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Jobs/Physician Role/codametrix - Medical Coder II/III
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codametrix

codametrix - Medical Coder II/III

Boston, MA, United States - Hybrid4d ago
In OfficeMidNAHealth InsuranceInsurancePhysicianTraining DevelopmentMENACustomer SuccessCPCCircom

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Requirements

• Current AHIMA or AAPC coding credential held for 5+ years.

Responsibilities

• 1. Customer & Workflow Analysis • 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. • 2. Coding Quality Management • 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. • 3. Subject Matter Expertise • 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. • 4. Collaboration & Knowledge Sharing • Develop and deliver evaluation and training materials on coding and billing to colleagues and customers. • Share knowledge throughout CodaMetrix to build internal competencies and champion continuous improvement initiatives. • 5. Compliance & Professional Development • Proactively stay up to date with changes in medical coding and billing by maintaining relevant certifications and participating in ongoing education. • Uphold all legal and ethical requirements, ensuring accuracy, confidentiality, and compliance in all coding and audit activities. • 6. Customer Implementation Support • Actively participate in customer implementations, providing coding expertise to ensure accurate and efficient deployment of CodaMetrix solutions. • Collaborate with cross-functional teams—such as Data Science, Product, and Customer Success—to address client needs and optimize results. • 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. • Location: Boston, MA Hybrid/Remote • Job Type: Full-time, exempt, regular • What CodaMetrix can offer you: • Learn more about our full-time employee benefits and how we take care of our team. • Health Insurance: We cover 80% of the cost of medical and dental insurance and offer vision insurance • Retirement: We offer a 401(k) plan that eligible employees can contribute to one month after their first day • Flexibility: We have a generous Paid Time Off policy, which is managed but not limited, so you can take the time you need to relax and rejuvenate • Development: We provide annual performance evaluations and prioritize working with employees on what their individual growth looks like

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