43 cpc certified professional coder jobs found in Burlington, MA

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, 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, plan...

Responsibilities: Primary coding resource for assigned products and studies. ccurately codes assigned data fields including, but not limit ed to, adverse events using MedDRA and concomitant medications using WHO Drug in accordance with company coding conventions and ATC. Effectively performs coding related functions for assigned studies. Prepare and manage coding assignments for new studies and collaborate with clinical team representatives on approach to coding strategy for assigned products and oversight of assigned studies including sign off document as it impacts medical coding review, product approval, analysis of coded data for safety review and signal detection and patient safety. Identifies when terms or drug names are inadequate, ambiguous or unclear for coding purposes and direct query generation in such aspects. lso, identify and resolve coding discrepancies, and review coding listings for accuracy and consistency. Participate in...

Summary: Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations. Does this position require Patient Care? No Essential Functions: Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information. -Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies. -Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes. -Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials. -Utilize coding software, encoders, and electronic health record systems to facilitate the coding process. Participating in...

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. This remote Coding Specialist II role will sit on our surgical coding team. Seeking candidates with a background in Plastics, OMFS, and Surgical Oncology. Job Summary Summary: Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations. Does this position require Patient Care? No Essential Functions: Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters...

Job Type Full-time Description POSITION SUMMARY: The Inpatient Coder II is the second level coding position in a 3-tier career ladder. Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must be skillful in the identification and assignment of all diagnoses and procedures in accordance with nationally recognized coding guidelines, as well as researching opportunities to improve documentation. PRIMARY JOB RESPONSIBILITIES: Assigns appropriately sequenced and compliant ICD-10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS-DRGs, APR-DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or computer-assisted coding software (CAC) set forth by client and...

Job Description Job Description 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. Overview Reporting to the Senior Manager, Medical Coding & Audit, as a Medical Coder II/III, this role will be a key member of the team responsible for ensuring that CodaMetrix meets—and exceeds—our customers’ coding quality expectations. You will leverage your strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. You will play a pivotal role in improving the quality and efficiency of coding...

Outpatient Medical Coder - Same Day Surgery - Remote - PRN Outpatient Medical Coder - Same Day Surgery - Remote - PRN 1 week ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Datavant. Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences...

Join to apply for the Remote OBGYN Professional Coder - BIDMC role at Beth Israel Deaconess Medical Center Join to apply for the Remote OBGYN Professional Coder - BIDMC role at Beth Israel Deaconess Medical Center Get AI-powered advice on this job and more exclusive features. 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 Coder will be supporting all coding and billing aspects of OBGYN. BIDMC's multidisciplinary OB/GYN team provides personalized, world-class care to patients throughout all stages of life. From family planning to pregnancy, intimate health and menopause, our team includes specialists in all areas of obstetrics and gynecology. Our physicians and staff are nationally recognized leaders in leading-edge clinical research and innovation. While this role is primarily remote, occasional...

Join to apply for the Per-diem Orthopedic Coder - BIDMC role at Beth Israel Deaconess Medical Center 1 week ago Be among the first 25 applicants Join to apply for the Per-diem Orthopedic Coder - BIDMC role at Beth Israel Deaconess Medical Center Job Type: Per Diem Time Type: Part 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 Coder position, working on the physician billing side, will be working with the Orthopedics Department at Beth Israel Deaconess Medical Center in Boston, MA. 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...

POSITION SUMMARY: Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session. Performs chart audits to ensure correct coding and charge capture have been applied appropriately. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers. Position: Physician Practice Coder Department: BUMG Corporate PBO General Schedule: Full Time - Remote ESSENTIAL RESPONSIBILITIES / DUTIES: Coding support Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems. Refers to a computerized encoding system, written coding aids and other reference materials to ensure accurate coding for billing. Sequences diagnoses, procedures and complications by following ICD-10-CM,...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.The Coder will be supporting all coding and billing aspects of OBGYN.BIDMC's multidisciplinary OB/GYN team provides personalized, world-class care to patients throughout all stages of life. From family planning to pregnancy, intimate health and menopause, our team includes specialists in all areas of obstetrics and gynecology. Our physicians and staff are nationally recognized leaders in leading-edge clinical research and innovation.While this role is primarily remote, occasional in-person training may be required.Job Description:Job Summary: This position is responsible for the assignment of ICD-10-CM diagnosis and procedure codes and as appropriate, CPT-4.Department Specific Job Responsibilities: Creates and maintains billing policy grid related to ultrasound coding.Essential Responsibilities: Reviews the complete electronic and paper medical record of discharged...

