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Professional Coder Jobs in Sterling, MA (NOW HIRING)

DaMar Staffing

Medical Coder and Biller

Auburn, MA · On-site

$18.75 - $24/hr

Certified Professional Coder (CPC) certification preferred. * At least 2-3 years of medical coding and billing experience with significant E/M coding experience. * Strong working knowledge of ICD-10 ...

DaMar Staffing

Outpatient Coder II

Worcester, MA · On-site

American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). * 3. Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist ...

Umass Memorial Health

Outpatient Coder II

Worcester, MA · On-site

American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). 3. Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist ...

HAHHH

Outpatient Coder II

Worcester, MA · On-site

American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). 3. Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist ...

UMass Memorial Health

Outpatient Coder II

Worcester, MA · On-site +1

American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). 3. Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist ...

UMass Memorial Health

Outpatient Coder II

Worcester, MA · On-site +1

American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). 3. Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist ...

Umass Memorial Health

Outpatient Coder II

Worcester, MA · On-site

American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). 3. Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist ...

Trice Healthcare

Coding Payment Resolution Spec

Merrimack, NH · On-site

$19.25 - $24.50/hr

... Professional Coder (CPC). * Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient ...

UnitedHealth Group

Medical Coder

Worcester, MA · Remote

$18.75 - $25/hr

As a Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant ...

UnitedHealth Group

Medical Coder

Auburndale, MA · Remote

$20 - $36/hr

As a Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant ...

New

UnitedHealth Group

Medical Coder

Auburndale, MA · Remote

$20 - $36/hr

As a Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant ...

New

Varsity Tutors

CPC Tutor

Lowell, MA · Remote

$40/hr

Ability to explain evaluation and management coding, surgical coding rules, and modifier usage while preparing candidates for AAPC Certified Professional Coder certification. * Strategic Test-Taking ...

Varsity Tutors

CPC Tutor

Newton, MA · Remote

$40/hr

Ability to explain evaluation and management coding, surgical coding rules, and modifier usage while preparing candidates for AAPC Certified Professional Coder certification. * Strategic Test-Taking ...

MiraVista

Medical Coder, 40hrs

Devens, MA · Remote

$20.75 - $27.75/hr

You will code hospital and professional inpatient visits using the International Classification of Disease 10-Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) coding ...

Varsity Tutors

CPC Tutor

Waltham, MA · Remote

$40/hr

Ability to explain evaluation and management coding, surgical coding rules, and modifier usage while preparing candidates for AAPC Certified Professional Coder certification. * Strategic Test-Taking ...

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Professional Coder information

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How much do professional coder jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for professional coder in Sterling, MA is $28.66, according to ZipRecruiter salary data. Most workers in this role earn between $19.81 and $36.11 per hour, depending on experience, location, and employer.

What is a professional coder?

A professional coder is an individual trained to write, analyze, and maintain computer programs using various programming languages such as Python, Java, or C++. They are responsible for creating software applications, troubleshooting code, and ensuring programs run efficiently and securely. Professional coders may work in various industries, including technology, healthcare, finance, and entertainment, and often collaborate with other developers, designers, and stakeholders to build functional products. The role typically requires strong problem-solving skills and a solid understanding of software development principles.

What are the key skills and qualifications needed to thrive as a professional coder, and why are they important?

To thrive as a Professional Coder, you need a solid understanding of medical terminology, anatomy, coding systems (such as ICD-10, CPT, and HCPCS), and typically a certification like CPC or CCS. Familiarity with electronic health record (EHR) systems, coding software, and compliance tools is essential. Attention to detail, analytical thinking, and strong organizational skills help coders ensure accuracy and efficiency. These skills are vital for accurate billing, regulatory compliance, and optimizing healthcare reimbursement.

How do professional coders typically collaborate with healthcare providers to ensure accurate medical billing?

Professional Coders work closely with physicians, nurses, and other healthcare staff to clarify clinical documentation and ensure that medical records accurately reflect the care provided. This collaboration often involves querying providers when documentation is unclear or incomplete, educating them on coding requirements, and participating in regular meetings to address common documentation issues. Effective communication and teamwork are essential, as accurate coding directly impacts billing, compliance, and reimbursement for the healthcare facility.

What is the difference between Professional Coder vs Software Developer?

AspectProfessional CoderSoftware Developer
CredentialsTypically requires coding certifications or relevant trainingOften holds degrees in computer science or related fields
Work EnvironmentFocuses on writing and testing code, often in teams or project-based settingsInvolves designing, developing, and maintaining software applications
Industry UsageCommonly used in IT services, outsourcing, and coding-specific rolesUsed across software companies, tech startups, and enterprise IT

While both roles involve coding, a Professional Coder primarily focuses on writing and testing code, often with specific certifications. A Software Developer typically has a broader role that includes designing and developing entire software solutions, often requiring a degree in computer science. Understanding these differences helps clarify career paths and job expectations in the tech industry.

Are certified professional coders in demand?

