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Medical Coding Consultant Jobs in Boston, MA (NOW HIRING)

Datavant

Profee Coding Consultant - PRN

Boston, MA · On-site

$20 - $28/hr

Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS). * Conduct data quality ...

Datavant

Profee Coding Consultant - Full Time

Boston, MA · On-site

$20 - $28/hr

Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS). * Conduct data quality ...

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Medical Coding Consultant information

See Boston, MA salary details

$33.7K

$161K

$433.4K

How much do medical coding consultant jobs pay per year?

As of Aug 23, 2026, the average yearly pay for medical coding consultant in Boston, MA is $160,952.00, according to ZipRecruiter salary data. Most workers in this role earn between $105,900.00 and $197,200.00 per year, depending on experience, location, and employer.

What is a medical coding consultant?

A Medical Coding Consultant is a specialized professional who ensures accurate medical coding and compliance with healthcare regulations. They review patient records, assign appropriate codes for diagnoses and procedures, and provide guidance to healthcare providers on coding best practices. Their role helps optimize reimbursements, reduce claim denials, and maintain regulatory compliance. Additionally, they may conduct audits, train coding staff, and stay updated on industry changes.

What are the key skills and qualifications needed to thrive as a medical coding consultant?

To thrive as a Medical Coding Consultant, you need in-depth knowledge of medical terminology, anatomy, healthcare regulations, and coding systems, typically supported by certifications such as CPC or CCS. Familiarity with electronic health record (EHR) systems, encoder software, and official coding guidelines is essential. Attention to detail, analytical thinking, and effective communication help you navigate complex documentation and advise healthcare clients. These skills ensure accurate coding, regulatory compliance, and optimized reimbursement processes.

What are the most common challenges medical coding consultants face on the job?

Medical Coding Consultants often encounter challenges such as interpreting complex or incomplete medical records, staying updated on frequent changes to coding standards, and ensuring client compliance with evolving regulations. Consultants may also need to train or guide clinical staff, address coding discrepancies, and manage multiple healthcare projects simultaneously. While these hurdles can be demanding, they offer valuable opportunities to build expertise, take initiative, and become a trusted advisor within the healthcare sector. Collaboration with physicians, coders, and billing teams is also central to resolving these challenges efficiently.

What are popular job titles related to Medical Coding Consultant jobs in Boston, MA?

For Medical Coding Consultant jobs in Boston, MA, the most frequently searched job titles are:

What job categories do people searching Medical Coding Consultant jobs in Boston, MA look for?

The top searched job categories for Medical Coding Consultant jobs in Boston, MA are:

Medical Coding Consultant jobs near you
Infographic showing various Medical Coding Consultant job openings in Boston, MA as of August 2026, with employment types broken down into 86% Full Time, and 14% Contract. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $160,952 per year, or $77.4 per hour.

Prepay Coding Consultant

UnitedHealth Group

Plymouth, MA • On-site

Full-time

Retirement

Re-posted 23 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

190th of 893 rated healthcare providers

Job description

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together.
This position is full-time, Monday - Friday. Employees are required to work our normal business. It may be necessary, given business need, to work occasionally overtime or weekends.
We offer weeks of paid on-the-job training. The hours during training will be 8:00am to 5:00pm CST, Monday - Friday. Training will be conducted virtually from your home.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Utilize resources and reference materials (e.g., on-line sources, manuals) to identify appropriate medical codes and reference code applicability, rules and guidelines
  • Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes
  • Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes
  • Utilize medical coding software programs or reference materials to identify appropriate codes
  • Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations
  • Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters)
  • Provide information or respond to questions from medical coding quality audits
  • Educate and mentor others to improve medical coding quality
  • Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
  • Attain and/or maintain relevant professional certifications and continuing education seminars as required
  • All other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • High School Diploma/GED
  • Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA
  • 3+ years of CPT coding experience
  • Recent professional coding/auditing experience within the last 1-2 years
  • Intermediate level of proficiency with PC based software
  • Ability to work our normal business hours of 8:00am - 5:00pm, Monday - Friday. It may be necessary, given the business need, to work occasionally overtime or weekends
  • Must be 18 years of age or older

Preferred Qualifications:
  • AHFI or CFE certification
  • Licensed Registered Nurse (RN)
  • Licensed Practical Nurse (LPN)
  • Experience in a production environment
  • Experience with one or more of the following:
    • Claim processing
    • Provider demographic information
    • Insurance billing practices

Soft Skills:
  • Ability to prioritize and manage multiple tasks
  • Proven ability to work in a team setting
  • Excellent oral and written communication skills and presentation skills
  • Critical thinking, problem solving and analytical skills

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $24 to $43 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN

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