Top 72 Coding specialist Jobs in Somerville, Ma

Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- 5 years
- Acute care experience
- Senior level
Regional Quality Measure Specialist
AMA-LTC —Boston, MA
- From $110,000 a year
- Full-time
- Hybrid work
- Background check
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
11d
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
Authorization and Denials Specialist (Medical Biller)
Confidential —Braintree, MA
- $25 - $32 an hour
- Full-time
- Mid-level
- In-person
- Medical terminology
Quick Apply
1d
Clinical Documentation Specialist II- RN- Remote
Beth Israel Lahey Health —Charlestown, MA
- $102,000 - $158,392 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
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
Clinical Documentation Specialist I-CDI
Beth Israel Lahey Health —Winchester, MA
- $85,000 - $132,000 a year
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
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
11d
Clinical Documentation Improvement Specialist
Beth Israel Lahey Health —Charlestown, MA
- $102,000 - $158,392 a year
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
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
Inpatient Clinical Documentation Integrity Risk Adjustment Specialist
Mass General Brigham Incorporated —Somerville, MA
- $79,560.00 - $115,720.80 a year
- Full-time
- Remote
- RN License
- Research
- 3 years
- Opportunities for advancement
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
Outpatient Coder 2
Beth Israel Lahey Health —Charlestown, MA
- $22.43 - $45.41 an hour
- Full-time
- Microsoft Excel
- Surgery
- Computer literacy
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
9d
Outpatient Coder 3
Beth Israel Lahey Health —Charlestown, MA
- $29.80 - $47.68 an hour
- Full-time
- Microsoft Excel
- Surgery
- 5 years
Inpatient Coding Quality & Education Specialist
Mass General Brigham Incorporated —Somerville, MA
- $63,648.00 - $92,570.40 a year
- Full-time
- Project management
- Travel
- Mentoring
- Opportunities for advancement
Quick Apply
4d
Denial Specialist 1-Professional Billing
Beth Israel Lahey Health —Charlestown, MA
- $22.05 - $29.68 an hour
- Full-time
- Hospital
- Word processing
- Writing skills
Oncology Data Specialist
Cambridge Health Alliance —Cambridge, MA
- 8 hour shift
- Microsoft Excel
- Mid-level
- Office
Authorization Specialist
New England Life Care —Woburn, MA
- $21 - $22 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Customer service
- Disability insurance
- Health insurance
Quick Apply
1d
Patient Access Liaison - Florida
Intellia —Cambridge, MA
- $193,500 - $236,500 a year
- Full-time
- Remote
- 7 years
- Mid-level
- Analysis skills

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coding specialist jobs near somerville, ma

Coding and Compliance Auditor

South Shore Health -
Weymouth, MA

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Job Details

Full-time
$73,000 - $104,400 a year

Qualifications

Medical coding experience in outpatient clinics
Medical coding for surgical records
Health information management
Acute care experience

Full Job Description

Job Description Summary

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. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements.

Job Description

Job Responsibilities:

Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process.

Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes.
Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection.
Analyzes data to identify deficiencies, prepare reports to deliver provider education specific to training needs identified during audit.
Develop and monitor follow-up audits and education as determined necessary to improve documentation quality.

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.
Designs training programs around compliant coding and billing from a regulatory standpoint for any new initiatives or programs affecting the Health System.
Evaluates vendor-training materials for its application or recommendation for use in educational programs.

Maintains:

Knowledge of all State and Federal regulatory changes that impact the Health System
Revises/modifies any instructional tools as necessary based on any changes to State and Federal regulatory changes to ensure guidance and training are accurate.
Assists in the development of follow-up mechanisms to ensure that knowledge and/or skills learned in the training are being applied on the job and have an impact on staff performance in meeting organizational goals.
Reports on program effectiveness and documents necessary changes.

Self Development:

Participates in professional societies or organizations relevant to ICD-9-CM, ICD-10-CM, PCS and CPT.
Maintains necessary licensure required for employment.

Administrative Duties:

Assists with administering programs as assigned.
Attends and participates in organization-wide committees as assigned.
Performs additional related duties as required.
Designs, develops and delivers education and training programs that meet the staff’s needs for compliant coding and billing.
Plans and develops curriculum in accordance with the organization’s strategic goals, mission and business strategies to improve employee performance leading to quality data and accuracy.

JOB REQUIREMENTS

Minimum Education - Preferred

Associates or Bachelor’s degree in Health Information Management.

Minimum Work Experience

Minimum 5 years acute care coding with demonstrated expertise in ICD-9-CM, ICD-10-CM, PCS and CPT coding.
Experience, preferred, in adult and continuing education, organizational development and training.

Required Certifications

CCA - Certified Coding Associate (AHIMA-American Health Information Management Assoc) or

CCS - Certified Coding Specialist (AHIMA-American Health Information Management Assoc) or

CCS-P - Certified Coding Specialist-Physican Based (AHIMA-American Health Information Management Assoc) or

CPC - Certified Professional Coder (AAPC-American Academy of Professional Coders) or

CPMA -Certified Professional Medical Auditor (AAPC-Academy of Professional Coders) or

RHIA - Registered Health Information Administrator (AHIMA-American Health Information Management Association)

Required additional Knowledge and Abilities:

Interact with constituents who have competing priorities and effectively communicate the importance of compliance in a respectful yet authoritative manner.

Apply Now

Refine Your Search

coding specialist jobs in somerville, ma

Coding and Compliance Auditor

Regional Quality Measure Specialist

Provider Educator

Authorization and Denials Specialist (Medical Biller)

Clinical Documentation Specialist II- RN- Remote

Coding Specialist, Pain Management

Clinical Documentation Specialist I-CDI

Outpatient Technical Advisor, Coding

Clinical Documentation Improvement Specialist

Inpatient Coding Specialist (Coder III) - Fully Remote

Inpatient Clinical Documentation Integrity Risk Adjustment Specialist

Billing & Certified Coding Specialist I (Remote)

Outpatient Coder 2

Oasis, Coding and Quality Documentation Specialist - Hybrid After Training

Outpatient Coder 3

Inpatient Coding Quality & Education Specialist

Denial Specialist 1-Professional Billing

Oncology Data Specialist

Authorization Specialist

Patient Access Liaison - Florida

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