132 cpc certified professional coder jobs found in Worcester, MA

Medical CoderOptum 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.As a 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 7.75 hours Monday-Friday between the hours of 6am-6pm EST. Candidates residing in...

Everyone Is a CaregiverAt 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 pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.Interprets a wide variety of clinical and diagnostic documentation in order to process hospital and / or pro-fee charges for episodes of outpatient care. Assigns appropriate ICD-CM (current edition) and CPT codes as well as modifiers. Based on account type, may assign ICD-PCS codes, as appropriate adhering to official coding guidelines.I. Major Responsibilities:Upon review of the medical record, performs analysis on documentation, which...

Are you a current UMass Memorial Health caregiver? Exemption Status: Non-Exempt Hiring Range: $23.81 - $35.08 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 7-3:30 Shift: 1 - 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. 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,...

Optum is seeking a Medical Coder to code CPT, HCPCS and ICD-10 for professional charges across diverse settings. This remote role supports physicians and staff to maximize compliant revenue. After training, shifts cover 6am-6pm EST, with telecommuting nationwide from the U.S. Requirements include a high school diploma, CPC/ CCS-P/ CPC-A certs and 2+ years of physician-based coding. Knowledge of EPIC and Microsoft Office is preferred. #J-18808-Ljbffr

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a 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 7.75 hours Monday-Friday between the hours of 6am-6pm EST. Candidates residing in EST or CST...

UnitedHealth Group is seeking a Medical Coder to perform professional charge coding across CPT, HCPCS and ICD-10. The role collaborates with physicians and staff to maximize compliant revenue and handle claims processing. Training will precede work hours, with telecommuting from anywhere in the U.S. The package includes comprehensive benefits and an hourly wage of $20–$36 depending on experience and location. #J-18808-Ljbffr

UnitedHealth Group is seeking a Medical Coder to perform professional charges coding across multiple settings. The role requires accuracy, adherence to regulations, and collaboration with clinicians to maximize revenue. Responsibilities include coding with CPT/HCPCS/ICD-10, claims processing, and staying current with payor rules. Telecommuting within the U.S. is supported, with a schedule around 38.75 hours per week. #J-18808-Ljbffr

Join Med-Metrix Experience these exceptional benefits: 8-Hour Shifts Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Paid Time Off Training and Staff Development Employee Engagement Activities Opportunities for Internal Mobility Job Purpose Responsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. Duties and Responsibilities Read and interpret insurance carrier EOBs. Review medical reports, verify coding. Resolve coding related...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture 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...

UnitedHealth Group is seeking a Medical Coder to perform professional charge coding across diverse settings, ensuring accurate and compliant coding. The role supports remote work with training hours and EST/CST familiarity preferred. You will transmit claims, resolve coding questions, and stay current with payer rules while supporting revenue operations. Requires a High School diploma, CPC/CCS-P/CPC-A, and 2+ years of physician-based coding experience. #J-18808-Ljbffr

UnitedHealth Group is seeking a Medical Coder to perform professional coding for CPT, HCPCS and ICD-10, ensuring accuracy and compliance. The role collaborates with physicians and staff to maximize revenue, with training and a telecommute option available across the U.S. The ideal candidate will have a CPC/CCS-P/CPC-A certification and at least 2+ years of physician-based coding experience, plus strong Microsoft Office and EPIC familiarity. #J-18808-Ljbffr

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 Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations . Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture 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...

Join Med-MetrixExperience these exceptional benefits:8-Hour ShiftsDay 1 HMO with 2 of your dependents covered for FREEGroup Life InsuranceMedical Cash AllowanceRice AllowanceClothing AllowanceHoliday GiftBereavement AssistancePaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityJob PurposeResponsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.Duties and ResponsibilitiesRead and interpret insurance carrier EOBs.Review medical reports, verify coding.Resolve coding related denial.Make any necessary coding...

UMass Memorial Health is seeking an Outpatient Coder II to interpret clinical documentation and assign ICD-CM and CPT codes for outpatient encounters across the hospital system. The role focuses on accurate coding, supports reimbursement, and requires close attention to detail. Responsibilities include verifying documentation, minimizing coding backlogs, participating in audits, and maintaining a high accuracy rate while working with billing teams. #J-18808-Ljbffr

Westboroughbehavioral is seeking a Medical Office Coder to join their team in Westborough, Massachusetts. This per diem position requires the coder to accurately assign medical codes for billing purposes, perform audits, and ensure compliance with coding regulations. Applicants should have a High School degree and an Associate's Degree or Certificate in Medical Coding/CPC, alongside at least one year of coding experience, preferably in psychiatric services. The role offers benefits like 401K, medical, dental, and vision coverage. #J-18808-Ljbffr

Medical Office Coder Shift details: Per diem Job Summary: The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bills are satisfied in a timely manner. Essential Duties: Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims. Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10. Westborough...

