Physician practice coder jobs in Boston, MA

Full Time

Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center Hybrid (Woburn, MA, USA)

Director, Revenue Integrity, and Coding Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center Woburn, MA This position is a full-time hybrid remote role with two days required in our Woburn, MA office. Under the direction of the Senior Director, Revenue Cycle at Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center (BIDMC), the Director, Revenue Integrity, and Coding will develop and implement HMFP’s Revenue Integrity program for charge capture and charge reconciliation to ensure billing and coding compliance identifying any potential risk areas in professional revenue integrity and coding. Serve as regulatory resource for Medicare/ Medicaid reimbursement and third-party billing rules and coverage through self-directed education and communication across the enterprise. Acts as a subject matter expert for revenue integrity, professional CDM related issues and professional coding to...

SS

Professional Surgical Coder

South Shore Health System Weymouth, MA, USA

**If you are an existing employee of South Shore Health then please apply through the internal career site.****Requisition Number:**R-21350**Facility:**LOC0014 - 549 Columbian Street549 Columbian StreetWeymouth, MA 02190**Department Name:**SHS Physician Services Admin**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...

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Professional Coding Auditor and Educator - Remote

Remote Staffing Burlington, MA, USA

Professional Coding Auditor And Educator - Remote This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education. Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation...

SS

Professional Surgical Coder

South Shore Health System Weymouth, MA, USA

Job Description Summary 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 Ambulatory Enterprise to query providers when documentation requires clarification and he/she proactively works with medical leadership to address concerning documentation trends. The Professional Surgical Coder works with direct support from and under the direction of the Billing and Coding Manager to...

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Medical Coder

ClearSky Health Providence, RI, USA

Medical Coder Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include: Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries...

BS

Inpatient Medical DRG Coder Hospital (Remote)

Boston Staffing Boston, MA, USA

Inpatient Medical DRG Coder Hospital (Remote) A DRG coder is a medical coding professional who specializes in assigning Diagnosis-Related Group (DRG) codes for inpatient hospital stays. DRG (Diagnosis-Related Group): It's a classification system used primarily for inpatient hospital billing. It groups patients with similar clinical conditions and resource usage into categories. Hospitals are reimbursed based on these DRG codes rather than individual services. Responsibilities Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and perform...

BS

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Boston Staffing Boston, MA, USA

Certified Professional Coder (Cpc) At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The Certified Professional Coder (CPC) will perform medical claim reviews 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...

MS

Inpatient Medical Coding Auditor - Remote

Massachusetts Staffing Boston, MA, USA

Inpatient Medical Coding Auditor As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review ICD-10 inpatient patient records for accuracy and compliance Review physician documentation to verify diagnosis and procedures Communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process Assign accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, 3M, in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance Perform Peer Reviews of Company Health Information Management coding auditors and coders Assure that services provided to Clients of Company are current and up-to-date with industry standards...

BI

Inpatient Coder 3

Beth Israel Lahey Health Boston, MA, USA

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Under the general supervision of the Manager of Coding, the IP Coder III reviews inpatient records for accurate, timely, and compliant assignment of ICD-10-CM and ICD-10-PCS codes to ensure the correct MS-DRG, APR DRG, SOI assignments. The IP Coder III will work closely with the Coding leadership, and IP Coding Validators, and collaborates with Clinical Documentation Staff to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, ICD-10-PCS, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The IP Coder III is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing. Job Description: Essential Duties & Responsibilities including but not limited to: • Review...

Cc

Associate Director Medical Affairs - Neurology

Ccrps Boston, MA, USA

Do you want to join a team where the mission is meaningful, the challenges are complex, and you can directly see the results of your hard work? Lundbeck is a global biopharmaceutical company focusing exclusively on brain health. With more than 70 years of experience in neuroscience, we are committed to improving the lives of people with neurological and psychiatric diseases. Lundbeck employees are inspired and driven by our purpose to advance brain health and transform lives. Join us on our journey of growth! Remote Opportunity Open to candidates anywhere in the greater United States. Summary The Associate Director, Medical Affairs, Neurology serves as the internal scientific expert for assigned product(s), executing medical strategies and activities that align with cross‑functional brand objectives, building and growing strong advocacy and KOL relationships, and collaborating with other functions (e.g., Value Evidence, Regulatory, Clinical Development, Brand Teams, Global...

