Top 50 Coder Jobs in Somerville, Ma

Risk Coder
Community Care Cooperative —Boston, MA
- $50,217 - $57,749 a year
- Remote
- Anatomy knowledge
- Customer service
- Writing skills
Quick Apply
Billing & Certified Coding Specialist I (Remote)
Beth Israel Lahey Health —Charlestown, MA
- $25 - $34 an hour
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
Provider Educator
South Shore Health —Weymouth, MA
- $79,600 - $113,800 a year
- Full-time
- 3 years
- High school diploma or GED
- Bachelor's degree
Dental Finance & Insurance Coordinator
Longwood Dental Group —Brookline, MA
- Full-time
- Dental office
- Customer service
- In-person
- Paid holidays
- Health insurance
Quick Apply
Provider Educator
South Shore Health —Weymouth, MA
- Full-time
- 3 years
- High school diploma or GED
- Bachelor's degree
Quick Apply
Coding Validator 3 (Remote)
Beth Israel Lahey Health —Charlestown, MA
- $31.37 - $50.20 an hour
- Full-time
- Remote
- Microsoft Excel
- 5 years
- Computer literacy
Outpatient Coder 2
Beth Israel Lahey Health —Charlestown, MA
- $22.43 - $45.41 an hour
- Full-time
- Microsoft Excel
- Surgery
- Computer literacy
Outpatient Coder
Community Care Cooperative —Boston, MA
- $50,217 - $57,749 a year
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED
Quick Apply
Outpatient Coder 3
Beth Israel Lahey Health —Charlestown, MA
- $29.80 - $47.68 an hour
- Full-time
- Microsoft Excel
- Surgery
- 5 years
14d
Medical Coder II/III
CodaMetrix —Boston, MA
- $90,000 - $105,000 a year
- Full-time
- Remote
- Background check
- 5 years
- Quality control
- Disability insurance
- Health insurance
Reimbursement Analyst
Beth Israel Lahey Health —Charlestown, MA
- $58,011 - $78,075 a year
- Full-time
- Mid-level
Outpatient Technical Advisor, Coding
Mass General Brigham Incorporated —Somerville, MA
- $63,648.00 - $90,750.40 a year
- Full-time
- Remote
- HIPAA
- Mid-level
- 3 years
- Opportunities for advancement
Quick Apply
10d
Inpatient Coding Specialist (Coder III) - Fully Remote
Tufts Medicine —Burlington, MA
- $31.92 - $39.90 an hour
- Full-time
- Remote
- Anatomy knowledge
- Computer literacy
- English
Accounts Receivable Specialist
Community Care Cooperative —Boston, MA
- $24.14 - $27.76 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Organizational skills
Quick Apply
Data Entry Lead
Optum —Chelmsford, MA
- $18 - $32 an hour
- Overtime
- Hybrid work
- 18 years or older
- Microsoft Outlook
- Writing skills
- On-the-job training
Coding Specialist, Pain Management
Mass General Brigham Incorporated —Somerville, MA
- $25.50 - $36.49 an hour
- Full-time
- No experience needed
- Research
- Mid-level
- Opportunities for advancement
Quick Apply
Senior Revenue Cycle and Accounts Receivable Specialist
Terra Fertility PLLC —Dedham, MA
- $35 - $45 an hour
- Full-time
- Finance
- Analysis skills
- Bachelor's degree
- Paid holidays
- Health insurance
Patient Financial Services Specialist
Beth Israel Lahey Health —Charlestown, MA
- $22.05 - $29.68 an hour
- Full-time
- 5 years
- Research
- Mid-level
Oasis, Coding and Quality Documentation Specialist - Hybrid After Training
Emerson Hospital —Concord, MA
- $36.75 - $47.82 an hour
- Part-time
- Hybrid work
- Computer literacy
- Mid-level
- 3 years
7d
Professional Coder I
South Shore Health —Weymouth, MA
- $26.20 - $37.20 an hour
- Full-time
- Anatomy knowledge
- Analysis skills
- Continuous improvement

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Risk Coder

Community Care Cooperative -
Boston, MA

Quick Apply

Job Details

$50,217 - $57,749 a year

Qualifications

Anatomy knowledge
Customer service
Spreadsheets
Writing skills
Medical billing compliance checks
Medical coding experience in outpatient clinics
Electronic health record (EHR) management for billing and coding
Certified Risk Coder (CRC)
Clinical documentation standards
Medical terminology
Project stakeholder communication
Quality assurance experience within healthcare

Full Job Description

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 performs retrospective and prospective risk coding reviews and completes provider training for a group of outpatient primary care practices across Massachusetts. In so doing, the Certified Risk Coder will use knowledge of appropriate coding, combined expertise in claims submission processes to improve the accuracy of documentation. This work ultimately leads to a greater understanding of the patient’s complexity while ensuring accurate risk adjustment for patient care. The Certified Risk Coder has experience in risk adjustment, outpatient primary care and/or behavioral health condition coding, billing compliance, and coding quality assurance protocols. The person in this role will report to the Manager, Risk Coding, and interface with an internal team of Practice Transformation Managers, as well as staff at FQHCs.

Responsibilities:

Serves as an expert on ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and MassHealth Risk Adjustment guidance
Completes record review with a high degree of familiarity with common EHRs, especially Epic, NextGen, Centricity, and eCW
Assists in the compilation and delivery of project reports and facilitates provider-facing interactions
Completes internal audits per quality assurance protocols
Facilitates allowable modifications to the bill to ensure accuracy, involving extensive interaction with FQHC billing and operations staff departments
Assists in chart preparation for providers in advance of appointments
Communicates with provider education team on observed trends to improve documentation
Utilizes population health reporting tools to assist in the identification of patients and conditions in need of review and improvement
Identifies opportunities for FQHC risk score improvement
Performs other duties as assigned

Required Skills:

The Certified Risk Coder must be innovative, comfortable with ambiguity, well-organized, and committed to moving quickly and collaboratively as a member of an emerging team within a fast-paced organization. They must communicate clearly and succinctly in writing and verbally across multiple tiers of the organization, from leadership to individual providers and health center staff. Additionally, they must have a strong commitment to quality assurance and exceptional customer service.

0-5 years of risk coding experience
0-5 years of medical billing experience in an outpatient setting, preferably in primary care, pediatrics, or behavioral health
In-depth knowledge of medical terminology, anatomy, physiology, and disease process
Knowledge of electronic health record systems: Epic, NextGen, Centricity, and eCW preferred
Expertise in Medicaid and/or Medicare risk adjustment models
Billing compliance expertise required
Self-starter; exercises high degree of initiative, judgement, discretion and decision making to achieve objectives
Familiarity with Excel
Performs with great integrity and produces accurate work with close attention to detail, especially in the completion of final deliverables to internal and external stakeholders

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:

Certified Risk Coding (CRC) Certification through AAPC required

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

Quick Apply

Refine Your Search

coder jobs in somerville, ma

Risk Coder

Billing & Certified Coding Specialist I (Remote)

Provider Educator

Dental Finance & Insurance Coordinator

Provider Educator

Coding Validator 3 (Remote)

Outpatient Coder 2

Outpatient Coder

Outpatient Coder 3

Medical Coder II/III

Reimbursement Analyst

Outpatient Technical Advisor, Coding

Inpatient Coding Specialist (Coder III) - Fully Remote

Accounts Receivable Specialist

Data Entry Lead

Coding Specialist, Pain Management

Senior Revenue Cycle and Accounts Receivable Specialist

Patient Financial Services Specialist

Oasis, Coding and Quality Documentation Specialist - Hybrid After Training

Professional Coder I

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