Top 4 senior coder Jobs in boston, ma

Senior Outpatient Coder
Community Care Cooperative —Boston, MA
- $57,000 - $66,975 a year
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- High school diploma or GED
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Senior Outpatient Coder

Community Care Cooperative -
Boston, MA

Quick Apply

Job Details

$57,000 - $66,975 a year

Qualifications

Microsoft Excel
National Correct Coding Initiative (NCCI) guidelines
Medical law
Health education for healthcare providers
Healthcare documentation compliance audits
Medical billing compliance checks
State healthcare regulations
High school diploma or GED
Certified Professional Coder
Clinical staff training
Retrospective medical coding audits
Electronic health record (EHR) management for billing and coding
Health information data integrity
Quality issues
Health information regulatory compliance
Technical skills instruction
Health information management
Productivity software
Quality audits
Clinical confidentiality policies
Clinical documentation standards
Managing patient records
Medical terminology
Teaching

Full Job Description

Title: Senior Outpatient Coder

Reports to: Director of Revenue Integrity

Classification: Individual Contributor

Location: Remote

Job description revision number and date: V 2.0; 5.11.2026

Organization Summary:

Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified 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 and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices in Massachusetts and across the country.

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 Senior Certified Outpatient Coder will be a part of an emerging coding team under the billing and credentialing service that performs coding review for FQHCs. The Outpatient Coder will report to Director of Revenue Integrity and is responsible for performing coding audits on ambulatory medical records for multi-specialty provider organizations to ensure billed codes are accurately supported by the clinical documentation. The Senior coder will ensure accurate diagnosis and procedure coding, as well as providing documentation and coding related feedback to providers and coders. Responsible for interpreting medical record data in language that the payers can interpret in order to process physician charges, and is compliant with all coding guidelines.

Responsibilities:

Serves as an expert on coding guidelines
Assigns appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other information
Ensures all coding is completed in a timely manner to meet billing deadlines
Communicate with healthcare providers to clarify coding questions and concerns
Participates in improvement efforts and documentation training for medical and clinical staff
Recommend improvements to workflows in Epic to facilitate accurate documentation
Stay abreast of coding and documentation guidelines, compliance policies, annual coding updates, payer policies and industry changes
Conduct regular audits to monitor coding accuracy and identify areas for improvement or education to coding staff
Performs Denial analysis to identify trends related to coding
Identify coding/documentation trends that may pose a risk to revenue stream and report such trends to management team
Continuously improve coding processes and contribute to the overall success of the team
Provide recommendations to manager for the most efficient utilization of assigned personnel
Acts as department resource for special projects and coding related questions and issues
All other duties as assigned

Required Skills:

Knowledge of ICD-CM (current edition) CPT, HCPCS coding systems as well as CCI edits
Knowledge of third-party payer requirements, federal and state guidelines and regulations on medical coding and billing
Knowledge and understanding of current ICD-10-CM and CPT/HCPC Official Guidelines for Coding and Reporting
Knowledge of medical records content and management
Knowledge of teaching physician regulations, including incident to, split shared and attestation requirements
Experience conducting coding related audits for coding accuracy and quality
Experience providing education to providers and clinical staff on coding documentation
Working knowledge of the Epic EMR either through experience or education
Medical terminology
Knowledge of laws and regulations about health information and patient confidentiality
Proficient in Microsoft office applications such as Excel, Word and PowerPoint
Demonstrating flexibility with respect to changing end-user business needs
Good interpersonal and communications skills and demonstrates professionalism when working with team members, management and other staff members.
The ability and willingness to take ownership of work activities and ensure that they are completed in an accurate, efficient, and timely manner
The ability and willingness to learn new software and systems
Ability to determine a problem’s cause and developing a course of action to resolve the problem and to prevent its recurrence
The ability to persevere in difficult situations and overcome obstacles
Must be able to remain in a stationary position 50-75% of the time

Desired Other Skills:

Familiarity with the MassHealth ACO program
Familiarity with Federally Qualified Health Centers
Experience with anti-racism activities, and/or lived experience with racism is highly preferred

Qualifications:

High School Diploma or equivalent required
CPC Certification required
10+ years CPT/HCPC Outpatient coding experience, preferably in a multi-specialty facility
Prior experience working with Epic EHR required

** In compliance with Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **

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senior coder jobs in boston, ma

Senior Outpatient Coder

Senior Consultant - Clinical Documentation Specialist

Revenue Cycle Analyst

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