39 cpc certified professional coder jobs found in Weymouth, MA

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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...

At South Shore Health, we come together to improve the health of our family, friends and neighbors by bringing together people, caregivers and excellence in medicine. We are looking for a full-time Surgical Coder to join the SHS Physician Services Admin department in Weymouth, MA. In this position, you will be responsible for the accuracy and timely assignment of codes for all outpatient and inpatient diagnostic and procedural coding. This position is available as remote or hybrid in MA, RI, CT, or NH.   Responsibilities: ·       Assign diagnostic and procedural codes for physicians in the inpatient, outpatient, and observation setting and collaborate with providers and auditors to resolve documentation issues and answer queries with claims appeals ·       Assess and analyze patient medical record documents and consult with providers on record accuracy for procedures, diagnoses, complications and comorbid conditions ·       Assign ICD10CM,...

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...

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 with us means aligning with a rapidly...

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...

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...

Medical Coder II/III 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 meetsand exceedsour 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 operations...

Join to apply for the Physician Practice Coder role at Boston Medical Center (BMC) 19 hours ago Be among the first 25 applicants Join to apply for the Physician Practice Coder role at Boston Medical Center (BMC) 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 Essential Responsibilities / Duties 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,...

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 interface so that charges are...

1 week ago Be among the first 25 applicants 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 OP Coder Project Specialist will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP Coder Project Specialist will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The OP Coder Project Specialist is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing. Job Description:...

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...

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...

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...

Coding Specialist II 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 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...

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...

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...

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 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...

Career Opportunities with Women & Infants Hospital A great place to work. Current job opportunities are posted here as they become available. Subscribe to our RSS feeds to receive instant updates as new positions become available. 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...

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 are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative...