81 cpc certified professional coder jobs found in Worcester, MA

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

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...

Job Title Denials Management Coder 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 denial. Make any necessary coding corrections. Generate replacement claims (electronic and paper) Research carrier specific coding policies. Review and interpret carrier NCD and LCD policies. Communicate any coding denial trends to coding manager. Qualifications CPC/COC certification AAPC or CCS certification from AHIMA...

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 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. Major Responsibilities: Upon review of the medical record, performs analysis on documentation,...

Medical Coder/Biller – Full Time Child Health Associates is looking for an experienced Medical Coder/Biller to join our Billing team! We're looking for someone with strong Evaluation & Management (E/M) coding experience who is detail-oriented, organized, and enjoys working collaboratively to support accurate coding, timely billing, and quality patient care. This is a full-time, on-site position based in our Auburn office. What You'll Do Review provider documentation and assign accurate ICD-10-CM, CPT, HCPCS, and E/M codes. Ensure coding is compliant with CMS guidelines, payer requirements, and current coding regulations. Submit and monitor insurance claims for timely reimbursement. Review documentation to ensure it supports the appropriate level of E/M services and identify opportunities for improvement. Research and resolve claim denials, coding edits, and payment discrepancies. Work closely with providers and staff to improve documentation and coding...

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....

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...

Join us as a Medical Coder! Full Time 40 Hours - Remote Massachusetts Residents Preferred As 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 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 current working...

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 await. #J-18808-Ljbffr

Day Kimball Health in Putnam, CT, is looking for a Certified Professional Coder to join their Central Business Office. The role involves coding medical records, ensuring compliance with ICD-9 and ICD-10 guidelines, and providing education to clinical staff through quarterly audits. Ideal candidates will have at least five years of experience in coding, as well as a high school diploma and CPC certification. The position offers a comprehensive benefits package and a supportive work environment dedicated to quality patient care. #J-18808-Ljbffr

Coder/Abstractor Day Kimball Health is hiring a Coder/Abstractor for our Ambulatory Location: Putnam, CT Shift: Day Shift, 40 Hours Coder/Abstractor Job Summary Under the general supervision of the Coding, Reimbursement & Quality Assurance Supervisor; performs all phases of abstracting, diagnosis coding, and transmission of diagnosis codes to the Business Office, charge capture and posting through record analysis. Coder/Abstractor Key Responsibilities Reviews medical records for completeness in order to abstract and code clinical data, such as diseases, operations, procedures, and therapies, using standard classification systems and DKH Facility Coding Guidelines. Documents all coding discrepancies Reviews for and enters charges for outpatient service locations as applicable related to documentation to ensure that the documentation supports the billed services. Works with Revenue Integrity, CDI, Denials Management, and Case Management departments to clarify...

Child Health Associates is seeking an experienced Medical Coder/Biller for our Auburn, MA office. The role focuses on accurate ICD-10-CM, CPT, HCPCS and E/M coding to support timely billing and quality patient care. You will review documentation, ensure CMS and payer guideline compliance, submit claims, and work with providers to improve coding accuracy. The position is full-time and on-site in Auburn, MA. #J-18808-Ljbffr

Medical Coder/Biller – Full Time Child Health Associates is looking for an experienced Medical Coder/Biller to join our Billing team! We're looking for someone with strong Evaluation & Management (E/M) coding experience who is detail-oriented, organized, and enjoys working collaboratively to support accurate coding, timely billing, and quality patient care. This is a full-time, on-site position based in our Auburn office. What You'll Do Review provider documentation and assign accurate ICD-10-CM, CPT, HCPCS, and E/M codes. Ensure coding is compliant with CMS guidelines, payer requirements, and current coding regulations. Submit and monitor insurance claims for timely reimbursement. Review documentation to ensure it supports the appropriate level of E/M services and identify opportunities for improvement. Research and resolve claim denials, coding edits, and payment discrepancies. Work closely with providers and staff to improve documentation and coding accuracy. Perform...

Boston Children’s Hospital is seeking a Physician Specialty Coder to manage complex coding review, validation, and charge submission for Surgical Coding. You will work with physicians, billing teams, and staff to resolve coding and reimbursement questions, ensuring accurate ICD-10, CPT, and ASA coding. The role requires CPC certification, 4+ years of physician coding experience, and a strong grasp of payer regulations. #J-18808-Ljbffr

UnitedHealth Group offers a telecommuting role within the United States for a skilled medical coder. The position involves coding using CPT, HCPCS, and ICD-10 across multiple care settings and preparing claims with billing software. Ideal candidates have CPC/CCS credentials, 2+ years coding experience, and strong organizational/communication skills. A comprehensive benefits package and adherence to telecommuter policies are provided. #J-18808-Ljbffr

UnitedHealth Group offers a telecommute coding position nationwide in the U.S. You will code medical records using CPT, HCPCS and ICD-10, prepare and transmit claims, and contact providers regarding coding and denials. The role emphasizes independent work, accuracy, and timely revenue processing within Revenue Operations. Requirements include CPC/CCS certifications, medical terminology knowledge, and 2+ years of coding experience. #J-18808-Ljbffr

UnitedHealth Group is seeking a skilled Medical Coder to join our Revenue Operations team. This role supports coding across office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and other charges for physicians and other providers of professional billing. Telecommuting from anywhere in the U.S.; pay ranges hourly, with benefits and opportunities for professional growth; requires CPC/CCS-P/CCS/CPC-H credentials, 2+ years coding #J-18808-Ljbffr

UnitedHealth Group is seeking a skilled Medical Coder to work remotely from anywhere in the United States. You will code a variety of medical records using CPT, HCPCS, and ICD-10, prepare and transmit claims, and interface with providers and auditors to ensure accurate, compliant coding. The role requires 2+ years coding experience, CPC/ CCS-P/ CCS/ CPC-H credentials, and strong knowledge of government and payer guidelines. #J-18808-Ljbffr

Join Our Team at Optum 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. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and other charges for physicians and other...

Care New England is seeking an HIM Certified Coder to review medical records and assign accurate ICD-9CM, CPT, and HCPCS codes in accordance with coding standards. The ideal candidate holds CCS certification, has training in Medical Terminology and Anatomy & Physiology, and brings at least two years of hospital inpatient or outpatient coding experience. CPC candidates will be considered but must pass the CCS exam within one year of hire. #J-18808-Ljbffr

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. Duties & Responsibilities Reviews Patient’s records for procedures and diagnosis. Enters and maintains codes in the computer system. Planning, Productivity and Decision Making. Preserves and protects patients' rights to confidentiality. Performs other job- related duties as requested. Requirements High school graduation plus active certification as a Certified Coding Specialist (CCS) with evidence of additional education in Medical Terminology and Anatomy & Physiology required. Certified Professional...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Care New England Health System seeks an HIM Certified Coder to review medical records and assign Diagnosis and Procedure codes using ICD-9-CM, CPT, and HCPCS as required by coding standards. The role emphasizes accuracy, compliance with Coding Clinic, AMA CPT, CMS guidelines, and patient data confidentiality. Responsibilities include entering codes into the system, maintaining records, and supporting productivity and decision making within a hospital setting. #J-18808-Ljbffr