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Medical Coding Hcc Episource Jobs in Boston, MA (NOW HIRING)

Medical Coder II

Lynn, MA · On-site

$19.25 - $25.75/hr

HCC or DxCG coding experience. * Advanced skills with Microsoft applications which may include ... Evaluates medical record documentation for completion to ensure accuracy and compliance to meet ...

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

Utilize comprehensive knowledge American Hospital Association (AHA) coding principles of CPT, HCPCS, ICD9-CM/ICD10-CM diagnosis and procedure codes to evaluate medical record documentation for HCC ...

Medical Coding Hcc Episource information

See Boston, MA salary details

$17

$24

$37

How much do medical coding hcc episource jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for medical coding hcc episource in Boston, MA is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.57 and $26.11 per hour, depending on experience, location, and employer.

What is a medical coding HCC specialist at Episource?

Medical Coding HCC (Hierarchical Condition Category) roles at Episource involve reviewing patient medical records to accurately assign diagnosis codes according to HCC guidelines. Coders play a crucial part in ensuring proper risk adjustment and compliance with healthcare regulations, which helps determine reimbursement rates for healthcare providers. These professionals must have a deep understanding of ICD-10-CM coding, medical terminology, and HCC risk adjustment models. At Episource, coders may work remotely or on-site, collaborating with other clinical and operational teams to maintain high standards of data accuracy and integrity.

What skills and qualifications are needed to thrive as a medical coding HCC specialist at Episource?

To thrive as a Medical Coding HCC specialist at Episource, you need a strong understanding of ICD-10-CM coding, risk adjustment, and healthcare regulations, often demonstrated by a relevant certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and Episource-specific platforms is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for ensuring accurate code assignment and collaborating with clinical teams. These skills are essential to maximize coding accuracy, ensure compliance, and support proper reimbursement in value-based care environments.

What are common challenges faced by medical coding HCC specialists at Episource and how can they be addressed?

Medical Coding HCC professionals at Episource often encounter challenges such as interpreting complex medical records, staying updated with evolving coding guidelines, and ensuring accuracy in risk adjustment documentation. To address these, it's important to engage in ongoing training, utilize company-provided resources, and collaborate closely with quality assurance teams. Regular communication with providers and other coders also helps clarify ambiguities and maintain coding accuracy, contributing to both personal development and overall team success.

What is the difference between Medical Coding Hcc Episource vs Medical Coding Specialist?

AspectMedical Coding Hcc EpisourceMedical Coding Specialist
CertificationsAHIMA or AAPC certifications, HCC coding trainingAHIMA or AAPC certifications, general coding credentials
Work EnvironmentHealthcare organizations, insurance companies, remote optionsHospitals, clinics, physician offices, remote work possible
Industry UsageFocus on risk adjustment, HCC coding for Medicare AdvantageGeneral medical coding across various specialties

Medical Coding Hcc Episource specializes in risk adjustment coding, particularly HCC coding for Medicare Advantage plans, often requiring specific training. Medical Coding Specialist roles cover broader medical coding tasks across multiple healthcare settings. While both roles require coding certifications, Hcc Episource focuses on risk adjustment, making it more specialized compared to the general scope of Medical Coding Specialists.

Is medical coding worth it in 2026?

Medical coding, including HCC coding roles like those at Episource, remains a valuable career due to ongoing healthcare industry growth and the demand for accurate medical record documentation. Certified coders with knowledge of coding systems and compliance standards are likely to find stable employment opportunities in the coming years.

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

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

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

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

What cities near Boston, MA are hiring for Medical Coding Hcc Episource jobs?

Cities near Boston, MA with the most Medical Coding Hcc Episource job openings:

$19.25 - $25.75/hr

Full-time

Re-posted 8 days ago


Lynn Community Health Center rating

8.6

Company rating: 8.6 out of 10

Based on 12 frontline employees who took The Breakroom Quiz


Job description


SUMMARY: 

The Level 2 Certified Medical Coder is responsible for documentation improvement and integrity and serves as a liaison between clinical care providers, finance, and billers. This role is also an information and educational resource, providing proactive and retrospective review of health center visits as they relate to ICD-10-CM diagnosis coding and reimbursement. The Level 2 Certified Medical Coder will audit medical records to ensure completeness, accuracy and compliance with Medicaid coding and supporting documentation guidelines. 

QUALIFICATIONS:

  • Certified Professional Coder (CPC) certificate or equivalent required.
  • 2 - 5 years’ experience in medical setting.
  • Experience with computer systems required, including EMR, web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

 

Preferred Qualifications:

  • Associate's degree preferred 
  • Certified Risk Coder (CRC) certificate referred 
  • Experience/Education in ICD-9/ICD-10 Coding. HCC or DxCG coding experience.
  • Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications.
  • Experienced communicating with providers.
  • Experienced with finance and billing systems.


SPECIAL REQUIREMENTS:

The essential duties of this position present risk of exposure to airborne infection, body fluids, and blood-borne pathogen. Annual BBP Training is required. 

Up to date immunization and annual TB testing is required. Hepatitis B vaccine and annual flu immunization are strongly recommended. All necessary vaccines are available at no charge at the health center. A Declination form must be signed if the Hepatitis B or other recommended vaccines are declined.

Results of inquiry to Criminal Offender Record Investigation (CORI) must be acceptable under health center standards.

SPECIFIC DUTIES AND RESPONSIBILITIES:

Evaluates medical record documentation for completion to ensure accuracy and compliance to meet Medicaid and ICD-10-CM standards. 

  • Compares past and present medical history of each participant to maintain complete and accurate ICD-10 codes for appropriate reimbursement.
  • Reviews medical records prospectively to ensure that the care of the patient is recorded in language that payers can interpret which accurately and completely depicts acuity of the patient and resources expended.
  • In close collaboration with the billing team, reviews medical records retrospectively, to ensure that accurate ICD-10 codes were selected by the provider. 
  • All methods adhere to coding compliance guidelines.


Serves as a resource for clinical teams to address risk adjustment and medical coding guidelines and updates.



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