76 jobs found in Boston

Location: Boston, Massachusetts, United StatesSalary: $97,500.00- $141,500.00Company: Aya HealthcarePosted: 2026-09-04Location: Boston, Massachusetts, United StatesSalary: $97,500.00- $141,500.00Company: Aya HealthcarePosted: 2026-08-31Location: Boston, Massachusetts, United StatesSalary: $97,500.00- $141,500.00Company: Aya HealthcarePosted: 2026-08-29Senior Manager Coding IP OP Under the general supervision of the Clinical Documentation and Coding Integrity (CDCI) Director, the Senior Manager of Coding, IP/OP is responsible for guiding the inpatient (IP) and outpatient (OP) coding and reimbursement practices for BMC South and Brighton within established regulatory and organizational guidelines. This job provides direct oversight and supervision of coding staff and related workflows, develops and maintains coding guidelines for inpatient and outpatient services, responds to billing edits and related reports to ensure accurate Diagnosis-Related Group (DRG) and Ambulatory Patient...

Location: Boston, Massachusetts, United StatesCompany: TakedaPosted: 2026-09-03Location: Boston, Massachusetts, United StatesCompany: TakedaPosted: 2026-08-25Location: Boston, Massachusetts, United StatesCompany: TakedaPosted: 2026-08-19LocationsZurich, Switzerland; Boston, MAJob DescriptionOBJECTIVES / PURPOSEProvides enterprise-level governance, portfolio and operational leadership for medical grants, medical education grants and sponsorships within Global Medical.Ensures that funding decisions are transparent, objective, well documented, aligned with enterprise Medical priorities, Therapeutic Area strategies, unmet scientific or educational need, patient-centric outcomes, and compliant with Takeda standards and applicable industry requirements.Establishes and maintains clear funding frameworks, decision criteria, review pathways, committee operations, documentation expectations, budget visibility, system/repository requirements and lifecycle oversight from intake through...

Community Care Cooperative (C3) seeks an experienced Outpatient Coder to join our billing and credentialing team. This remote role reviews ambulatory records of FQHCs to ensure codes align with documentation and payer requirements. You will report to the Director of Revenue Integrity and help translate clinical data into payer-ready information while maintaining compliance with coding guidelines. Prior CPC and CPT/HCPCS experience are essential. #J-18808-Ljbffr

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...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Billing Specialist Full Time Boston, MA, US 2 days ago Requisition ID: 1207 Salary Range: $25.00 To $30.00 Hourly 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...

Medical Billing SpecialistThe 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...

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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...

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

Physician Practice Coder-Anesthesia The Physician Practice Coder-Anesthesia position is responsible for reviewing documentation in the outpatient/inpatient EHR. This position is responsible for assigning ICD-10-CM diagnosis codes and CPT, ASA, HCPCS II and appropriate modifiers to patient records from BMC Anesthesia Departments. The Physician Practice Coder II Anesthesia position is a resource for the physicians and other health care providers in regard to coding and to review medical documentation to insure appropriate physician coding and billing. Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session. Performs chart audits to ensure correct coding and charge capture have been applied appropriately. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers. Essential Responsibilities / Duties: Perform coding and related...

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...

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...

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. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews 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. Activities include: Conduct a...

Beth Israel Lahey Health, Inc. seeks a Coder for the Orthopedics Department at Beth Israel Deaconess Medical Center in Boston, MA. This 32-hour position offers a remote work option with Monday–Friday hours. Qualified candidates have CPC, RHIT, CCS, or CCS-P credentials and experience coding ICD-10-CM and CPT-4, with knowledge of anatomy and medical terminology. Strong attention to documentation and deadlines is essential. #J-18808-Ljbffr

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

Preferred candidate locations in New Hampshire and/or Massachusetts Strong ED coding experience required About the Company 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 Role The Coding Specialist – Hospital Based, Emergency Department is responsible for reviewing...

Southern New Hampshire Health is seeking a Coding Specialist – Hospital Based, Emergency Department to review ED records and assign ICD-10-CM, CPT, and HCPCS codes for both professional and facility services. You will work closely with ED providers, CDI, and revenue cycle teams to ensure compliant, timely reimbursement. Strong ED coding experience and CCS/COC certifications are highly valued, with proficiency in Epic and encoder software. #J-18808-Ljbffr

Datavant is seeking experienced inpatient coders to join a remote team and contribute to high-quality medical coding and documentation improvement initiatives. The role emphasizes accuracy, auditing oversight, and collaboration with stakeholders, with a flexible, fully remote schedule. Ideal candidates have 3+ years of inpatient coding experience, CCS/RHIT/RHIA, and strong communication skills. Competitive base pay and comprehensive training are offered as part of a supportive team. #J-18808-Ljbffr

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...