- Assign accurate medical codes to diagnoses, procedures, and services in accordance with coding guidelines and regulations
- Ensure compliance with insurance eligibility requirements, fee for service and capitated coding standards, and billing regulations
- Perform risk adjustment coding to optimize reimbursement and accurately reflect patient acuity
- Collaborate with healthcare providers to improve clinical documentation to support accurate coding and billing
- Conduct regular audits to ensure coding accuracy and compliance with regulatory requirements
- Provide education and training to healthcare providers and staff on coding best practices and documentation improvement strategies
- Stay current with updates to coding guidelines, regulations, and industry trends
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS) credential or Certified Coding Specialist- Physician-based (CCS-P) required
- Minimum of 2 years of experience in medical coding and billing
- Minimum of 1 years of experience in risk adjustment coding
- Proficiency in ICD-10-CM, CPT, HCPCS
- Strong understanding of medical terminology, anatomy, physiology, and disease processes
- Excellent analytical and problem-solving skills
- Detail-oriented with a high level of accuracy in coding and documentation
- Effective communication and interpersonal skills
- Ability to work independently and as part of a team in a fast-paced healthcare environment
- Commitment to maintaining confidentiality and adhering to ethical standards
- You thrive in a multidisciplinary environment and are skilled at collaborating with professionals from various sectors within healthcare to enhance the coding process and overall patient care
- You are proficient with the latest healthcare technology platforms and have a knack for leveraging digital tools to streamline coding processes and improve accuracy
- You are committed to continuous professional development and are always looking for opportunities to learn more about the latest coding standards, healthcare regulations, and industry best practices
- You have exceptional communication skills, capable of explaining complex coding guidelines to individuals with non-technical backgrounds, facilitating clear and effective information exchange across the organization
- You are a proactive problem solver who anticipates and addresses issues before they escalate
-
Contract Clinical Coder
3 weeks ago
Firefly Health Watertown, United StatesJob Description · Job DescriptionFirefly Health is building a revolutionary new type of comprehensive health "care and coverage," powered by a relationship-driven care team, a trusted virtual and in-person clinical network, and our proprietary technology platform. · Founded by ex ...
-
Contract Clinical Coder
3 weeks ago
Firefly Health Watertown, United States FreelanceFirefly Health is building a revolutionary new type of comprehensive health "care and coverage," powered by a relationship-driven care team, a trusted virtual and in-person clinical network, and our proprietary technology platform. · Founded by experienced clinicians and technolo ...
-
Risk Adjustment Specialist
1 day ago
Atrius Health Watertown, United States Part timeSUMMARY · Under general direction, conducts medical record reviews to ensure that all documented chronic disease (HCC) diagnoses are captured allowing the opportunity for optimal health risk scores. Reviews clinical data from EpicCare and outside claims to ensure that all chroni ...
-
Senior CDM Applications Analyst
1 week ago
Biogen Cambridge, United StatesCompany Description · Job Description · The Senior CDM (Clinical Data Management) Applications Analyst is responsible for developing EDC database, contributing to the assessment and tracking of quality of programming tasks and activities executed by CRO and FSP vendors performin ...
-
Senior CDM Applications Analyst
1 week ago
Biogen Cambridge, United StatesJob Description · The Senior CDM (Clinical Data Management) Applications Analyst is responsible for developing EDC database, contributing to the assessment and tracking of quality of programming tasks and activities executed by CRO and FSP vendors performing clinical trial progra ...
-
Senior CDM Applications Analyst
1 week ago
Biogen Cambridge, United StatesJob Description · Job DescriptionJob Description · The Senior CDM (Clinical Data Management) Applications Analyst is responsible for developing EDC database, contributing to the assessment and tracking of quality of programming tasks and activities executed by CRO and FSP vendors ...
-
Senior Claims Auditor
5 days ago
Brigham and Women's Hospital Somerville, United StatesJob Description - Senior Claims Auditor · Senior Claims Auditor · ( · Job Number: · ) · This is a remote position that can be done in most US states. · Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brig ...
-
Senior Claims Auditor
5 days ago
Partners Healthcare System Somerville, United StatesThis is a remote position that can be done in most US states. · Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated he ...
-
Patient Financial Coordinator
3 days ago
Tufts University Boston, United States Full timeOverview · Tufts University School of Dental Medicine (TUSDM) offers one of the most forward-looking educational environments in dental medicine in the country. Revenue Cycle Operations (RCO) supports patient care services revenue cycle management team, along with other members ...
