10/CPT/HCPCS) and billing of service provided. Provides training, problem solving and performance monitoring for associates. Works with Senior Risk Coder and Team...

Join us at Holy Family Hospital Our two campuses in Methuen and Haverhill have a total of 320 beds, and we are a full-service, acute care hospital offering comprehensive inpatient medical/surgical units, outpatient care, and 24/7 emergency services. We have three behavioral health units: cardiac telemetry, and critical care service lines. Our Haverhill campus offers all private rooms, and our Methuen campus offers a new state-of-the-art catheterization suite and Joint Center of Excellence, named as a Blue Cross Blue Shield Blue Distinction+ Center for Knee and Hip Replacement. Position Summary: Summary: Serves as a team leader and resource for day-to-day coding operations. Reviews daily control reports, workload, coder assignments and coverage. Assists in reconciling coding and billing edits or other issues hat preclude timely billing. Responds to delays with outstanding queries, status changes, uncoded or incomplete charts. Assists with cross-training, denials...

$10,000 sign on bonus! Remote - MA, CT, RI, WY, NM, GA 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. Reports to: HIM Manager Manages: N/A Education/Training: Associate's degree required or Bachelor's degree required. Licenses/Certification: RHIA (Registered Health Information Administrator) and CCS or RHIT (Registered Health Information Technician) and CCS (Certified Coding Specialist). Required Qualifications and Skills: Minimum 2 years' experience coding inpatient records. 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,...

Reports to: Revenue Cycle Supervisor Manages: N/A Education/Training: High school diploma or equivalent Licenses/Certification: • CPC or AHIMA coding certification Working under the supervision of the Central Billing Department Supervisors will share the responsibilities of being accessible to physicians, staff and patients regarding billing questions; assures that all billing functions are completed in a timely fashion and develops billing goals. Responsible for accurately coding provider’s outpatient and inpatient visits based on the documentation provided and abstracting accurate and complete patient care data to ensure optimum and timely reimbursement. Applies knowledge of specialized information specific to coding and medical terminology according to all coding guidelines. Required Qualifications and Skills: Minimum of 1-2 years of medical billing experience in either charge, payment or follow-up work Minimum of 1-2 year of coding...

Medical Biller/ Coder Taunton, MA Hiring Now! Behavioral Healthcare Center with multiple locations seeks candidates to support billing for multiple services locations. Candidates must have ability to multitask and work well both independently and wit Medical Biller, Behavioral Health, Coder, Biller, Medical, Healthcare, Staffing

Join us for a Virtual Job Fair on Tuesday, February 25, 2025 from 12 PM to 2 PM EST! Chat with a recruiter and get assistance on applying to patient care roles specifically in Connecticut and Massachusetts. Register today: https://uhg.hr/optum-ct-ma-event Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Coding specialist, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical...

Job Details Job Location Smithfield, RI - Smithfield, RI Position Type Full Time Education Level Undergraduate Certificate   Travel Percentage Occasional Job Shift Daytime Job Category Some Experience Description Location: Smithfield, RI. (On-site) Position Overview The Claims Reconsideration Coder (CRC) is a multidisciplinary Certified Professional Coder accredited through the American Academy of Professional Coders or Certified Coding Specialist accredited through American Health Information Management Association. This role will evaluate medical record documentation by abstracting the pertinent information that supports the services billed to allow a determination for payment or denial on claim submissions that meet the criteria for a medical note review. Relies on sound review methods applied to the content of the medical notes, benefits, payment policies, clinical medical policies, NCCI edits, CMS, coding manuals (CPT, HCPC, ICD-10), and other industry...

Become a part of our caring community and help us put health first The Supervisor, Medical Coding confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions are typically related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates. Ensures consistency in execution across team. Holds team members accountable for following established policies. Use your skills to make an impact Required Qualifications Bachelor's Degree or equivalent experience 4 - 6 years of billing and coding experience in a health care organization CPC (Certified Professional Coder) Certification required through AAPC or CSS Certification through AHIMA Preferred Qualifications...

JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) WORK MODEL/SALARY 100% Remote The pay range for this position is $32.02 (entry-level qualifications) - $49.63 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or...

*This is NOT a remote position* Job Summary: Responsible for accurate coding of outpatient and inpatient professional services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-9-CM, CPT, HCPCS as well as other specialty systems as required by diagnostic category. All work carried out in accordance with the rules, regulations and coding conventions of the American Association of Professional Coders (AAPC) ICD9 (and ICD10 when implemented), AMA CPT and CMS coding guidelines. As needed, Coders may assist and be a resource for data integrity for other employees who need clarification and assistance in coding. Duties and Responsibilities: Review medical records to identify procedures /diagnoses. Demonstrates a comprehensive, expert-level of knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-9-CM, (and ICD10...

Summary: Under the general supervision of the Coding Manager and according to established procedures, accountable for assignment of diagnoses and procedures using ICD10 CM/PCS and CPT Codes. Requires knowledge of all aspects of hospital coding and strong understanding of coding guidelines. Abstracts required data into hospital information system. Ensure records are coded in an accurate and timely manner. Interprets a wide variety of clinical and diagnostic documentation, including complex medical treatment to identify diagnoses, complications, comorbidities and procedures associated with inpatient care. Education: In addition to the skills normally obtained through completion of a High School education, a Bachelor or Associates Degree is with RHIT, RHIA, preferred. Licensure: Certified Coding Specialist (CCS) is required. Experience: Three years of experience as a hospital coder. Basic computer knowledge. Meditech experience helpful, 3M experience preferred. Extensive...