BI

Inpatient Coder 3

Beth Israel Lahey Health Boston, MA, USA

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under the general supervision of the Manager of Coding, the IP Coder III reviews inpatient records for accurate, timely, and compliant assignment of ICD-10-CM and ICD-10-PCS codes to ensure the correct MS-DRG, APR DRG, SOI assignments. The IP Coder III will work closely with the Coding leadership, and IP Coding Validators, and collaborates with Clinical Documentation Staff to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, ICD-10-PCS, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The IP Coder III is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing. Job Description: Essential Duties & Responsibilities including but not limited to: • Review...

IG

Associate Director, Business Ethics, Medical Affairs & Neuroscience

Ipsen Group Cambridge, MA, USA

Cookie Notice**Title:**Associate Director, Business Ethics, Medical Affairs & Neuroscience**Company:**Ipsen Biopharmaceuticals Inc.**About Ipsen:**Ipsen is a mid-sized global biopharmaceutical company with a focus on transformative medicines in three therapeutic areas: Oncology, Rare Disease and Neuroscience. Supported by nearly 100 years of development experience, with global hubs in the U.S., France and the U.K, we tackle areas of high unmet medical need through research and innovation. Our passionate teams in more than 40 countries are focused on what matters and endeavor every day to bring medicines to patients in 88 countries. We build a workplace that champions human-centric leadership and fosters a culture of collaboration, excellence and impact. At Ipsen, every individual is empowered to be their true selves, grow and thrive alongside the company’s success. Join us on our journey towards sustainable growth, creating real impact on patients and society!For more...

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Professional Coding Auditor and Educator - Remote

Tufts Medicine Burlington, MA, USA

Professional Coding Auditor and Educator – Remote Join Tufts Medicine in this role that focuses on revenue cycle operations such as billing, collections, and payment processing, and performs Health Information Management duties including ensuring the accuracy, maintenance, security, and confidentiality of patient health information. Job Overview The position requires frequent daily interactions with physicians and providers, providing coding instruction, chart reviews, coding education, evaluation of denials, and ensuring regulatory compliance. It also involves collaboration with billing specialists and management to improve charge capture. Minimum Qualifications Associate’s degree in Medical Record Technology. Completion of a Certified Medical Coding Program or at least two years of professional coding certification with courses in Medical Terminology, Anatomy & Physiology, or extensive training in physician coding. One of the following certifications: Certified...

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MEDICAL RECORDS TECHNICIAN (Coder-Outpatient and Inpatient)

Massachusetts Staffing Bedford, MA, USA

Medical Records Technician (Coder-Outpatient And Inpatient) Position This Medical Records Technician (coder-outpatient and inpatient) position is in Business Office Services at the VA Bedford Healthcare System, located at the Bedford location. This is a full-time, permanent position on campus. The 2-page resume requirement does not apply to this occupational series. For more information, refer to required documents below. Responsibilities Medical Record Technicians (MRT) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare...

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Coder-Outpatient II-SHARE

UMass Memorial Health Worcester, MA, USA

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,...

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Professional Medical Coder II -Remote Position, Must reside in South Carolina) $5,000 Sign-on Bonus

Lexington Health Inc Worcester, MA, USA

Professional Medical Coder II - Remote Position, Must Reside in South Carolina $5,000 Sign-on Bonus Coding Full Time AM Shift 8 a.m. to 5 p.m Sign-On Bonus: 5,000 Consistently named best hospital, Lexington Medical Center anchors an expansive health care network that includes nearly 600 physicians and advanced practice providers at nearly 80 locations across the Midlands of South Carolina, making it the region's third largest employer. From general medicine and orthopaedics to oncology, cardiology and neurosurgery, these dedicated professionals combine the highest quality care with advanced medicine and state-of-the-art technology to help patients achieve the best possible outcomes. Its postgraduate medical education programs include family medicine and transitional year residencies. Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from...

