Medical Coding Escalation Associate Boston, MA

Medical Coding Escalation Associate job ton, MA.

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

We are looking for a Medical Coding Escalation Associate to join the Revenue Cycle Case and Escalation Management (RCCEM) team here  this role, the Medical Coding Escalation Associate will be at the forefront of driving actionable insights across Product and Revenue Cycle Management, ensuring that our product and services not only meet but exceed athenahealth's value proposition and the expectations of our clients.

This individual’s contributions will be essential in creating visibility into case performance, fostering consistency in terminology and measurement, and championing initiatives that enhance case resolution performance.

As a part of our dynamic Revenue Cycle Case and Escalation Management (RCCEM) team, the Medical Coding Escalation Associate will play a pivotal role in tackling our most complex and sensitive client issues. As the final escalation point, our team is dedicated to researching and resolving challenges that require a keen eye for detail and a commitment to excellence. This role specifically needs to be filled by an individual with experience in Medical Coding.

• Follows team expectations and methodology to manage complex issues and escalations to resolution using the CRM platform (Salesforce).
• Maintains consistent communication with internal and external stakeholders, including direct customer communication.
• Provides constructive feedback to improve service delivery, service offerings, and product outcomes.
• Leverages a wide breadth of existing tools and resources efficiently and effectively to troubleshoot issues.
• Suggests workflow and quality improvements to reduce case inflow and improve client sentiment.
• Contributes to team initiatives to improve department processes and tools.
• Develops a plan identifying tasks and reasonable timelines.
• Determines appropriate prioritization for completing work.
• Assigns tasks appropriately across teams.
• Identifies potential obstacles or challenges that could impact the completion of tasks.

• Bachelor’s Degree (or commensurate level of professional experience)
• CPC and/or CCS Certification required
• 2+ years of medical billing/US healthcare experience
• Customer-centric mindset characterized by empathy, collaboration, and advocacy.
• Strong written and verbal communication skills, enabling effective interaction with all organization level and stakeholders.
• Expertise in problem‑solving, with the ability to analyze large data sets to identify root causes and trends.
• Proven capability to analyze data, surface trends and insights, and provide actionable recommendations.
• Ability to work independently and as part of a team, knowing when to involve others for effective problem‑solving.
• Strong project management skills, including planning and aligning tasks, resources, and timelines.
• Tenacious and accountable, able to navigate complexity and overcome obstacles.
• Knowledgeable in coding systems (ICD-10, CPT, HCPCS), medical terminology, anatomy, and physiology.
• Proficient in Excel and other business tools (Smartsheets, Google tools, SharePoint, etc.)

In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Our talented athenistas, as we call ourselves, spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do‑ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission‑driven problem‑solvers with a deep desire to achieve our vision and make our time here count. Our award‑winning culture is built around shared values of inclusiveness, accountability, and support.

Our vision of accessible,…