Medical Coder II/III
CodaMetrix · Boston, MA · 2 mo ago
HybridHealthcare$90k–$105k/yrFull-time
Key Responsibilities
- Analyze and document customers’ coding practices and workflows to facilitate optimal use of the CodaMetrix product.
- Identify and share best practices for coding automation and workflow improvements.
- Assist manager with Coding Quality Assessment (CQA) projects, including work assignments, training, and quality assurance for offshore coding staff.
- Leverage CodaMetrix coding standards to drive world-class coding quality and consistency.
- Present audit results to customer stakeholders and facilitate sign-off for go-live milestones.
- Serve as the internal and external Subject Matter Expert (SME) on medical coding and billing across assigned service lines, with a strong emphasis on coding for the specified service line.
- Provide expert guidance on coding and billing questions to support Machine Learning and Product teams.
- Develop and deliver evaluation and training materials on coding and billing to colleagues and customers.
- Collaborate with cross-functional teams—such as Data Science, Product, and Customer Success—to address client needs and optimize results.
Qualifications & Experience
- Current AHIMA or AAPC coding credential held for 5+ years.
- 5+ years of coding and auditing experience with progressive growth in responsibilities.
- CPC, CCS, and/or CIRCC certification (radiology-specific) is required.
- Candidates must have demonstrated experience with CPT coding in pathology; experience supporting or coding within radiology is strongly preferred.
- Excellent communication and customer service skills, capable of effectively engaging executives, directors, data scientists, and other stakeholders with varying levels of coding knowledge.
- Strong organizational and detail-oriented approach with a demonstrated commitment to excellence and precision.
- Critical thinking, intellectual curiosity, and creativity in problem-solving.
- Ability to thrive under time constraints in a fast-paced environment.
- Team-oriented approach with a positive and patient demeanor, fostering collaboration and continuous improvement.