Medical Office Coder Shift details: Per diem Job Summary: The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bill are satisfied in a timely manner. Essential Duties: Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims. Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10....

TaraVista Behavioral Health seeks a Medical Coder to join our team in Massachusetts. The role involves coding hospital visits using ICD-10-CM and CPT while ensuring compliance with guidelines. Candidates should have a degree in Health Information Management and relevant experience with mental health coding. We offer competitive pay, ranging from $23.00 to $28.00 per hour, along with comprehensive benefits including health insurance, 401(k) match, and generous paid time off. #J-18808-Ljbffr

MiraVista Behavioral Health Center in Devens, Massachusetts, is seeking a Medical Coder to join its multidisciplinary HIM team. The role focuses on accurate ICD-10-CM and CPT coding for hospital and professional inpatient visits, with emphasis on Medicare and related payers, in a WellSky EMR environment. Successful candidates will hold AHIMA and/or AAPC credentials, with psychiatric coding experience and a strong commitment to ongoing education and regulatory compliance to ensure high-quality #J-18808-Ljbffr

Join Us As A Medical Coder!Full Time 40 Hours - Remote Massachusetts Residents PreferredAs a Medical Coder for MiraVista in Holyoke, Massachusetts, you'll bring your experience and knowledge where your voice matters. A Medical Coder is an integral part of our multidisciplinary team.As a Medical Coder:You will code hospital and professional inpatient visits using the International Classification of Disease 10-Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) coding methodology in accordance with official coding and reimbursement guidelinesYou will work under the general supervision and reporting to the Director of HIM.You are responsible for professional CPT coding for Medicare and Medicare like payers.You will abstract all data elements into the WellSky EMR platformYou will use the TruBridge encoder integration to review Medical Necessity edits and CCs, MCCs, coding order and DRG assignment.You will maintain current working knowledge with all coding rules,...

Join us as a Medical Coder! Full Time 40 Hours - Remote Massachusetts Residents Preferred. As a Medical Coder for TaraVista in Devens, Massachusetts, you'll bring your experience and knowledge where your voice matters. A Medical Coder is an integral part of our multidisciplinary team. As a Medical Coder: You will code hospital and professional inpatient visits using the International Classification of Disease 10-Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) coding methodology in accordance with official coding and reimbursement guidelines You will work under the general supervision and reporting to the Director of HIM. You are responsible for professional CPT coding for Medicare and Medicare like payers. You will abstract all data elements into the WellSky EMR platform You will use the TruBridge encoder integration to review Medical Necessity edits and CCs, MCCs, coding order and DRG assignment. You will maintain...

Location: Natick, Massachusetts, United StatesCompany: The MathWorksPosted: Location: Natick, Massachusetts, United StatesCompany: The MathWorksPosted: Location: Natick, Massachusetts, United StatesCompany: The MathWorksPosted: Location: Natick, Massachusetts, United StatesCompany: The MathWorksPosted: Location: Natick, Massachusetts, United StatesCompany: The MathWorksPosted: Location: Natick, Massachusetts, United StatesCompany: The MathWorks, Inc.Posted: A leading software company in Massachusetts seeks an experienced individual to contribute to embedded software development and model-based design. In this hybrid role, you will collaborate with product teams and customers, influencing design and resolving complex technical issues. Candidates should possess a strong background in embedded software and familiarity with Simulink and Embedded Coder. Excellent problem-solving and communication skills are essential. Competitive benefits and a supportive work environment...

US Tech Solutions is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit our website www.ustechsolutions.com. We are constantly on the lookout for professionals to fulfill the staffing needs of our clients, sets the correct expectation and thus becomes an accelerator in the mutual growth of the individual and the organization as well. Keeping the same intent in mind, we would like you to consider the job opening with US Tech Solutions that fits your expertise and skillset. Job Description Medical Record Reviewer will primarily be responsible for completing medical record reviews (on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data Validation (RADV) Audits. This role will also assist with building the medical chart review program at Client’s. Duties and Responsibilities Utilize comprehensive knowledge...