77 jobs found in Boston

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality...

Medical Billing Specialist The Medical Billing Specialist is responsible for accurate claims submission, accounts receivable follow-up, payment posting, EOB and COB processing, credit balance refunds, bad debt and collections. Takes initiative to research problems and determine correct action steps to resolve eligibility, billing and account problems, and working in collaboration with an outside billing company. This may involve accessing the clinical computer system where source information resides; contacting departmental/practice representatives to obtain additional information, researching source charge entry/clinical report documents to verify information, etc. Responsible for the posting of billing information from the clinical management system to the billing system. Assist in the preparation of reports and analyses, providing feedback and recommendations to management relating to findings. Required: High School graduate or equivalent. At least five years medical billing...

IFI is seeking to hire a Medical Billing Specialist International Fertility Insurance is a rapidly growing company of surrogacy insurance experts and case management professionals that provide unsurpassed support and education to intended parents seeking peace of mind as they grow their families. We pride ourselves in providing compassionate, professional service throughout our clients' surrogacy journeys. We have experience supporting intended parents worldwide and work with surrogacy agencies, attorneys, and fertility clinics across the United States, Canada, Mexico, South America, Europe, Israel, Asia, Australia, New Zealand, and South Africa. We collaborate with more than 100 insurance companies to find the best option to meet the needs of intended parents. Learn more about us at www.goifi.com. What you'll do: Manages Medical Billing for maternity services while maintaining accurate tracking through spreadsheets and organizational systems. Communicates via email...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Under the general supervision of the Facility Outpatient (OP) Coding Manager and OP Coding Supervisor, the Facility OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The facility OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing. Job Description: Essential Duties & Responsibilities including but not limited to: Hospital Coding: •...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Coder position, working on the physician billing side, will be working with the Orthopedics Department at Beth Israel Deaconess Medical Center in Boston, MA. This 32-hour position has the opportunity to work remotely, with work hours occurring Monday through Friday. Candidates with CPC, RHIT, CCS, or CCS-P certification are encouraged to apply. Job Description: This position is responsible for the assignment of ICD-10-CM diagnosis and procedure codes and as appropriate, CPT-4. Essential Responsibilities: Reviews the complete electronic and paper medical record of discharged patients. Assigns ICD-10-CM diagnosis and procedure codes from documentation in the medical record, when indicated assigns CPT-4 procedure codes. Abstracts coded data and patient information into the coding abstracting system in use by BIDMC (information includes...

About The Role About the Role Join our Regulatory Services team to help clients navigate the complex landscape of FDA audits. You will perform gap analyses and prepare clients for upcoming inspections. Key Responsibilities Conduct mock audits and gap assessments against regulatory standards. Assist clients in remediating audit findings and CAPAs. Review SOPs and Policies for compliance gaps. Support data integrity investigations. Requirements 5+ years in a Quality or Compliance role within Life Sciences. Certified Quality Auditor (CQA) preferred. Experience with Data Integrity remediation projects. Ability to travel to client sites (up to 25%). #J-18808-Ljbffr

Associate Director, US Medical Communications, Rare TumorsWork Your Magic with us! Start your next chapter and join EMD Serono.Ready to explore, break barriers, and discover more? We know you've got big plans – so do we! Our colleagues across the globe love innovating with science and technology to enrich people's lives with our solutions in Healthcare, Life Science, and Electronics. Together, we dream big and are passionate about caring for our rich mix of people, customers, patients, and planet. That's why we are always looking for curious minds that see themselves imagining the unimaginable with us.United As One for Patients, our purpose in Healthcare is to help create, improve and prolong lives. We develop medicines, intelligent devices and innovative technologies in therapeutic areas such as Oncology, Neurology and Fertility. Our teams work together across 6 continents with passion and relentless curiosity in order to help patients at every stage of life. Joining our...

Boston Medical Center (BMC) is seeking an ASR II in the Primary Care Clinic. The role focuses on billing and managed care tasks, including charge entries, billing edits, and carrier communications. You will work full-time, Monday through Friday, 8:30 AM to 5:00 PM, with duties spanning front-end patient interactions and registration support as needed. The ideal candidate has a related degree or equivalent billing experience and strong English communication, confidentiality, and MS Office skills. #J-18808-Ljbffr

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The ObGyn Department at Beth Israel Deaconess Medical Center is seeking an experienced professional OB/GYN coder. This coder will help support providers and operations during the upcoming 2027 obstetric CPT coding updates, ensuring accurate billing, regulatory compliance, and provider training. The ideal candidate should have strong knowledge of OB/GYN coding guidelines and keen attention to detail to help guide teams through this important coding transition. This is a full- time, 40hr opportunity, working Monday through Friday (day shift hours only). This role allows for remote work once trained, however, applicants must live within New England. Job Description Essential Responsibilities Reviews the complete electronic and paper medical record of discharged patients. Assigns ICD-10-CM diagnosis and procedure codes from documentation in the medical record, when indicated...

Beth Israel Lahey Health, Inc. is seeking an experienced OB/GYN coder to support providers and operations during obstetric CPT coding updates. The role focuses on accurate coding, regulatory compliance, and training clinicians through a critical transition. The position is full-time, 40 hours weekly, with day shifts. Remote work is possible after training, and applicants must reside in New England. Key responsibilities include reviewing records, assigning ICD-10-CM and CPT-4 codes, abstracting #J-18808-Ljbffr

Huron Consulting Group is seeking an Inpatient Coding Auditor to audit inpatient coders and offshore auditors, ensuring DRG and coding accuracy. The role involves QA checks on coded visits per client SOPs and calibration audits with offshore teams. You will communicate feedback to coders and participate in client interactions and internal meetings while staying current with coding guidelines and regulatory changes. #J-18808-Ljbffr

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

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 Quality 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...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Title: Outpatient Coder Reports to: Director of Revenue Integrity Classification: Individual Contributor Location: Remote 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...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Under the general supervision of the Facility Outpatient (OP) Coding Manager and OP Coding Supervisor, the Facility OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The facility OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing. Job Description: Essential Duties & Responsibilities including but not limited to: Hospital Coding: ·...

Join The BILH Team When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Coder Position The Coder position, working on the physician billing side, will be working with the Orthopedics Department at Beth Israel Deaconess Medical Center in Boston, MA. This 32-hour position has the opportunity to work remotely, with work hours occurring Monday through Friday. Candidates with CPC, RHIT, CCS, or CCS-P certification are encouraged to apply. Job Description This position is responsible for the assignment of ICD-10-CM diagnosis and procedure codes and as appropriate, CPT-4. Essential Responsibilities Reviews the complete electronic and paper medical record of discharged patients. Assigns ICD-10-CM diagnosis and procedure codes from documentation in the medical record, when indicated assigns CPT-4 procedure codes. Abstracts coded data and patient information into the coding abstracting system in use by BIDMC (information...