17 cpc certified professional coder jobs found in Boston, MA

Job Description Senior Risk Coder Reports to: Manager, Risk Coding 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 Senior Risk Coder will be a part of an emerging coding team and coding service that performs retrospective and prospective risk coding reviews and completes provider training for a group of outpatient primary care practices across...

Job Description Certified Risk Coder Reports to: Manager, Risk Coding 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 performs retrospective and prospective risk coding reviews and completes provider training for a group of outpatient primary care practices...

Description: GENERAL SUMMARY/ OVERVIEW STATEMENT\:    The Coding Specialist reports to the Coding Manager and is responsible for correct coding of professional services and upholding compliance standards.   PRINCIPAL DUTIES AND RESPONSIBILITIES\:     The Coding Specialist I is required to\:   §  Perform coding and related duties using established Professional Billing Office and Coding Services policies in an accurate and timely manner.  Review medical documentation and system generated charges or paper encounter forms.  Appropriately assign CPT®, ICD-9/ICD-10, HCPCS II, and modifiers based on documentation and payor requirements. §  Demonstrate a commitment to integrating coding compliance standards into daily coding practices.  Identify, correct and report coding problems.  §  Maintain current knowledge of coding, compliance and reimbursement procedures.  Review current literature, newsletters, payor policy updates...

Job Description Medical Billing/Coding Specialist in Newton, MA Or client in the healthcare field is looking for a Medical Biller/ Coder to join their team! They are looking for a long term associate who is positive, driven, and dependable. The right candidate must have at least 3 years of experience in a medical billing environment. They must also have experience in Medical Coding. This is a DIRECT HIRE Opportunity, meaning that you will immediately be put on to the Company's payroll and benefits. *CPC/ CPC-A CERTIFICATION HIGHLY PREFERRED* Hours: Mon-Fri 9am-5pm (1 hour lunch) Pay: $22-27/hour Depending on Experience Qualifications for Medical Billing/Coding Specialist: * 3 years experience in a physician/billing environment * Strong understanding of medical terms, anatomy, and physiology * Familiarity with Modifiers * Strong attention to detail * CPC/CPC-A certification preferred but not required * Must be Fully Vaccinated * Must know how to Code Responsibilities for Medical...

Job Description The HIMS Coder Credentialed codes diagnoses and procedures as documented in each patient medical record according to ICD-10-CM classification system, and assigns the impairment and CMS 13 group codes. The position abstracts information from the medical record and enters into PATCOM and UDS Proware and establishes an accurate and comprehensive data base all within the JCAHO standards, professional and regulatory agency guidelines, UHDDS guidelines and our policies. Job code: 100544 Qualifications POSITION REQUIREMENTS AND ESSENTIAL JOB FUNCTIONS License or Certification: - RHIA or RHIT or CCS preferred Education, Training and Years of Experience: - Graduate of accredited Health Information Technology or Administration Program or completion of AHIMA Independent Study Program or completion of advanced coding classes in ICD-10-CM and CPT4 at an accredited college or vocational school preferred. Machines, Equipment Used: - General office equipment such as telephone,...

Job Description * POSITION SUMMARY * Responsible for accurately and efficiently assigning DRGs, ICD-10 diagnosis codes and ICD-10, CPT-4 and HCPCS procedure codes. Understands diagnosis-to-DRG grouping rules and related issues like Present on Admission and Hospital Acquired Conditions. * PRIMARY DUTIES AND RESPONSIBILITIES Employees are expected to work consistently to demonstrate the mission, vision, beliefs, core values and standards of behavior of the organization. * Identifies query opportunities and interacts with the physicians for answers. Responsible for accurately and efficiently assigning DRGs, ICD-10 diagnosis codes and ICD-10, CPT-4 and HCPCS procedure codes. * Acts with integrity and maintains strict coding ethics. * Mentors the OP coder / abstracters to further their development and round out their coding knowledge. * Works in concert with Clinical Document Improvement regarding documentation issues and trends and serves as a coding expert for the CDI specialists. *...

Job Description Job Title: Medical Coder Location: Providence, RI 02908 Duration: 6 Months contract Shift Timings: 8:30AM 4:30 PM JOB DESCRIPTION: * To review, evaluate and correctly interpret in patient and out- patient medical records and extract pertinent Diagnostic, procedural and demographic Information. * To maximize financial reimbursement through paper interpretation and application of HCFA, ICD-10, CM and CPT rules and regulations. * To maximize financial reimbursement through correct selection, sequencing and coding of diagnostic and procedural information * To bring questionable or poorly documented cases to the attention of the physician of record, Medical record director or Medical director for discussion, clarification and resolution. * To collaborate with and provide expert assistance to Medical Staff and Medical records staffing regarding Coding and other related issues. * To work closely with Billing unit staff to ensure appropriate internal control of data. * To...

