63 jobs found in Boston

DATA QUEST INVESTIGATIONS LTD is seeking auditors to conduct integrity and alcohol compliance audits at various locations near Boston. This flexible position allows auditors to choose their schedule based on availability and is ideal for those with experience in Criminal Justice or Business Administration. Applicants should be detail-oriented and reliable, with a vehicle to commute to various audit sites. Pay ranges from $20 to $50 per audit based on complexity. #J-18808-Ljbffr

Datavant is seeking an Inpatient Auditing Specialist who will address consulting and educational needs related to coding quality and compliance. This role is crucial for shaping the future of healthcare from a fully remote workspace. Responsibilities include conducting audits, providing coder education, and maintaining high accuracy rates. Candidates should have at least 5 years of experience and relevant certifications, with attractive benefits available to support your professional development. #J-18808-Ljbffr

GHR Live! is seeking a Claim Edits Coder for a 13-week contract in Boston, MA. The successful candidate will review and correct claim edits prior to adjudication, ensuring accurate coding and compliance with payer guidelines. Ideal candidates will have at least 3 years of medical coding experience and a coding certification. This role involves working in a high-volume environment and requires strong attention to detail. Benefits include healthcare, dental, vision, and a 401K with matching. #J-18808-Ljbffr

Objectives / Purpose Responsible for identification of learning needs, development and execution of strategic, tailored training plans and packages, and measurement of training success for Medical Affairs Scientific Training plans within GMAO, which includes ongoing needs assessments, developing and updating training programs, and establishing reinforcement training, including booster and focal training, to drive continual enhancement of GMAO scientific knowledge of Takeda Oncology marketed and pipeline products, relevant disease states, and competitor data Ensure strategic collaboration with regions and countries to better understand training needs and deliver programs that meet these needs Work with and oversee vendors to help support training initiatives. Serve as a subject‑matter expert and consultant to the regions and countries within GMA Liaise with members of the GMAO team and key cross‑functional stakeholders, and be a key contributor to the successful operations of...

EMD Serono, Inc. is seeking an Associate Director of US Medical Communications for Rare Tumors. This role involves leading communication strategies to convey scientific information effectively to healthcare professionals, ensuring alignment with patient care goals. The ideal candidate will have a scientific Bachelor's degree and over 6 years of experience in the pharmaceutical industry, alongside at least 3 years of managerial experience in communications. We offer a competitive salary range of $143,600 - $215,400. #J-18808-Ljbffr

Associate Director Strategic Planning & Execution, US Medical Affairs is responsible for the execution of strategic initiatives within the US Medical Affairs organization, partnering with Therapeutic Area Leadership teams and cross‑functionally to align projects with the organization’s overall strategic goals. The role analyses, resolves, and communicates on key strategic programs, enabling US Medical Affairs Leadership to make informed decisions that contribute to the function’s success. Project management techniques are applied to ensure scope, schedule, and budget goals are met. Responsibilities Strategic Partnership: Develop annual enterprise strategy for assigned TA and/or Function and ensure effective, efficient, and equitable delivery of key strategic programs and operational activities. Oversee business progress against performance targets through outcomes and metrics tracking/reporting. Highlight and communicate US Medical impact and effectiveness throughout all levels...

Associate Director, US Medical Communications, Rare Tumors, will advance EMD Serono’s mission in rare diseases. The role leads strategic medical communications development and execution, conveying scientific and clinical information to healthcare professionals and internal teams. This position ensures communications align with organizational goals and support patient care in rare tumor diseases. Qualifications Scientific Bachelor's degree required 6+ years of experience in the pharmaceutical industry or related fields with a medical/scientific focus 3+ years of demonstrated managerial skills in matrix reporting structures, including management of medical communications agencies Proven experience in developing and executing communication strategies within the healthcare or pharmaceutical industry Strong analytical skills and the ability to interpret complex data to inform communication efforts Expertise in omnichannel publication planning to maximize the reach and impact of...

Role Overview We are hiring a Medical Billing Specialist with deep experience in healthcare billing and a working knowledge of accounting and operational reporting. This role is responsible for executing and reconciling billing activity end-to-end, with a focus on Medicaid and national insurance payers. This position also plays a critical role in ensuring data integrity across billing, clinical, and operational systems, working closely with data, clinical, and onboarding teams to maintain accurate and timely inputs that directly impact billing, collections, and payouts. Key Responsibilities Medical Billing & Claims Management Manage full-cycle medical billing: charge entry, claims submission, payment posting, and denial resolution Submit and track claims through clearinghouses and payer-specific payment portals Work primarily with Medicaid and national insurance companies Investigate and resolve denials, rejections, and underpayments Maintain accurate billing records...

Dana-Farber Cancer Institute in Boston, MA is seeking a Billing Compliance Reviewer to manage audits and ensure compliance with billing regulations. The role involves analyzing documentation, educating staff, and collaborating with various teams. Ideal candidates should have 5 years of healthcare coding experience and required certifications. The position offers a salary range of $93,800 to $106,000 and is a full-time opportunity. #J-18808-Ljbffr

Dana-Farber Cancer Institute in Boston is seeking a Senior Billing Compliance Hospital Reviewer. The role involves overseeing billing compliance activities, evaluating coding accuracy, and ensuring adherence to CMS guidelines. With a focus on creating a diverse and inclusive environment, Dana-Farber offers a competitive salary range of $116,700.00 - $132,000.00. The ideal candidate will have experience in healthcare coding and auditing, along with necessary certifications. #J-18808-Ljbffr

Overview Data Quest, Ltd. is a licensed private investigations agency based in Massachusetts. Auditor opportunities are available at locations near Boston. Responsibilities Conduct integrity audits to detect employee theft. Perform alcohol compliance audits to ensure proper ID checks and policy adherence. Execute customer service audits evaluating friendliness, timeliness, staff presence, and other metrics. Work at various sites including movie theaters, grocery stores, retail outlets, bar/lounges, and more. Qualifications Age 21-30 years old (preferred). Degree or related experience in Criminal Justice, Business Administration, or Hospitality. Detail-oriented, observant, discrete, reliable, and strong reporting skills. Boston-based applicants preferred. Vehicle required to commute to audit locations. Compensation & Scheduling This is not a full-time or part-time position. Audits are flexible; auditors can choose from the monthly job board and schedule audits around...

