Top 73 Coding specialist Jobs in Somerville Ma

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
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
Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Acute care experience
Clinical Compliance Specialist (RN)
VITRA Health —Boston, MA
- $97,000 - $105,000 a year
- Full-time
- RN License
- HIPAA
- Mid-level
- AD&D insurance
- Health insurance
Quick Apply
Orthopedic Billing & Accounts Receivable (AR) Specialist
Agility Orthopedics —Stoneham, MA
- $24 - $27 an hour
- Full-time
- Background check
- HIPAA
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Senior Billing Specialist
Tallman Eye Associates —Lawrence, MA
- 8 hour shift
- Background check
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Medical Billing Manager
Tallman Eye Associates —Lawrence, MA
- $66,000 - $75,000 a year
- 8 hour shift
- Mid-level
- Office
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Medical Billing Specialist - PART TIME - Framingham -At least 2 yr exp required
Complete Pain Care —Framingham, MA
- $24 - $32 an hour
- Part-time
- Hybrid work
- Spanish
- Mid-level
- High school diploma or GED
- Employee discount
- Flexible schedule
Quick Apply
2d
Authorization Specialist (in-person)
North Shore Pain Management —Beverly, MA
- $20 - $25 an hour
- Full-time
- Background check
- Private practice
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
Patient Services Coordinator MUST HAVE DENTAL EXP
Chelmsford Dental Specialists Group, PC —Chelmsford, MA
- $20 - $30 an hour
- Full-time
- Dental office
- Data entry
- In-person
- Disability insurance
- Health insurance
Quick Apply
8d
Authorization and Denials Specialist (Medical Biller)
Confidential —Braintree, MA
- $25 - $32 an hour
- Full-time
- Mid-level
- In-person
- Medical terminology
Quick Apply
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
Outpatient Coder 2
Beth Israel Lahey Health —Charlestown, MA
- $22.43 - $45.41 an hour
- Full-time
- Microsoft Excel
- Surgery
- Computer literacy
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 Coder 3
Beth Israel Lahey Health —Charlestown, MA
- $29.80 - $47.68 an hour
- Full-time
- Microsoft Excel
- Surgery
- 5 years
Clinical Documentation Improvement Specialist
Beth Israel Lahey Health —Charlestown, MA
- $102,000 - $158,392 a year
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
ACO Medicaid Claims Review Specialist
Mass General Brigham Health Plan Holding Company, Inc. —Somerville, MA
- $17.71 - $25.28 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- 1 year
- Health insurance
- Opportunities for advancement
Quick Apply
7d
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
Patient Records Specialist
Dana-Farber Cancer Institute —Boston, MA
- $42,100 - $47,300 a year
- Full-time
- Hybrid work
- Computer literacy
- Bachelor's degree
- Computer skills
11d

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Billing & Certified Coding Specialist I (Remote)

Beth Israel Lahey Health -
Charlestown, MA

Apply Now

Job Details

Full-time
$25 - $34 an hour

Qualifications

Customer communication
High school diploma or GED
Cross-functional collaboration

Full Job Description

Charlestown, MA • Beth Israel Lahey Health • Full-time • Day

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services. Reviews provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and other coding needs for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned projects. (remote)

Job Description:

Essential Duties & Responsibilities including but not limited to:

Coding Responsibilities:

1. Provides review and/or coding of any coding related denied professional services for appropriate use of CPT, ICD-9, ICD-10, HCPCS, Modifier usage/linkage.

2. Periodic review of codes, at least annually or as introduced or required.

3. Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding corrections via paper or electronic submission to the Follow up Team.

4. Reports coding trends and issues to the coding supervisor for education within the coding department and/or physician education.

5. Confers regularly with the Coding Department through regular departmental staff meetings, on-on-one meetings to review and discuss coding denials and education.

6. Maintains certification requirements for coding.

Follow Up Responsibilities:

1. Monitors days in A/R and ensures that they are maintained at the levels expected by management. Analyzes work queues and other system reports and identifies denial/non-payment trends and reports them to the Billing Supervisor.

2. Responds to incoming insurance/office calls with professionalism and helps to resolve callers’ issues, retrieving critical information that impacts the resolution of current or potential future claims.

3. Establishes relationships and maintains open communication with third party payor representatives in order to resolve claims issues.

4. Reviews claim forms for the accuracy of procedures, diagnoses, demographic and insurance information, as well as all other fields on the CMS 1500.

5. 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. Initiates claim rebilling or corrections and obtains and submits information necessary to ensure account resolution/payments.

6. Identifies invalid account information (i.e.: coverage, demographics, etc.) and resolves issues.

7. Evaluates delinquent third party accounts and processes based on established protocols for review, payment plan or write-off.