Job Description Job Summary : The HIM Certified Coder reviews medical records and appropriately assigns Diagnosis and Procedure codes. Classification systems include ICD-9CM, CPT, HCPCS as well as other specialty systems as required by diagnostic category and current coding standards. All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD9 (ICD10 when applicable), AMA CPT and CMS coding guidelines. Specifications: High school graduation plus active certification as a Certified Coding Specialist (CCS) with evidence of additional education in Medical Terminology and Anatomy & Physiology required. . Minimum of 2 year's experience in a hospital inpatient or outpatient setting required. WIH - Internal Posting Period: REPOST: 4/19 - 4/28/2023

Job Description Primary Function The Certified (CCS) Coder is responsible for accurate coding of all outpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-9-CM/ICD-10-CM, ICD-10 PCS, 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 Hospital Association (Coding Clinic), ICD9, ICD10, 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. Specifications * Must have at least three (3) years hospital or surgical center coding experience within the last five years or be able to demonstrate facility coding competency through a pre-hire exam or be CPC certified. * Completion of classes in medical terminology, anatomy and physiology, ICD-9...

Job Description Primary Function The Certified (CCS) Coder is responsible for accurate coding of all outpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. * Classification systems include ICD-9-CM/ICD-10-CM, ICD-10 PCS, 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 Hospital Association (Coding Clinic), ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCSand 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. Specifications * Must have at least three (3) years hospital or surgical center coding experience within the last five years * Certification: This position requires certification as a Certified Coding Specialist (CCS) and five (5) years of compensatory experience. *...

Job Description SUMMARY: Under the general direction of the Coding Manager reviews visit documentation from Brown Medicine offices and hospital visits to determine all diagnoses and procedures; primarily focused on E&M levels, assigns the correct ICD10-CM, HCC and/or CPT code; adheres to accepted coding conventions. PRINCIPAL DUTIES AND RESPONSIBILITIES: * Reads and interprets health record documentation to identify all diagnoses and procedures that affect the inpatient/outpatient stay/visit using appropriate guidelines. * Assesses the adequacy of health record documentation to ensure that it supports all diagnoses and procedures to which codes are assigned. * Clarifies conflicting, ambiguous, or nonspecific information appearing in the record by initiating a query to the provider. * Evaluates notes with HCC coding initiatives in mind, advising manager if opportunities for maximizing score based on documentation exist. * Demonstrates the ability to recognize potential coding...

Job Description * POSITION SUMMARY * Responsible for accurately and efficiently assigning DRGs, ICD-10 diagnosis codes and ICD-10, CPT-4 and HCPCS procedure codes. Understands diagnosis-to-DRG grouping rules and related issues like Present on Admission and Hospital Acquired Conditions. * PRIMARY DUTIES AND RESPONSIBILITIES Employees are expected to work consistently to demonstrate the mission, vision, beliefs, core values and standards of behavior of the organization. * Identifies query opportunities and interacts with the physicians for answers. Responsible for accurately and efficiently assigning DRGs, ICD-10 diagnosis codes and ICD-10, CPT-4 and HCPCS procedure codes. * Acts with integrity and maintains strict coding ethics. * Mentors the OP coder / abstracters to further their development and round out their coding knowledge. * Works in concert with Clinical Document Improvement regarding documentation issues and trends and serves as a coding expert for the CDI specialists. *...

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description About the role: At Takeda, we are a forward-looking, world-class R&D organization that unlocks innovation and delivers transformative therapies to patients. By focusing R&D efforts on four therapeutic areas and other targeted investments, we push the boundaries of what is possible to bring life-changing therapies to patients worldwide. Join Takeda as an Associate Director, Global Medical Communications - GI where you will have a dynamic, strategic role within Global Medical Affairs that collaborates with cross-functional partners to oversee one or more disease areas/assets on a...

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description About the role: Join Takeda as an Associate Director, US Medical Communications - Gastroenterology (GI) where you will be a strategic partner of the US Medical Communications team responsible for supporting the development and execution of the medical communications strategy across the assigned therapeutic portfolio. You will also be involved in the medical communications Scientific Communication Platform (SCP) and Integrated Communication Platform (ICP) development, and content generation, which may include, but is not limited to, publications, scientific slide decks, field medical tools,...

Job Description Medical Biller Summary: Our healthcare client is hiring Medical Billers to work in their fast paced environment. This is a team-oriented position, working together with medical billers, administrators, and coders. Flexible hours, 8-hour shifts starting at 7, 8 or 9am. Medical Biller Responsibilities: · Research claims, process bills · Follow up on claims requiring appeals · Submit documentation to insurance companies as needed · Analyze AR reports · Follow up on unpaid claims · Resubmit unprocessed or returned claims to insurance companies · Create UB92 and HCFA bills Medical Biller Qualifications : · Possess excellent interpersonal skills · Experienced with third party billing · Ability to troubleshoot billing issues · Healthcare industry knowledge preferred Medical Biller Skills : · Strong technological skills · MS Office including Teams · Prior experience in medical billing software Company Description Moore Staffing, winner of ClearlyRated's Best of Staffing®...

Description Position at UMass Memorial Health Care   At UMass Memorial Health Care, Everyone is a Caregiver regardless of title. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health care system of Central and Western Massachusetts, and a place where we can help you build the career you deserve. We are more than 14,000 employees, working together as one health care system. And everyone, in their own unique way, plays an important part, everyday. Requisition #: 201380 Title: Lead Accounts Receivable Specialist I Department: Professional Billing Central Billing Office Grade: ADM6 Posting Date: Jan 2, 2020 Shift: Days Status: Non Exempt Union:  SHARE Hours: 40 hours Shift Length: 8 hours Location: UMass Memorial Medical Health Care – 306 Belmont St, Worcester, MA $1000 SIGN-ON OR REFERRAL...