JOB DETAILS

Outpatient Coder

CompanyCommunity Care Cooperative
LocationBoston
Work ModeOn Site
PostedMay 19, 2026
About The Company
Community Care Cooperative (C3) exists to deliver great health care to all by offering a series of health plans uniquely tailored to meet each individual’s medical needs, no matter what road they are on in their healthcare journey. We work hand-in-hand with our provider partners, so they stay better informed and involved in your care, both inside and outside the health center or practice. We also regularly collaborate with our members’ physicians’ and care teams, so we can build innovative programs and enhance existing systems that get our members the care they need, when they need it most. C3 is the only national non-profit Accountable Care Organization founded and governed by its Federally Qualified Health Center partners. With a network of 1,500 primary care physicians, and 3,200 clinicians working in Massachusetts, D.C., California, Connecticut, Louisiana, North Carolina, Oregon, and Washington state, we are intensely focused on providing dependable, convenient, and quality care in the communities where our members have chosen to live, work, and raise their families.
About the Role

Title: Outpatient Coder

Reports to: Director of Revenue Integrity

Classification: Individual Contributor

Location: Boston, Hybrid

Job description revision number and date: V 2.0; 5.11.2026


Organization Summary: 

Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices in Massachusetts and across the country.

We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners.

 

Job Summary: 

The Certified Outpatient Coder will be a part of an emerging coding team under the billing and credentialing service that performs coding review for FQHCs that are part of the billing service. The Outpatient Coder will report to Director of Revenue Integrity and is responsible for reviewing ambulatory medical records for multi-specialty provider organizations to ensure billed codes are accurately supported by the clinical documentation. The coder will also be responsible for interpreting medical record data into language that the payers can interpret in order to process physician charges, and ensuring that coding is compliant with all coding guidelines.

 

Responsibilities: 

• Assigns appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other information

• Ensures all coding is completed in a timely manner to meet billing deadlines

• Assists in resolving incomplete and/or missing documentation in order to expedite billing

• Communicates with healthcare providers to clarify coding questions and concerns

• Performs Claim edit corrections and Denial reviews related to coding errors

• Identify coding or documentation trends that may pose a risk to revenue stream and report such trends to management team

• Stay abreast of coding and documentation guidelines, compliance policies, annual coding updates, payer policies and industry changes

• All other duties as assigned


Required Skills: 

• Knowledge of ICD-CM (current edition) CPT, HCPCS coding systems as well as CCI edits

• Knowledge of third-party payer requirements, federal and state guidelines and regulations on medical coding and billing

• Knowledge and understanding of current ICD-10-CM and CPT/HCPC Official Guidelines for Coding and Reporting

• Knowledge of medical records content and management

• Working knowledge of the EMR either through experience or education

• Medical terminology

• Knowledge of laws and regulations about health information and patient confidentiality

• Proficient in Microsoft office applications such as Excel, Word and PowerPoint

• Demonstrating flexibility with respect to changing end-user business needs

• Good interpersonal and communications skills and demonstrates professionalism when working with team members, management and other staff members.

• The ability and willingness to take ownership of work activities and ensure that they are completed in an accurate, efficient, and timely manner

• The ability and willingness to learn new software and systems

• Ability to determine a problem’s cause and developing a course of action to resolve the problem and to prevent its recurrence

• The ability to persevere in difficult situations and overcome obstacles

• Must be able to remain in a stationary position 50-75% of the time


Desired Other Skills: 

• Familiarity with the MassHealth ACO program

• Familiarity with Federally Qualified Health Centers

• Experience with anti-racism activities, and/or lived experience with racism is highly preferred


Qualifications: 

• High School Diploma or equivalent required

• CPC Certification required

• 3-5 years CPT/HCPC Outpatient coding experience, preferably in a multi-specialty facility

• Prior Epic experience highly preferred


** In compliance with Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **

Key Skills
ICD-10 CodingCPT CodingHCPCS CodingMedical TerminologyElectronic Medical RecordsClaim Edit CorrectionsDenial ReviewMicrosoft ExcelMicrosoft WordMicrosoft PowerPointPatient ConfidentialityInterpersonal CommunicationProblem SolvingRevenue IntegrityClinical Documentation ReviewCCI Edits
Categories
HealthcareFinance & AccountingAdministrative
Job Information
📋Core Responsibilities
The Outpatient Coder is responsible for reviewing ambulatory medical records to ensure billed codes are accurately supported by clinical documentation. They assign ICD-10 and CPT/HCPCS codes while ensuring compliance with coding guidelines and resolving documentation gaps to expedite billing.
📋Job Type
full time
💰Salary Range
$50,217 - $57,749
📊Experience Level
2-5
💼Company Size
212
📊Visa Sponsorship
No
💼Language
English
🏢Working Hours
40 hours
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