Southern New Hampshire Health is seeking a Coding Specialist – Professional Based (PB) to analyze physician encounters and assign accurate codes in compliance with guidelines. This role plays a crucial part in optimizing reimbursement and minimizing denials. The ideal candidate should possess a minimum of two years of coding experience, hold relevant certifications such as CCS or CPC, and demonstrate strong analytical and communication skills. The position offers competitive pay and comprehensive benefits. #J-18808-Ljbffr

Highmark Health is seeking a Hospital Coding Specialist in Boston, Massachusetts. The role involves reviewing medical documentation, assigning ICD codes, and ensuring accurate data entry. Candidates need at least a High School diploma and 1 year of hospital coding experience, along with CCS or CIC certification. The position offers a sign-on bonus of $10,000 contingent on a two-year commitment, along with a pay range of $23.73 - $37.14 per hour. Candidates should also possess strong familiarity with medical terminology and data entry skills. #J-18808-Ljbffr

11 Southern NH Medical Center is seeking a skilled professional coder to join our team. This role involves reviewing and analyzing medical records, assigning accurate coding, and ensuring compliance with billing guidelines. Candidates should have at least two years of experience in a multispecialty setting and a certification such as CCS or CPC. This is a full-time remote position, working Monday through Friday with comprehensive health benefits and tuition reimbursement. Our organization values diversity and is committed to equal opportunity for all job applicants. #J-18808-Ljbffr

2810 Brigham and Women's Faulkner Hospital, Inc. in Boston seeks a Senior Medical Laboratory Scientist to oversee laboratory operations and ensure quality tests are conducted. The ideal candidate must hold a Bachelor’s degree in Clinical Laboratory Sciences, possess ASCP certification, and have 3-5 years of relevant laboratory experience. This role emphasizes compliance with established procedures, quality assurance, and effective communication with various healthcare professionals. A generous sign-on bonus of $10,000 is offered to qualifying applicants. #J-18808-Ljbffr

Title: Certified Risk Coder Reports to: Manager, Risk Coding Classification: Individual Contributor Location: Boston (Remote) Job description revision number and date: 2.0, 01.06.2025 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 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. 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 Risk Coder will be a part of an emerging coding team and coding service that performs...

Signature Performance is seeking an Outpatient Coding Auditor to perform quality reviews and audits across the organization. This role requires strong auditing skills and the ability to develop audit findings that enhance coding practices. If you are passionate about healthcare and enjoy working remotely, this position provides the opportunity to contribute to the mission of lowering healthcare costs while ensuring high standards of professionalism and accuracy. Ideal candidates will have extensive experience with outpatient coding and commitment to ongoing education in coding guidelines. #J-18808-Ljbffr

Medical Biller The Medical Biller serves as the department expert in regards to all billing that is processed for the assigned area. The Medical Biller resolves unsettled items and assists in the recovery of underpayments and denials relative to patients' accounts and third party payers. Works with billing staff to ensure informational data is accurate and timely, optimizing revenue and maximum cash flow benefit to the clinics. Duties also may include: ensuring charge entry and coding is correct, verifying insurance coverage, managing Workques of charges, edits and follow up in Epic. Manages consent forms for services billed to Masshealth. Department: OB-GYN Administration Schedule: Full Time Essential Responsibilities / Duties: Responds to billing company requests for additional information; includes correcting missing/invalid modifiers, diagnosis codes, or other elements to enable submission of billing to payers through Epic Workques. Performs follow-up with...

Cardiology Medical Billing Specialist To be considered, you must be located in the state of Texas or in the process of relocating to Texas. This is non-negotiable. Please do not apply if you are not located in Texas. Seeking a full-time, experienced medical billing specialist to join our Texas team. Knowledge of and experience with cardiology coding and billing is preferred. This is a remote position with the possibility of occasional travel. Our company provides revenue management support for medical practices located all over the United States. Medical billing is one of the fastest growing industries with unlimited career opportunities. Our goal is to find someone that is willing to put in the time and investment in a career with us. General Purpose To contribute to the accuracy and timeliness of the revenue cycle process for each clinic on your designated team. To successfully function as part of a team and to be able to communicate professionally with clients and...

Associate Director, Scientific Training, Global Medical Affairs Oncology At Takeda, we are a forward-looking, world-class organization committed to advancing science and delivering transformative therapies to patients worldwide. Within Oncology Medical Affairs, we focus on building deep scientific expertise and fostering a culture of continuous learning to enable meaningful engagement with the healthcare community. As an Associate Director, Scientific Training, Global Medical Affairs Oncology, you will: Be responsible for identification of learning needs, development and execution of strategic, tailored training plans and packages, and measurement of training success for Medical Affairs Scientific Training plans within GMAO, which includes ongoing needs assessments, developing and updating training programs, and establishing reinforcement training, including booster and focal training, to drive continual enhancement of GMAO scientific knowledge of Takeda Oncology marketed and...