8. Reviews/updates all accounts for write-offs and refunds.

9. Keeps informed of all federal, state, and managed care contract regulations, maintains working knowledge of billing mechanics in order to properly ascertain patients’ portion due.

10. Completes all assignments per the turnaround standards. Reports unfinished assignments to the Billing Supervisor.

11. Handles incoming department mail as assigned.

12. Attends meetings and serves on committees as requested.

13. Maintains appropriate audit results or achieves exemplary audit results. Meet productivity standards or consistently exceeds productivity standards.

14. Provides and promotes ideas geared toward process improvements within the Central Billing Office.

15. Assists the Billing Supervisor with the resolution of complex claims issues, denials and appeals.

16. Completes projects and research as assigned.

17. Provides feedback and participates as the coding representative for the Patient Financial Services Department on the Revenue Cycle teams.

Secondary Functions:

1. Enhances professional growth and development through in-service meetings, education programs, conferences, etc.

2. Complies with policies and procedures as they relate to the job. Ensures confidentiality of patient, budget, legal and company matters.

3. Exercises care in the operation and use of equipment and reference materials. Performs routine cleaning and preventive maintenance to ensure continued functioning of equipment. Maintains work area in a clean and organized manner.

4. Refers complex or sensitive issues to the attention of the Billing Supervisor to ensure corrective measures are taken in a timely fashion.

5. Observes irregularities in the cash/denial posting process and reports them immediately to the Billing Supervisor.

6. Accepts and learns new tasks as required and demonstrates a willingness to work where needed.

7. Assists other staff as required in the completion of daily tasks or special projects to support the department’s efficiency.

8. Performs similar or related duties as assigned or directed.

Education & Professional Development:

1. Researches and stays updated and current on CMS (HCFA), AMA and Local Coverage Determinations (LCD’s), or Local Medical Review Policies (LMRP's) to ensure compliance with coding guidelines.

2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare's yearly fee schedule, Medicare Website, and specialty newsletters.

3. Makes guidelines available via, paper, on-line access, web access, or any other means provided by manager.

Organizational Requirements:

Maintain strict adherence to the Lahey Health Confidentiality policy.
Incorporate Lahey Health Standards of Behavior and Guiding Principles into daily activities.
Comply with all Lahey Health Policies.
Comply with behavioral expectations of the department and Lahey Health.
Maintain courteous and effective interactions with colleagues and patients.
Demonstrate an understanding of the job description, performance expectations, and competency assessment.
Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
Participate in departmental and/or interdepartmental quality improvement activities.
Participate in and successfully completes Mandatory Education.
Perform all other duties as needed or directed to meet the needs of the department.

Minimum Qualifications:

Education: High School diploma or equivalent, plus additional specialized training associated attainment of a recognized Coding Certificate

Licensure, Certification & Registration: CP (Certified Professional Coder through AAPC), CPC-A (Certified Professional Coder – Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA)

Experience: 1-2 years of experience in billing, coding, denial management environment related field.

Skills, Knowledge & Abilities:

Ability to work independently and take initiative
Good judgment and problem solving skills
Excellent organizational skills
Ability to interact and collaborate effectively and tactfully with staff, peers and management.
Ability to promote team work through support and communication.
Ability to accept constructive feedback and initiate appropriate actions to correct situations.
Ability to work with frequent interruptions and respond appropriately to unexpected situations.

Pay Range:

$25.00 – $34.00

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

Job details

Employment: Full-time
Hours/Week: 40
Shift: Day
Category: Billing, Collections, & Patient Financial Services
Pay Range: $25.00 - $34.00
FLSA: Non-Exempt
Req ID: JR94676

Apply Now

Refine Your Search

coding specialist jobs in somerville ma

Billing & Certified Coding Specialist I (Remote)

Clinical Documentation Specialist II- RN- Remote

Coding Specialist, Pain Management

Coding and Compliance Auditor

Clinical Compliance Specialist (RN)

Orthopedic Billing & Accounts Receivable (AR) Specialist

Senior Billing Specialist

Medical Billing Manager

Medical Billing Specialist - PART TIME - Framingham -At least 2 yr exp required

Authorization Specialist (in-person)

Patient Services Coordinator MUST HAVE DENTAL EXP

Authorization and Denials Specialist (Medical Biller)

Outpatient Technical Advisor, Coding

Outpatient Coder 2

Clinical Documentation Specialist I-CDI

Outpatient Coder 3

Clinical Documentation Improvement Specialist

ACO Medicaid Claims Review Specialist

Inpatient Coding Quality & Education Specialist

Patient Records Specialist

I want to receive the latest job alert for coding specialist in somerville ma

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As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

Job details

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