27 Results for

Medical Coder Jobs in Somerville, MA

Jobs

North Andover, MA30+ days ago

$23.89–$42.69 Per Hour

We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._. + 3+ years of experience working with DRG coding with a mastery of complex procedures, cardiac catheterization, complex cardiology, interventional radiology, orthopedic and neurology cases.

Westborough, MA16 days ago

$33,000–$47,000

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. Westborough Behavioral Healthcare Hospital (WBHH) provides psychiatric stabilization diagnosis treatments for Children, Special Needs, and Adult populations in both inpatient and outpatient settings.

Boston, MA30+ days ago

Remote

$28.52–$42.79 Per Hour

This includes high acuity profee service lines, Cardiac Cath/Electrophysiology (EP), or Interventional Radiology (IR) with a CIRCC certification, or expertise in at least 8 sub-specialties. + The pay range for this position is $28.52 (entry-level qualifications) - $42.79 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior coding experience.

Weymouth, MA30+ days ago

The Professional Surgical Coder I 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. Under experienced leadership the Professional Surgical Coder I 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.

Chelmsford, MA30+ days ago

$24–$27 Per Hour

ZOLL Data Systems, a division of ZOLL Medical Corporation, is a healthcare software solutions provider that empowers hospital, EMS and Fire, and billing/accounts receivable (AR) teams to deliver more-from better patient outcomes to operational efficiencies and greater revenue capture. This position performs demographic and medical coverage verification, identifies transport call, response and mission type disparities and reviews for appropriate vehicle type, pickup, drop off locations, mileage, and transport dates, and assigns the appropriate Level of Service and Diagnosis Codes to all ambulance claims.

Boston, MA30+ days ago

$55,000–$65,000 Per Year

Working closely with senior specialists, product, and technical teams, you will help validate edit logic, assist with audits, and identify opportunities to reduce waste and recover overpayments for our customers. Shift combines generative, agentic, and predictive AI to transform underwriting, claims, and fraud and risk - driving operational efficiency, exceptional customer experiences and measurable business impact.

Weymouth, MA29 days ago

The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. Support all departments of the Health System with coding guidance: Pertaining to compliance training / education as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional, surgical and Home Health divisions of the Health System to ensure accuracy and support program objectives.

New!

Belmont, MA3 days ago

Position Overview: The Medical Billing & Insurance Specialist is responsible for managing the practice’s core insurance and billing functions, including insurance verification, prior authorizations, claims submission, payment posting, denial follow-up, and patient account support. This role works closely with patients, insurance carriers, and internal team members to help ensure accurate billing, timely reimbursement, and a positive patient experience.

Boston, MA30+ days ago

Remote

$71,100–$97,800 Per Year

The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

Plymouth, MA30+ days ago

Full-time

As a senior member of the team, you’ll play a critical role in optimizing revenue cycle performance by: Resolving complex claim edits, rejections, and denials with accuracy and efficiency. In this role, you will be a key contributor to the financial health of the organization, tackling complex billing challenges, supporting team development, and helping ensure a seamless experience for our patients and providers.

New!

Brighton, MA1 day ago

With a proven track record, our Healthcare and Clinical Division has successfully placed candidates in various roles, from Allied Professionals, Healthcare IT to Business Professionals, Finance/Accounting, Registered Nurses (both travel and local), Case Managers, Medical Coders, and more. We understand that high-quality employees like you know other talented people who would want to work with ICONMA.

Town of Northborough, Massachusetts30+ days ago

Remote

The Coding Educator ensures the TPR organization meets all governmental and payer coding guidelines by providing continuous education to staff, auditing documentation using specific quality tools, and serving as the primary liaison for coding vendors to prevent claim denials. Saint Vincent Medical Group, within Saint Vincent Physician Services, strives to provide patient-centered healthcare and invite our patients and their families to be a part of the care team as shared members in the decision-making and treatment process.

New!

Concord, MA1 day ago

With a proven track record, our Healthcare and Clinical Division has successfully placed candidates in various roles, from Allied Professionals, Healthcare IT to Business Professionals, Finance/Accounting, Registered Nurses (both travel and local), Case Managers, Medical Coders, and more. Our team is comprised of highly specialized recruitment professionals who are passionate about the healthcare and clinical industry.

Burlington, MA30+ days ago

Reviews and corrects all claims/charge denials and edits that are communicated via Epic, Explanation of Benefits (EOB), direct correspondence from the insurance carrier or others and uses information learned to educate PFS and office staff to reduce future denials and edits of the same nature. 2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare's yearly fee schedule, Medicare Website, and specialty newsletters.

Burlington, MA30+ days ago

Boston, Massachusetts18 days ago

The Clinic Compliance Manager collaborates closely with Clinical Affairs, Practice Managers, the TUSDM Billing Department, and external entities to identify risk, interpret regulatory guidance, and support continuous improvement across clinical, academic, and revenue‑cycle operations. Overview: Tufts University School of Dental Medicine (TUSDM) offers one of the most forward‑looking educational environments in dental medicine and maintains a Compliance Program focused on meeting federal, state, and accreditation requirements, including Anti‑Kickback, Fraud and Abuse, and HIPAA Privacy and Security regulations.