We are seeking a driven product-focused engineering manager for our MATLAB to C code compiler (MATLAB Coder). You will work with marketing to set product direction and then work with your team to execute the plan. Responsibilities Work with marketing to set product direction. Drive execution of the plan with your own team of engineers. Coordinate internal feature requests, and support cross-team initiatives. Mentor your team and provide technical direction. Contribute directly to the product through your own personal coding (30% of your time). Minimum Qualifications A bachelor's degree and 7 years of professional work experience (or equivalent experience) is required. 2 years management experience is required. Additional Qualifications Strong communication and interpersonal skills. Experience leading software projects developed in C++. Experience with Agile methodology. Knowledge of compiler implementation. Flair for software engineering....

Job Description Job Description Medical HIMS Coder Full-Time career opportunity Valued for your Expertise in HIMS Coding Are you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your passion and values? Join our team where we believe in careers close to home and heart. Your role is vital in ensuring accurate coding of medical records, maintaining data integrity, and supporting healthcare efficiency. Translating medical information into standardized codes, you'll contribute to quality patient care. As a HIMS Coder, responsibilities include precise coding based on ICD-10-CM and CMS 13 group codes and maintaining compliance with regulatory guidelines and company policies. If you're eager to make a meaningful impact, explore this exciting opportunity with us where your expertise meets personal values. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working...

Job Description Job Description Location: Remote or Nashua, NH Department: Revenue Cycle / Billing Schedule: Per Diem | Flexible Hours Overview Northeast Orthopaedic Alliance is seeking a Per Diem Orthopaedic Billing Coder to assist our team during a key electronic medical record (EMR) transition . This is a temporary, flexible opportunity ideal for an experienced coder looking to contribute during a time-sensitive project. The primary focus will be reducing coding backlogs and ensuring timely and accurate claim submissions. Key Responsibilities Review and assign accurate CPT, ICD-10, and HCPCS codes for orthopaedic services based on medical records and provider documentation Ensure coding compliance with payer policies, billing regulations, and documentation standards Collaborate with billing and clinical teams to resolve coding discrepancies or clarify documentation Support efforts to reduce billing backlog and improve claims processing efficiency...

1 week ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Encompass Health provided pay range This range is provided by Encompass Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $23.00/hr - $42.00/hr Medical HIMS Coder Full-Time career opportunity Valued for your Expertise in HIMS Coding Are you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your passion and values? Join our team where we believe in careers close to home and heart. Your role is vital in ensuring accurate coding of medical records, maintaining data integrity, and supporting healthcare efficiency. Translating medical information into standardized codes, you'll contribute to quality patient care. As a HIMS Coder, responsibilities include precise coding based on ICD-10-CM and CMS 13 group codes and maintaining compliance with regulatory...

Job Description Summary Here at South Shore Health, we have excellent full-time job opportunities to join our professional coder team! The Professional Surgical Coder is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding. We are seeking candidates with two to three (2-3) years of professional coding experience required, preferably in a surgical practice. CCS or CCS-P or CPC or CPC-H - Certified Coding Specialist OR Certified Coding Specialist- Physician Based OR Certified Professional Coder OR Certified Professional Coder - Hospital preferred. The Professional Surgical Coder will determine the proper diagnosis, assign co-morbidities and complications, secondary diagnoses and any HAC (Hospital Acquired conditions) documented, using established department policies and procedures in conjunction with the current versions of ICD 10 and CPT-4, E/M codes...

