59 jobs found in Boston

Job Description Summary The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements. This is a hybrid position: 2 days onsite; 3 days remote option. Job Description Job Responsibilities: Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process.    Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes.    Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...

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...

Company Description SOLVD Health is dedicated to building a world where individuals can avoid becoming patients by focusing on disease prevention and proactive care. The company’s mission is to make actionable, contextual health information accessible to everyone through its Patient Intelligence approach. SOLVD Health tackles complex healthcare challenges to drive meaningful, lasting improvements in people’s lives. The Medical Billing Specialist is responsible for ensuring accurate coding, claims submission, payment tracking, insurance verification, and follow-up with patients and healthcare providers. Education and Experience Bachelor’s degree in business, finance or accounting preferred. Minimum three (3) years of experience in medical laboratory claims coding and billing role. Certification in medical billing and coding preferred. Knowledge and understanding of medical laboratory operations and processes. Proficient in Quadax revenue cycle management software. Strong knowledge...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

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 Accounts...

## Professional Production Coder - Professional Coding Services - Full TimeApplylocations: Remote - NHtime type: Full timeposted on: Posted Todayjob requisition id: JR12950Come work at the best place to give and receive care!**Job Description:****Who We Are:**This Department at Elliot Hospital is responsible for the medical coding of our hospital and professional providers. We take pride in our work and observe best practices to ensure accurate, optimal coding. If you are a credentialed coder with strong coding skills, can work in a dynamic and changing environment, and are seeking a change, please consider Coding with our great team. Apply today!**About the Job:**The Professional Production Coder is responsible for accurately assigning CPT, HCPCS, and ICD-10 codes to professional services in accordance with current coding guidelines, payer requirements, and regulatory requirements. This role supports the integrity of clinical documentation and ensures timely, compliant coding to...

Signature Performance is seeking an Inpatient Professional Fee, Profee Medical Coder to join our remote team. This role focuses on accurate E/M coding, ICD-10-CM/PCS, CPT and HCPCS coding for inpatient encounters, ensuring compliant documentation and optimal reimbursement. The ideal candidate has 2+ years of professional fee coding experience, AHIMA or AAPC credentials, and proficiency with EHR systems. This is a nationwide remote position with standard CST hours and competitive compensation. #J-18808-Ljbffr

Daley And Associates, LLC is seeking a Medical Billing Specialist in Boston, MA for an entry‑level, contract‑to‑hire role. The position pays $20–$21 per hour for a 40‑hour week and offers a pathway to full employment while gaining hands-on experience in a major hospital setting. Responsibilities include pre‑registration calls to collect demographics and financial information, verifying patient identity and updating insurance data, managing referrals and authorizations, and documenting activities #J-18808-Ljbffr

CVS Health in New Hampshire is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit, ensuring coding accuracy and compliant documentation across medical, behavioral, transportation and other healthcare services. The role requires CPC certification, 3+ years of coding or auditing, and strong knowledge of CPT/HCPCS/ICD-10, CMS 1500/UB04, plus proficiency with Excel and Word. #J-18808-Ljbffr

Position Summary: Billing Compliance Auditor III (hybrid). Under general supervision performs audits of clinical documentation, physician billing and payment records and applicable industry standard codes by analyzing medical records, coding records and health system bills validating clinical documentation in conjunction with the bill; assessing the level and accuracy of coding, determining that governmental and third party payer regulations are being complied with; and evaluating appropriateness of billing and coding procedures. Evaluates accuracy and risk level of coding and billing performance by individuals and clinical units. Prepare reports and provide individual and/or group instruction to physicians and others based on results of audit. Works collaboratively with appropriate personnel to identify and recommend strategies for process improvement and to develop and draft billing and coding policies for the CHB Foundations in coordination with the Hospital. Assists in response...

Boston Children's Hospital is seeking a Billing Compliance Auditor III (hybrid) to audit clinical documentation and coding for regulatory compliance. The role involves analyzing medical records and billing records, preparing reports, and advising physicians and departments on improvements. The position requires CPC/CCS-P certification and 3 years CPT/ICD-10 coding experience, including reviewing physician documentation. #J-18808-Ljbffr

Boston Children’s Hospital is seeking a Billing Compliance Auditor III to perform audits of clinical documentation and billing records. The role is hybrid and emphasizes accuracy, compliance, and process improvement. The auditor will prepare reports, train staff, and help develop billing policies in coordination with CHB Foundations and Hospital leadership. Applicants should have a High School Diploma or GED, CPC or CCS-P certification, and at least three years of CPT/ICD-10 coding experience, #J-18808-Ljbffr

Allegheny Health Network is seeking a Coding Supervisor to assist the Coding Manager in daily operations. You will supervise coders, manage workload, and participate in training while ensuring accuracy of ICD-10-CM/PCS and CPT/HCPCS coding. You will coordinate scheduling, payroll, and education for physicians, support special coding projects, and report on performance metrics to improve revenue cycle outcomes. #J-18808-Ljbffr

Preferred candidate locations in New Hampshire and Massachusetts ED coding experience required Preferred candidate locations in New Hampshire and Massachusetts ED coding experience required Who We Are Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center - a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet designation for nursing excellence we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year. About The Job The Coding...

Community Care Cooperative (C3) is seeking a Certified Outpatient Coder to join their coding team in Boston. This hybrid position involves reviewing ambulatory medical records for accurate coding of diagnoses and procedures, ensuring compliance with all guidelines. The ideal candidate has 3-5 years of outpatient coding experience, holds a CPC Certification, and is familiar with ICD-10 and CPT coding systems. This role offers the opportunity to contribute to the health and wellness of the community. #J-18808-Ljbffr

Elliot Health System is seeking a Professional Production Coder for its Professional Coding Services. The role focuses on coding CPT, HCPCS and ICD-10 for professional services to ensure accurate reimbursements and compliant documentation. You will interpret notes, collaborate with providers and coding leadership, and sustain a 95% accuracy rate through audits and quality assurance, leveraging your 2+ years of coding experience and appropriate credentials. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

We are currently looking for individuals to fulfill Part-Time and Full-Time Medical Biller positions. No experience is required to apply for the position. Training is provided through former experienced employees and available to hired applicants. We are looking for individuals able to carry out various tasks. Individuals must be hardworking and task-oriented. Don't Wait! Fill out a Profile Now! MyJobResource is a staffing and recruitment industry job search engine. We specialize in finding the exact company to suit your needs. We help match job seekers to the right jobs in either full-time or temporary positions. Assignments are typically made depending on the ratio of candidates to jobs, skill-set, and experience. The companies we work with pay us for the services we provide to find the right people for their job openings.

Southern New Hampshire Health is seeking a Certified Medical Coding Specialist for the Emergency Department, working remotely in New Hampshire. The role focuses on accurate ICD-10-CM, CPT, and HCPCS coding for professional and facility services, with collaboration across ED providers, CDI, and revenue cycle teams. The ideal candidate has ED coding experience in an acute care hospital, CCS or COC certification, and proficiency with Epic and encoder software. #J-18808-Ljbffr