Certified professional coders are in high demand due to the ongoing need for accurate medical billing and coding in healthcare. The role requires knowledge of coding systems like ICD-10 and CPT, and certifications such as CPC can improve job prospects in hospitals, clinics, and insurance companies.

What does a professional coder do?

A professional coder writes, tests, and maintains computer software using programming languages such as Python, Java, or C++. They analyze project requirements, debug code, and collaborate with teams to develop functional applications or systems. Strong problem-solving skills and knowledge of coding best practices are essential in this role.

What cities near Sterling, MA are hiring for Professional Coder jobs?

Cities near Sterling, MA with the most Professional Coder job openings:

Professional Coder jobs near you
Infographic showing various Professional Coder job openings in Sterling, MA as of September 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $59,616 per year, or $28.7 per hour.

SIU ICD10 Professional Coder - Healthcare Fraud, Waste and Abuse Department - Hybrid 2 days in offic

Worcester, MA • On-site

Fallon Health
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Re-posted 15 days ago

Fallon Health rating

7.8

Company rating: 7.8 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

Job description

Overview
About us:
Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn.
Brief summary of purpose:
The SIU Code Auditor will conduct coding audits of medical records provided by providers to check for missing documentation and other medical documentation for E&M, DME, medical, home health services, and may include some behavioral health care services to identify potential over-payments and suspected fraud waste and abuse. Serve as a clinical and code liaison for fraud, waste and abuse team while identifying areas of vulnerability and risk.
Responsibilities
Primary Job Responsibilities (include duties that represent 5% or more of employee's time)
The Internal Audit Department (IA) at Fallon Health serves as the company's designated Special Investigation Unit (SIU) for fraud, waste, and abuse (FWA) activity. The department reports administratively to the Chief Compliance Officer and functionally to the Audit & Compliance Committee, and it plays a central role in detecting, reviewing, and addressing potential fraud, waste, and abuse.
In this role, the SIU Code Auditor is responsible for reviewing medical records, identifying coding and billing concerns, supporting investigations, and communicating findings and recommendations to internal and external stakeholders. This also includes tracking of cases assigned and maintaining documentation to department standards and assisting with reports due to both internal and external partners.
  • Coding and audit review: Perform detailed reviews and audits of medical records to verify the accuracy of coding and charges for services provided. Review provider documentation and professional services using ICD-10, CPT, HCPCS, and applicable federal, state, local, payer, Medicare, Medicaid, LCD, NCD, and internal policy requirements.
  • Investigative support: Review clinical and coding investigative summaries, including those prepared by external parties, to support findings of potential fraud, waste, or abuse. Provide feedback and recommendations to investigators and management.
  • Pattern and risk identification: Identify aberrant billing patterns, trends, and indicators of fraud, waste, or abuse. Recommend providers for further review, conduct root cause analysis as needed, and suggest process or program improvements to leadership.
  • Provider and stakeholder collaboration: Meet with providers to discuss audit findings and improvement opportunities. Work closely with clinical teams, coding teams, Medical Directors, external partners, and providers to support accurate billing and effective case resolution.
  • Reporting, education, and regulatory support: Assist with claim denial reporting, respond to regulatory agency complaints, support required fraud reporting to state and federal agencies, and recommend to members, providers, or employee education based on findings.
  • Case management and professional standards: Manage daily case review assignments with a strong emphasis on quality, provide regular updates to department leadership and senior management, maintain current knowledge of coding guidelines related to professional services, and perform other duties as assigned.
  • Core work style expectations: Communicate effectively in writing and verbally, demonstrate strong listening skills, work independently, and consistently meet deadlines.
  • Reports and Metrics: Communicate results to the team and help maintain and update key departmental reports and metrics.
  • Administrative Functions: Perform administrative tasks that support daily operations, case tracking, documentation, and overall departmental workflow; including incoming and outgoing emails.

Qualifications
Education
Bachelor's degree preferred or equivalent experience, and prior experience in healthcare
License/Certifications
Certified Professional Coder (CPC) and/or Certified Coding Specialist (CCS) is required. Clinical Experience is preferred.
Certified Evaluation and Management Coder (CEMC) or Certified Professional Medical Auditor (CPMA) are a plus.
Experience:
  • 3-4 years of relevant experience.
  • Demonstrated proficiency in medical record audits and analysis and ICD-10CM/CPT coding methodology, HCPCS Coding systems and guidelines and knowledge and understanding of medical terminology.
  • Knowledge of billing and other coding edits, as well as Centers for Medicare and Medicaid Services (CMS) local and national coverage determinations, and managed billing regulations.
  • Strong quantitative, analytical, interpersonal, written and communication skills
  • Understanding in fraud, waste abuse regulations, or any combination of education and experience, which would provide an equivalent background

,,Pay Range Disclosure:
In accordance with the Massachusetts Wage Transparency Act, the pay for this position is $87,500 annually which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate's experience, skills, and fit with the role's responsibilities.
Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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