-
Senior Claims Auditor
1 day ago
Mass General Brigham Health Plan Somerville, United StatesThis is a remote position that can be done in most US states. · Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated h ...
-
Senior Manager, Clinical Data Management
3 weeks ago
MURAL ONCOLOGY PLC Watertown, United StatesSenior Manager, Clinical Data Management · The Mural Oncology team brings together oncology expertise and passion to make an impact on patients' lives. We are seeking a highly motivated and experienced data professional to join our team. · As part of the Clinical Operations org ...
-
Manager, Revenue Cycle
1 week ago
Cambridge Health Alliance Malden, United States Full timeLocation: Commerce Place · Work Days: M - F 8-4:30 · Category: Professional and Management · Department: Revenue Integrity · Job Type: Full time · Work Shift: Day · Hours/Week: 40.00 · Union: No · Union Name: Non Union · Working under the direction of the Sr. Direc ...
-
Patient Financial Coordinator
3 days ago
Tufts University Boston, United StatesOverview: · Tufts University School of Dental Medicine (TUSDM) offers one of the most forward-looking educational environments in dental medicine in the country. Revenue Cycle Operations (RCO) supports patient care services revenue cycle management team, along with other members ...
-
Clinical Documentation Reviewer
3 weeks ago
InterWell Health Waltham, United StatesInterwell Health is a kidney care management company that partners with physicians on its mission to reimagine healthcare-with the expertise, scale, compassion, and vision to set the standard for the industry and help patients live their best lives. We are on a mission to help pe ...
-
Director of Support
3 weeks ago
CODAMETRIX Boston, United StatesJob Description · Job DescriptionCodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix's autonomous coding supports ...
-
Medical Billing Specialist
3 days ago
LogixHealth Bedford, United States$5,000 Signing Bonus · Location: On-Site in Bedford, MA · This Role: · As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and coders to provide cutting edge solutions that will directly improve the healthcare industry. You ...
-
Education Coordinator
6 days ago
MPV New Jersey MD Services, P.C Westwood, United StatesMinimum Education · Associates or Bachelor's degree preferred · Minimum Work Experience · 3 years or more years' experience in a Hospital or Physician Practice setting · Strong knowledge of medical terminology · Required Licenses/Certifications · Certified Revenue Cycle Represent ...
-
Manager, Patient Accounts
6 days ago
MPV New Jersey MD Services, P.C Westwood, United StatesMinimum Education: · Bachelors degree required. Masters degree preferred · Higher education may be substituted for experience · Minimum Work Experience: · 4-6 Years of experience within the healthcare industry preferred · Higher education may be substituted for experience · Requi ...
-
Family Medicine Physician
1 day ago
Tufts Medicine Melrose, United StatesTufts Medical Center Community Care at Reading is seeking to hire a Family Medicine Physician to join our team of collaborative providers. · Why join our team: · Collaborative. Community minded. Committed to you. · Our well-established practice in Reading is a true full-spectrum ...
-
Senior Administrative Lead, Coding
3 weeks ago
LogixHealth Bedford, United StatesJob Description · Job DescriptionLocation: On-Site in Bedford, MA · Purpose: · The Senior Administrative Assistant oversees Coding/ Coding Quality policies, procedures and other operational workflows to ensure a compliant and accurate coding product. · Duties and Responsibiliti ...
Contract Clinical Coder - Watertown, United States - Firefly Health
Description
Firefly Health is building a revolutionary new type of comprehensive health "care and coverage," powered by a relationship-driven care team, a trusted virtual and in-person clinical network, and our proprietary technology platform.
Founded by experienced clinicians and technology leaders, Firefly Health is on a mission to deliver clinical and financial health through joyful, always there care. We are flipping the script on what it means to be a health plan and actually providing a true health benefit to members.
We are intensely focused on optimizing the physical + mental + financial wellbeing of those who want (and deserve) something better than the status quo. If you are ready to roll up your sleeves and take on our audacious mission, we would love to hear from you.
Contract Position:
We are looking for a Certified Professional Coder to join our team in a contract role through the end of the year, working approximately 30 hours per week. As a Certified Professional Coder, you will ensure the accuracy and integrity of medical coding for billing and reimbursement.
Contract Role and Responsibilities:
Contractor Requirements:
Contractor Preferred Qualifications:
Firefly is an equal-opportunity employer. We value diverse backgrounds and perspectives. We're committed to building and sustaining an inclusive workplace culture where individuals are treated with dignity and respect. All employment is decided on the basis of qualifications, merit, and business need. Firefly is an E-Verify employer.
