Medical Coder II/III

Summary

Join CodaMetrix as a Medical Coder II/III and become a key member of the team ensuring the company meets and exceeds customer coding quality expectations. You will leverage your coding, billing, and auditing expertise to review, analyze, and enhance coding processes. Collaborate with cross-functional teams, including Machine Learning, Product, and Customer Implementations, to improve coding quality and efficiency. Serve as a Subject Matter Expert (SME) on medical coding and billing, providing guidance to internal and external stakeholders. Continuously improve evaluation and training materials, and stay updated on changes in medical coding and billing. Actively participate in customer implementations, providing coding expertise for accurate and efficient deployment of CodaMetrix solutions. This role requires strong communication, organizational, and problem-solving skills, along with a commitment to continuous learning and quality.

Requirements

• Current AHIMA or AAPC coding credential held for 3+ years
• 3-5 years of coding and auditing experience with progressive growth in responsibilities
• 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

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
• Provide guidance on coding and billing questions to support Machine Learning and Product teams
• Continuously improve 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
• 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
• 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

Benefits

• 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
• Learning: All new hires complete our 7-week Onboarding Program where they learn about our company and each of our departments through live sessions hosted by a variety of our leaders
• Development: We provide annual performance evaluations and prioritize working with employees on what their individual growth looks like
• Recognition: We recognize the outstanding achievements of our team through annual company awards where employees have the opportunity to nominate their peers
• Office Location: A modern open plan workspace located in the bustling Back Bay neighborhood of Boston
• Additional Employer Paid Benefits: We offer employer-paid life insurance and short-term and long-term disability insurance