31 professional coding auditor and educator jobs found in Burlington, MA

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...

Professional Coding Auditor and Educator - Remote Job Profile Summary 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...

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...

A leading healthcare provider is seeking a Professional Coding Auditor and Educator to join their remote team. The successful candidate will ensure accuracy in coding and health information management, provide education to physicians, and collaborate with billing specialists to enhance revenue cycle operations. This role requires extensive experience in surgical coding and a strong understanding of medical terminology. The position offers a competitive pay range of $24.65 to $30.82 per hour. #J-18808-Ljbffr

PB ENT Coder (On-Site) - Cambridge, MA (02138) | CPC or CCS-P Required PB ENT Coder (On-Site) - Cambridge, MA. CPC or CCS-P required. Support ENT surgical and E/M coding in our revenue cycle team. Join our collaborative on-site medical coding team located in Cambridge, MA, a hub for world-class universities and healthcare innovation. You will support ENT providers, improve coding accuracy, and contribute to clean claims and optimized revenue cycle performance. Job Details - On-Site Medical Coding Job Location: Cambridge, MA 02138 (On-Site) - Boston/Cambridge area candidates preferred Schedule: 5 shifts per week, 8-hour days Hours: 40 hours per week Assignment Length: 26 weeks Start Date: March 2, 2026 Job Type: Professional Billing (PB) ENT Coder - surgical coding, E/M coding, revenue cycle Compensation Estimated Weekly Salary: $1,310-$1,410 per week Job Requirements & Qualifications CPC, CCS-P, or equivalent...

Department Description: The Critical Care Auditor/ Coder position will be working directly with the Department of Anesthesia, Critical Care and Pain Medicine and will have the opportunity to work remotely following an initial onsite training period. The incumbent will be required from time-to-time to attend billing onsite staff meetings and meetings with the physicians they support. AFS, LLC is located in Needham Heights, Massachusetts. Job Location: Virtual Job Summary: Performs professional certified coding and provides administrative and project support to the department. Analyzes surgical-medical documentation, provides the individual surgeon/physician with the application of appropriate ICD-10/CPT/HCPCS descriptor codes including the appropriate use of modifiers to ensure compliance for reimbursement. Essential Responsibilities: Analyzes evaluation and management, including critical care, procedures and other notes and documents to determine the scope and complexity of...

Social Compliance Auditor - Travel based Intertek, a leading provider of quality and safety solutions to many of the world's top-recognized brands and companies, is actively seeking a Supplier Management / Corporate Social Responsibility Auditor to join our Business Assurance team. This is a fantastic opportunity to grow a versatile career with a company that wants to build something great with an incredible group of people. Intertek's Business Assurance team goes beyond testing, inspection and certification to look at the underlying elements that make a company and its products successful. Our assurance solutions provide confidence and total peace of mind that a client's operating procedures, systems and people are functioning properly to provide a competitive advantage in the marketplace. What are we looking for? The Social Compliance Auditor will lead and/or participate as an assessor during all phases of a Supplier Management system audit in accordance with...

Department Overview: Join our dynamic team within the Department of Anesthesia, Critical Care, and Pain Medicine as a Certified Medical Coder. This is a fantastic opportunity to work remotely after an initial onsite training period. While you will primarily be working from home, occasional attendance at onsite staff meetings and consultations with physicians will be required. About the Position: As a Medical Coder, you will perform professional certified coding and provide valuable administrative and project support within the department. Your role will involve analyzing surgical and medical documentation to accurately apply ICD-10/CPT/HCPCS codes along with appropriate modifiers, ensuring compliance and facilitating smooth reimbursement processes. Key Responsibilities: Analyze evaluation and management documentation, particularly focusing on critical care services and procedures. Utilize expertise in professional coding to apply the correct ICD-10/CPT/HCPCS codes...

Department Description: The Critical Care Auditor/ Coder position will be working directly with the Department of Anesthesia, Critical Care and Pain Medicine and will have the opportunity to work remotely following an initial onsite training period. The incumbent will be required from time-to-time to attend billing onsite staff meetings and meetings with the physicians they support. AFS, LLC is located in Needham Heights, Massachusetts. Job Location: Virtual Job Summary: Performs professional certified coding and provides administrative and project support to the department. Analyzes surgical-medical documentation, provides the individual surgeon/physician with the application of appropriate ICD-10/CPT/HCPCS descriptor codes including the appropriate use of modifiers to ensure compliance for reimbursement. Essential Responsibilities: Analyzes evaluation and management, including critical care, procedures and other notes and documents to determine the scope and complexity of...

