23 cpc certified professional coder jobs found in Boston, MA

**When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** **Job Type:** Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Based in Burlington, MA, the CPC Coder position has a fully remote working arrangement available. A Professional Certified Coder is a key role in our expansive Lahey Health Shared Services Group. As a Medical Coder you will utilize your accredited certified coding experience and education in a variety of tasks associated with coding physician charges. Do you have a high level of proficiency in the coding needs for ICD-9, ICD-10, and CPT coding of inpatient/outpatient professional charges? A Professional Certified Coder can be a great position for someone with hands-on coding, documentation review for internal and external audits, coding dictionary updates, rejections and denials, surgical coding, physician or other care provider education. We have a great...

About Steward Health Care Nearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability. As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world. Steward is among the nation's largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled...

JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for...

Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management, data...

Description: About Us As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research. We’re focused on a people-first culture for our system’s patients and our professional family. That’s why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees’ personal aspirations with projects that match their capabilities and creating a culture that empowers our managers...

72554BRJob Posting Title:Physician Medical CoderDepartment:Shared Service CenterAutoReqId:72554BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:FinanceJob Posting Description:We are a multi-specialty Coding Department for many of our Surgical Specialty Foundations at Boston Childrens Hospital. For our assigned Foundations, we perform full coding reviews (CPT, ICD-10-CM Diagnoses, Modifiers) and denial resolutions with the insurance carriers. This Physician Medical Coder will be responsible to: + Perform complex ICD-10 and CPT review and validation or ASA coding for assigned specialty surgeries for specific surgical foundations + Establish and maintain working relationships with Physicians in order to resolve specific case issues, as well as general questions and or principles. + Participate in coding and reimbursement training programs. Provide instruction and education to staff on accurate charge entry and medical record documentation. + Develop and maintain...

VUI since 2004 has been helping clients improve their business, environmental and social performance. We do this by applying innovative processes, market intelligence and fresh thinking. We provide advice and consulting services at strategic, policy and operational levels, concentrating on three key areas: Job Description Position: Fidessa Coder and Engineer, Location: Boston, MA. Duration: Full Time, Job Description:- Skills:- Fidessa Coder and Engineer *If you are comfortable with the position and location then please revert me back at the earliest with your updated resume and following details or I would really appreciate if you can call me back on my number.* Full Name: Contact Nos.: Current Location: Open to relocate: Availability: Work Permit: Current Company: Current Salary : Annual salary expectation: Email: Skype ID: Best time to call: Best Time for the Interview:- Total IT Experience [Yrs]:- Key Skill Set:- In case you are not interested, I will be very grateful if...

**** **DECIDE TO **MAKE A DIFFERENCE**** From our practices across the country to our headquarters in Boston, our team is privileged to make a difference in peoples lives every day. Were looking for people who want to do the same.

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 and coding manuals. §...

Job Posting Description The Professional Services - Cardiology will be responsible for: Retrieving daily schedules and booking lists; verifying that billing information has been downloaded and updated for procedures performed. Working with other Hospital staff to resolve any discrepancies in the schedule to ensure every service is accounted for. Following up on missing or incomplete information. Reviewing payor policies to ensure billing adheres to guidelines set by payors. Reviewing all providers coding on a daily basis to ensure accuracy and maximization of revenue. Utilizing information systems to process accurate medical billing, maximizing efficiency. Following-up with physicians, clinicians, fellows and residents on coding and documentation requirements as needed. Tracking coding issues by provider and providing educational materials as needed. Preparing coding for billing for the department, all areas of service including off site locations, in and out of patient areas....

Description: POSITION SUMMARY\: Reviews all surgical operative notes and medical documentation to ensure complete and accurate diagnosis and procedure coding using ICD 10 and CPT 4 coding classifications systems. Must be knowledgeable of all regulatory coding guidelines. ESSENTIAL FUNCTIONS\: Code information from the operative report and the surgical encounter form. Reviews and assigns correct codes in accordance with new ICD 10 guidelines, CPT & and CCI guidelines. Identifies and codes principal diagnosis and procedures using ICD-10 and CPT-4 with accuracy using the seventh digit specificity to include laterality. Validates and appends appropriate CPT modifiers for correct billing and reimbursement. Work all coding, claim & charge edits in the applicable work queues. Identifies and codes multiple diagnoses and procedures using ICD-10 and CPT-4 to ensure that all secondary diagnoses noted by the physicians are supported by the service...

**When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** **Job Type:** Per Diem **Scheduled Hours:** 0 **Work Shift:** Day (United States of America) 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 coding, documentation review, coding dictionary updates, rejections and denials, surgical coding, physician or other care provider education, and other coding needs for ICD-9, ICD-10 and CPT coding of inpatient and outpatient professional charges. **Job Description:** **Essential Duties & Responsibilities** including but not limited to: **1. Coding Responsibilities:** + Provides review and/or coding of any professional...

**When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** **Job Type:** Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) 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 Description:**...

**When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** **Job Type:** Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) **Job Description:** **Inpatient Coder, 40 hrs/wk, days** **$4,500 Sign on Bonus!** Performs the medical coding of inpatient records to ensure proper disease classification, timely billing & reimbursement, verification of coding compliance with national standards & payor-specific guidelines. Follows up to CDI queries and data entry. Initial departmental orientation and training will be on-site in the Medical Coding Department, followed by the option to work remotely. Qualifications: + 1-3 years prior inpatient coding experience required within an acute care hospital Health Information Management (Medical Records) Department. + Thorough understanding of the revenue cycle and the various DRG Groupers necessary for case assignments &...

* Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. * Demonstrates complete understanding of coding rules, anatomy, physiology, and medical terminology to appropriately code patient information. * Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers, to ensure appropriate coding for case mix. * Selects the appropriate reimbursement grouper based on financial class for the particular account. * Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications. * Abstracts and enters diagnosis, procedures and level codes with demographic, clinical and related patient information into the Medical Record Abstracting and/or Billing/Accounts Receivable systems. * Assess adequacy of documentation and queries physicians and other healthcare...

* Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. * Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information. * Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers. * Selects the appropriate reimbursement grouper based on financial class for the particular account. * Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications. * Abstracts and enters demographic, clinical and related patient information into the computer system. * Assess adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and grouping....

Job Description Job Description Primary Function 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/or five (5) years of compensatory experience •...

Job Description Job Description 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...

Job Description Job Description Job Summary: Duties and Responsibilities: The Certified (CCS) Coder is responsible for accurate coding of all Medical/Surgical Inpatient and outpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Classification systems include 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-10-CM, ICD-10 PCS, CPT, HCPCS 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. Requirements: Must have at least three (3) years inpatient hospital coding experience within the last five years. Certification: This position requires certification as a Certified Coding Specialist (CCS) and...

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. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group,...

Job Description 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,...

Job Description Job Description Ophthalmic Consultants of Boston (OCB) was established in 1969 to offer patients the highest quality eye care and laser/surgical treatment. OCB is the premier eye care provider in the region with nineteen practice locations in the greater Boston area and Cape Cod. OCB employs 500 employees. OCB ophthalmologists use the most advanced diagnostic, laser and surgical techniques available, and their level of care has earned Ophthalmic Consultants of Boston a national and international reputation for excellence. OCB’s Billing Department has a great opportunity available for Full-time Third Party Billing Representatives . The position is located in our Plymouth location offering 40 hours per week; Monday through Friday 8-4:30PM. The position is responsible for the timely resolution of unpaid medical claims with duties including A/R follow-up, resolving referral denied claims and verification of patient eligibility and coverage with insurance carriers....

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...