Medical Coder II/III

Reporting to the Senior Manager, Medical Coding & Audit, as a Senior Medical Coding Analyst, this role will be a key member of the team responsible for ensuring that CodaMetrix meets—and exceeds—our customers’ coding quality expectations. They will leverage their strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. They will play a pivotal role in improving the quality and efficiency of coding operations by collaborating closely with cross-functional teams, including Machine Learning, Product, and Customer Implementations.

Responsibilities

Analyze and document customer coding practices and workflows; Identify and share best practices for coding automation and workflow improvements; Assist manager with Coding Quality Assessment (CQA) projects; Present audit results to customer stakeholders; Serve as internal and external Subject Matter Expert on medical coding and billing; 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; Maintain relevant certifications and participate in ongoing education; Uphold compliance and confidentiality in coding and audit activities; Participate in customer implementations; Collaborate with cross-functional teams to address client needs and optimize results

Requirements

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; Demonstrated experience with CPT coding in pathology; Excellent communication and customer service skills; Strong organizational and detail-oriented approach; 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

Nice to have

Experience supporting or coding within radiology is strongly preferred

Benefits

Health Insurance covering 80% of medical and dental plus vision insurance; 401(k) plan eligible one month after first day; Generous Paid Time Off; Annual performance evaluations; Annual company awards; Modern open plan workspace in Back Bay neighborhood of Boston; Employer-paid life insurance; Employer-paid short-term and long-term disability insurance