Join Datavant, the trusted data collaboration platform for healthcare. Our mission is to make health data secure, accessible, and actionable. We provide vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. From assisting with individual patient requests to advancing AI in healthcare, our team is dedicated to shaping the future of health data. By becoming a Datavanter, you will be part of a dynamic and collaborative team committed to transformative change in the healthcare landscape. What We’re Looking For We are seeking experienced and certified inpatient coders to join our team. The ideal candidate will have exceptional attention to detail and a solid understanding of medical terminology. This fully remote position offers a flexible schedule, allowing you to influence the future of healthcare from wherever you work best! Key Responsibilities: Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary The Coder manages the day to day responsibilities of chart abstraction, vendor auditing and reporting in accordance with state and federal regulations. The coder will abstract from in-patient and out-patient medical records and record findings via electronic database and or excel spread sheets. The coder ensures that all claims accurately reflect the appropriate diagnosis information as outlined in the member’s medical record Our Investment In You Full-time remote work Competitive salaries Excellent benefits Responsibilities Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation. Ability to code government and state models. This includes code...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

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 - Remote Department: BUMG Corporate PBO General Schedule: Full Time 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...

Title: Certified Risk Coder Reports to: Manager, Risk Coding Classification: Individual Contributor Location: Boston (Remote) Job description revision number and date: 2.0, 01.06.2025 Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Quality Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners. Job Summary: The Certified Risk Coder will be a part of an emerging coding team and coding service that...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Translates and diagnose reports and procedures into ICD-10-CM/HCPCS/CPT codes per coding guidelines and Institute specifications. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Responsible for applying diagnosis and procedural codes when applicable by effectively abstracting pertinent information from patient records and assigning...

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 (40 hours): Following training, you will be working an 8-hr shift, Monday - Friday, flexible between the hours of 6am-6pm EST. Candidates...

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: Exempt Hiring Range: $41,974.40 - $96,428.80 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: Sunday through Saturday Scheduled Hours: 40 hr hybrid position Shift: 1 - Day Shift, 12 Hours (United States of America) Hours: 40 Cost Center: 34000 - 7001 Hopkinton Urgent Care 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...

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. Under the direction of the Director of Operations, the Urgent Care Supervisor/LPN provides guidance and acts as a general resource to staff and providers at their location. The Practice Supervisor/LPN monitors employee activities, answers employee questions and provides support to ensure the employee has the tools needed to perform their job efficiently. They are responsible for ensuring that patient care is at the forefront at all...

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: Exempt Hiring Range: $39,832.00 - $91,520.00 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, On Call - Required Scheduled Hours: Monday 8am-4:30pm, Tuesday & Thursday 7:45am-8:15pm, Friday 7:45am-4:15pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 26100 - 7003 Milford Urgent Care 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...

Department Overview: Join our dynamic team within the Department of Anesthesia, Critical Care, and Pain Medicine as a Certified Medical Coder. This is a fantastic opportunity to work remotely after an initial onsite training period. While you will primarily be working from home, occasional attendance at onsite staff meetings and consultations with physicians will be required. About the Position: As a Medical Coder, you will perform professional certified coding and provide valuable administrative and project support within the department. Your role will involve analyzing surgical and medical documentation to accurately apply ICD-10/CPT/HCPCS codes along with appropriate modifiers, ensuring compliance and facilitating smooth reimbursement processes. Key Responsibilities: Analyze evaluation and management documentation, particularly focusing on critical care services and procedures. Utilize expertise in professional coding to apply the correct ICD-10/CPT/HCPCS codes...

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $23.81 - $40.14 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: 6 am CST- 2:30 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...

Department Description: The Critical Care Auditor/ Coder position will be working directly with the Department of Anesthesia, Critical Care and Pain Medicine and will have the opportunity to work remotely following an initial onsite training period. The incumbent will be required from time-to-time to attend billing onsite staff meetings and meetings with the physicians they support. AFS, LLC is located in Needham Heights, Massachusetts. Job Location: Virtual Job Summary: Performs professional certified coding and provides administrative and project support to the department. Analyzes surgical-medical documentation, provides the individual surgeon/physician with the application of appropriate ICD-10/CPT/HCPCS descriptor codes including the appropriate use of modifiers to ensure compliance for reimbursement. Essential Responsibilities: Analyzes evaluation and management, including critical care, procedures and other notes and documents to determine the scope and complexity of the...