Top 12 Remote 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
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
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
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
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
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13d
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
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Coding Specialist II, Remote
Mass General Brigham Incorporated —Somerville, MA
- $22.22 - $31.71 an hour
- Full-time
- Remote
- Anatomy knowledge
- Urgent Care
- Mid-level
- Opportunities for advancement
Quick Apply
Inpatient Coding Specialist, Remote
Mass General Brigham Incorporated —Somerville, MA
- $25.50 - $36.49 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Tuition reimbursement
- Paid time off
Quick Apply
Coding Specialist II, Anesthesia
Mass General Brigham Incorporated —Somerville, MA
- $22.22 - $31.71 an hour
- Full-time
- Remote
- Anatomy knowledge
- Mid-level
- High school diploma or GED
- Opportunities for advancement
Quick Apply
11d
Inpatient Coding Quality Specialist
Mass General Brigham Incorporated —Somerville, MA
- $30.60 - $44.51 an hour
- Full-time
- Remote
- Anatomy knowledge
- 5 years
- Analysis skills
- Opportunities for advancement
Quick Apply

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Amesbury Dental Associates —Amesbury, MA
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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

remote coder jobs in somerville, ma

Risk Coder

Billing & Certified Coding Specialist I (Remote)

Outpatient Coder

Coding Validator 3 (Remote)

Medical Coder II/III

Outpatient Technical Advisor, Coding

Inpatient Coding Specialist (Coder III) - Fully Remote

Accounts Receivable Specialist

Coding Specialist II, Remote

Inpatient Coding Specialist, Remote

Coding Specialist II, Anesthesia

Inpatient Coding Quality Specialist

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