Ha

Coder-Outpatient II-SHARE

Hahhh Worcester, MA, USA

# # # **Exemption Status:**Non-Exempt**Hiring Range:**$23.81 - $40.14**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**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 pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays...

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Coding Auditor, Remote, Health Information Management, FT, 08A-4:30P

Baptist Health Providence, RI, USA

Job Title Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their...

RI

Inpatient Medical Coding Auditor - Remote

Rhode Island Staffing Providence, RI, USA

Inpatient Medical Coding Auditor As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review ICD-10 inpatient patient records for accuracy and compliance Review physician documentation to verify diagnosis and procedures Communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process Assign accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, 3M, in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance Perform Peer Reviews of Company Health Information Management coding auditors and coders Assure that services provided to Clients of Company are current and up-to-date with industry standards...

RI

Inpatient Medical DRG Coder Hospital (Remote)

Rhode Island Staffing Providence, RI, USA

Inpatient Medical DRG Coder Hospital (Remote) A DRG coder is a medical coding professional who specializes in assigning Diagnosis-Related Group (DRG) codes for inpatient hospital stays. DRG (Diagnosis-Related Group): It's a classification system used primarily for inpatient hospital billing. It groups patients with similar clinical conditions and resource usage into categories. Hospitals are reimbursed based on these DRG codes rather than individual services. Responsibilities Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and perform...

BP

Medical Biller (On-site/Hybrid)

Brown Physicians, Inc. Providence, RI, USA

Job Description Job Description SUMMARY: Under the general direction of the Manager of Revenue Cycle, performs a variety of functions related to patient accounts to ensure the financial stability of the organization. This is a full-time, 40 hours/week position (Monday-Friday), at our Providence location: 110 Elm St., Providence, RI. PRINCIPLE DUTIES AND RESPONSIBILITIES: Applies the Brown Physicians Inc. values of patient care priority, dignity, collaboration, integrity and quality in support of the Brown Physicians Inc. mission to deliver compassionate, high-quality patient care, research excellence and outstanding physician education. Is responsible for knowing and acting in accordance with the Brown Physicians Inc. Compliance Program and Code of Conduct. Practices the Brown Physicians Inc. Customer Service Standards. Maintain current knowledge of federal and state regulations regarding medical billing practices. Act as a resource to practice...

BP

Medical Biller - Charge Entry

Brown Physicians, Inc. Providence, RI, USA

Job Description Job Description SUMMARY: Under the general direction of the Manager of Revenue Cycle, performs a variety of functions related to patient account charge entry. These financial transactions are to ensure stability of the organization’s accounts receivable. This is a full-time, 40 hours/week position (Monday-Friday), located on-site at our Providence office PRINCIPAL DUTIES AND RESPONSIBILITIES: Applies the Brown Physicians Inc. values of patient care priority, dignity, collaboration, integrity and quality in support of the Brown Physicians Inc. mission to deliver compassionate, high-quality patient care, research excellence and outstanding physician education. Is responsible for knowing and acting in accordance with the Brown Physicians Inc. Compliance Program and Code of Conduct. Practices the Brown Physicians Inc. Customer Service Standards. Maintain current knowledge of federal and state regulations regarding medical billing practices. Act...

BC

Risk Adjustment Medical Coder

Blue Cross and Blue Shield of Rhode Island Providence, RI, USA

**Pay Range:**$64,600.00 - $96,800.00**At BCBSRI, our greatest resource is our people.**We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do—not just for our members, but for our employees as well.**We recognize that to do your best work, you have to be your best self.** It’s why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees.**Our culture is one of belonging.** We strive to be transparent and accountable. We believe in...

23 physician practice coder jobs found in Boston, MA