Medical Coding Billing Jobs in Woonsocket, RI (NOW HIRING)

CodaMetrix 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 drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare providers away from the keyboard and back to clinical care.

Overview

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.

This role requires a proven ability to communicate highly complex coding issues and solutions to a wide range of stakeholders, alongside an unwavering commitment to continuous learning, quality, and innovation in medical coding practices.

Key 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.

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.

Compensation: $90,000-105,000

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

• 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

Background Check Notice

All candidates will be required to complete a background check upon acceptance of a job offer.

Equal Employment Opportunity

Our company, as well as our products, are made better because we embrace diverse skills, perspectives, and ideas. CodaMetrix is an Equal Employment Opportunity Employer and all qualified applicants will receive consideration for employment.

Don’t meet every requirement? We invite you to apply anyway. Studies have shown that women, communities of color and historically underrepresented talent are less likely to apply to jobs unless they meet every single qualification. At CodaMetrix we are committed to building a diverse, inclusive and authentic workplace and encourage you to consider joining us.