Massachusetts Jobs

Firefly Health is building a revolutionary new type of comprehensive health "care and coverage,” powered by a relationship-driven care team, a trusted virtual and in-person clinical network, and our proprietary technology platform.

Founded by experienced clinicians and technology leaders, Firefly Health is on a mission to deliver clinical and financial health through joyful, always there care. We are flipping the script on what it means to be a health plan and actually providing a true health benefit to members.

We are intensely focused on optimizing the physical + mental + financial wellbeing of those who want (and deserve) something better than the status quo. If you are ready to roll up your sleeves and take on our audacious mission, we would love to hear from you.

Contract Position:

We are looking for a Certified Professional Coder to join our team in a contract role through the end of the year, working approximately 30 hours per week. As a Certified Professional Coder, you will ensure the accuracy and integrity of medical coding for billing and reimbursement.

Contract Role and Responsibilities:

• Assign accurate medical codes to diagnoses, procedures, and services in accordance with coding guidelines and regulations

• Ensure compliance with insurance eligibility requirements, fee for service and capitated coding standards, and billing regulations

• Perform risk adjustment coding to optimize reimbursement and accurately reflect patient acuity

• Collaborate with healthcare providers to improve clinical documentation to support accurate coding and billing

• Conduct regular audits to ensure coding accuracy and compliance with regulatory requirements

• Provide education and training to healthcare providers and staff on coding best practices and documentation improvement strategies

• Stay current with updates to coding guidelines, regulations, and industry trends

Contractor Requirements:

• Certified Professional Coder (CPC®), Certified Coding Specialist (CCS®) credential or Certified Coding Specialist- Physician-based (CCS-P®) required

• Minimum of 2 years of experience in medical coding and billing

• Minimum of 1 years of experience in risk adjustment coding

• Proficiency in ICD-10-CM, CPT, HCPCS

• Strong understanding of medical terminology, anatomy, physiology, and disease processes

• Excellent analytical and problem-solving skills

• Detail-oriented with a high level of accuracy in coding and documentation

• Effective communication and interpersonal skills

• Ability to work independently and as part of a team in a fast-paced healthcare environment

• Commitment to maintaining confidentiality and adhering to ethical standards

Contractor Preferred Qualifications:

• You thrive in a multidisciplinary environment and are skilled at collaborating with professionals from various sectors within healthcare to enhance the coding process and overall patient care

• You are proficient with the latest healthcare technology platforms and have a knack for leveraging digital tools to streamline coding processes and improve accuracy

• You are committed to continuous professional development and are always looking for opportunities to learn more about the latest coding standards, healthcare regulations, and industry best practices

• You have exceptional communication skills, capable of explaining complex coding guidelines to individuals with non-technical backgrounds, facilitating clear and effective information exchange across the organization

• You are a proactive problem solver who anticipates and addresses issues before they escalate

Firefly is an equal-opportunity employer. We value diverse backgrounds and perspectives. We're committed to building and sustaining an inclusive workplace culture where individuals are treated with dignity and respect. All employment is decided on the basis of qualifications, merit, and business need. Firefly is an E-Verify employer.