Boston, MA30+ days ago

$80,000–$85,000

Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to negotiate stairs; requires visual acuity and manual dexterity to operate equipment. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care.

Boston, MA30+ days ago

$97,000–$105,000

Boston, MA30+ days ago

Remote

$59,300–$80,900 Per Year

As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.

Boston, MA10 days ago

If appropriate to bill for new services, ensures related systems are set up correctly, tested, and monitors initial charging of services for proper billing as well as following. Certification preferred: Coding certification such as Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or AHIMA Certified Coding Specialist (CCS).

Boston, MA10 days ago

Certification preferred: Coding certification such as Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or AHIMA Certified Coding Specialist (CCS). License preferred: Clinical license such as Registered Nurse (RN), Registered Respiratory Therapist (RT), Medical Technologist (MT), Registered Pharmacist (RPh).

Boston, MA30+ days ago

Remote

Provide proactive care guidance for various value-add opportunities: + Guidance on closing care gaps (e.g., No PCP, discussing switching from low quality PCPs to high quality PCPs, reminder for completion of health risk assessment, reminders for exams/tests due). + Answer inquiries from members (via voice and chat) for the following: + Help with eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and vision plans.

Woburn, MA30+ days ago

5 or more years physician/professional revenue operations experience with a focus in one or more of the following areas: coding, revenue integrity, charge reconciliation, charge compliance, charge auditing, CDM management. • Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity> 20 feet, Visual clarity feet, Conversation, Telephone.

Boston, Massachusetts8 days ago

This position reports directly to the Patient Financial Administrator and works closely with school clinics it supports: Dental Faculty Practice, Craniofacial Pain and Sleep Center, Oral Medicine, Oral and Maxillofacial Pathology and Tufts Dental Facilities, the Pre-doctoral (students), Postgraduate (residents) Specialty clinical treatment areas, which includes: Endodontics, Orthodontics, Periodontics, Prosthodontics, Pedodontics, Oral and Maxillofacial Surgery, AEGD and Geriatric Dentistry. What You'll Do: Our onsite patient-facing Patient Financial Coordinators play a vital role in the Dental School’s revenue cycle management, ensuring patient services payments in full, which has a direct impact on the Dental School’s clinical services financial and claims outcomes success.

Boston, MA30+ days ago

$140,000–$220,000

Market Feedback Loop: Working closely with the Product/Engineering team to relay customer feedback regarding payer-specific rules, integration blockers (e.g., ModMed/EMA API issues), and feature requests to shape the roadmap. Full-Cycle SaaS Ownership: Taking ownership of the entire sales lifecycle—from cold prospecting private practices and PE-backed groups to running technical demos, negotiating contracts, and closing.

Charlestown, MA30+ days ago

The Coding Validator III works closely with the Director of Coding and Validation and Coding leadership to assure coding uniformity, consistency and accuracy ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. • Performs pre-bill reimbursement audits on outpatient records to determine if codes need to be added/deleted, to ensure that the care of the patient is recorded in language that the payers can interpret, and coding is compliant with all coding guidelines.

Boston, MA30+ days ago

$24.50–$32 Per Hour

_Directly supporting cCare, the largest private oncology practice in California, our experienced revenue cycle management specialists simplify and optimize the practice’s revenue cycle, from prior authorization through billing and collections._. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue.

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Medical Coder Jobs in Somerville, MA

Jobs

Senior Medical CoderUnitedHealth Group

Coder - Per DiemWestborough Behavioral Healthcare Hospital

Coder III - OP (Cath Lab-CIRCC)Baylor Scott & White Health

Professional Coder ISouth Shore Health

CAC - Certified Ambulance CoderZoll

Certified Medical Coding SpecialistShift Technology

Medical Coding Auditor/ComplianceSouth Shore Health

Medical Billing & Insurance SpecialistStaffing Proxy

Inpatient Medical Coding AuditorHumana

Senior Medical Billing SpecialistOphthalmic Consultants of Boston

RN - Operating RoomIconma

Coding Educator - RemoteSaint Vincent Physician Services, Inc

Registered Nurse - Neonatal Intensive Care UnitIconma

Billing and Certified Coding SpecialistBeth Israel Lahey Health

Billing & Certified Coding Specialist IIBeth Israel Lahey Health

Clinic Compliance ManagerTufts University

Compliance SpecialistVITRA Health

Clinical Compliance Specialist (RN)VITRA Health

Consultative Coding ProfessionalCenterWell

Revenue Integrity Program ManagerBoston Children's Hospital

Provider Revenue Integrity Specialist (hybrid)Boston Children's Hospital

Family Health Advocate - RemoteSharecare

Revenue Integrity Senior Analyst - HMFPBeth Israel Lahey Health

Patient Financial Coordinator - School of Dental MedicineTufts University

Regional Sales Manager - DermatologyMax AI, Inc.

Coding Validator 3Beth Israel Lahey Health

Lead Coordinator, Revenue Cycle Management, BillingCardinal Health

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