Job Title: Professional Surgical Coder Location (city, state): Must reside in MA, RI, NH, or CT (Remote, with onsite equipment pickup in South Weymouth, MA) Industry: Healthcare - Professional Coding Pay: $30 - $36/hr About Our Client: Our client is a well-established, multi-specialty physician enterprise in the Northeast, supporting a wide range of surgical and medical specialties. They prioritize accuracy and compliance in coding practices and emphasize collaboration between coding staff and medical leadership to ensure optimal documentation and billing outcomes. Job Description: This is a Contract-to-Hire (C2H) opportunity for experienced Professional Surgical Coders with strong proficiency in both E/M and surgical coding. Coders will support a diverse range of specialties and be responsible for validating provider-submitted codes, clearing coding edits, and assigning CPT, diagnosis, and modifiers accurately using EPIC and 3M. Key Responsibilities: Code CPT procedures (ranges...

If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-19680 Facility: LOC0027 - 141 Longwater Norwell141 Longwater Drive Norwell, MA 02061 Department Name: SHS Revenue Integrity Status: Full time Budgeted Hours: 40 Shift: Day (United States of America) Under experienced leadership, the Professional Surgical Coder is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding. Using established department policies and procedures in conjunction with the current versions of ICD 10 and CPT-4, the Professional Surgical Coder will determine the proper diagnosis, assign co-morbidities and complications, secondary diagnoses, and any HAC (Hospital Acquired conditions) documented, as well as both E/M codes and procedure codes. The Professional Surgical Coder is expected at South Shore Physician...

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 Surgical Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of revenue through initial coding. Schedule (38.75 hours): Following training, hours will be Monday-Friday (either 4-9.7-hour workdays or 5-7.75-hour workdays) between...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Schedule Details: Monday through Friday Scheduled Hours: 40 hours Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture Union: SHARE (State Healthcare and Research Employees) 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 more than 20,000 employees, working together as one health system in a relentless...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Schedule Details: Monday through Friday Scheduled Hours: 7:30 AM - 4:00 PM Shift: Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5458 Coding Services Union: SHARE (State Healthcare and Research Employees) 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. We are committed to exceptional patient care, academic excellence, and leading-edge research. Our team of over 16,000 employees works together as one health system to heal our patients, community, and each other. Every individual plays an important role every day. Job Description Interprets a wide variety of...

Acute Care Technology At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions. ZOLL Data Systems, a division of ZOLL Medical Corporation, is a healthcare software solutions provider that empowers hospital, EMS and Fire, and billing/accounts receivable (AR) teams to deliver morefrom better patient outcomes to operational efficiencies and greater revenue capture. Our business exists to help save more lives through data-driven innovation and interoperability, opening new pathways for our customers to achieve the highest levels of care, collaboration, and reimbursement. Job Summary: This position is geared toward verification of transport and patient data as well as compliant coding and billing...

Job Description Job Description Position: Medical Coder Location: Manchester, New Hampshire Company Overview: We are a leading healthcare staffing and recruiting agency, dedicated to connecting top talent with the best healthcare organizations nationwide. We are currently seeking a skilled and experienced Medical Coder to join our team in Manchester, New Hampshire. Position Overview: As a Medical Coder, you will be responsible for reviewing and accurately coding medical records for billing and insurance purposes. You will work closely with healthcare providers, insurance companies, and other healthcare professionals to ensure proper coding and billing practices. This is a full-time, on-site position. Key Responsibilities: - Review and accurately code medical records for billing and insurance purposes - Ensure compliance with all coding guidelines and regulations - Work closely with healthcare providers to clarify any discrepancies or missing information - Communicate...

Medical Coder (Anesthesia)Make a measurable impact by combining high-accuracy anesthesia coding with client-facing collaboration to support medical practices across New England.Our client is a healthcare management firm providing strategic and operational support to practices throughout the region. This dual-impact role offers the best of both worlds: production coding and client interaction. You'll ensure accuracy in anesthesia coding while participating in audits and documentation reviews, perfect for a coder who thrives in detail-driven work and professional communication.What's in it for you:$63,000 - $73,000 annual salaryFull medical, dental, and vision coverage$1,000 employer HSA contribution401(k) with 5% Safe Harbor match5% discretionary profit sharingPTO, sick time, and paid holidaysFree access to affiliated family practices, imaging, and surgical centersLocation: Manchester, NH (100% onsite)Key Responsibilities:Code anesthesia cases accurately and efficientlyConduct...