68 jobs found in Boston

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...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership. Job Responsibilities: Complete root cause analysis of...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $29 .75 and $ 3 2 . 7 0 / hr based on experience Specialized Coders Wanted -$3,000 Sign On Bonus Awaits We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties. The Specialized Coder is a certified coder with expert knowledge in physician coding for Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education. Job Responsibilities: Code claims directly from the medical record/operative report according to coding...

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

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

Datavant is a data collaboration platform for healthcare, enabling secure, accessible, and actionable health data. This role focuses on ICD/ CPT coding accuracy, reporting accuracy, and adherence to HIPAA standards within a team that values education and ongoing credential maintenance. We offer a comprehensive benefits package, annual CEUs, stipends for AHIMA/AAPC dues, and equipment support. Prior experience in hospital coding and familiarity with Cerner/3M360 systems are preferred. #J-18808-Ljbffr

Clinical Educator Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary: The Clinical Educator, reporting to the Medical Laboratory Science Program Director, plays a key role in delivering and advancing hospital-based education programs within the Department of Pathology. The position focuses primarily on teaching (70%), including delivering lectures, leading lab and case-based instruction, developing curriculum, assessing student performance, and supporting learner success. The educator also ensures content stays current with clinical...

Position Summary Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center’s computerized database, converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments to correctly submit the optimal reimbursement for each patient encounter coded. Assists the IP Coding Manager with administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. Essential Responsibilities / Duties Assists IP Coding Manager with assignment of work to coders, analysis of the daily unbilled report, and follow‑up on unanswered physician queries and missing documentation. Assists PFS in researching unbilled accounts and updating incorrect...

Cognizant is seeking an Inpatient Medical Coding Auditor to audit consultant inpatient records and ensure accurate ICD-10-CM/PCS coding in line with policy and regulatory guidelines. You will review physician documentation, provide education and mentoring to clients, and perform peer reviews while maintaining a minimum 98% accuracy and meeting productivity standards across remote US projects. #J-18808-Ljbffr

Inpatient Lead Coder Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center's computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. Essential Responsibilities / Duties: Assists IP Coding Manager with assignment of work to Coders, analysis of the daily unbilled report, and follow-up on unanswered physician queries and missing documentation. Assists PFS in researching unbilled accounts and...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use. I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description About the Role As a member of Takeda Oncology, your work will contribute to our bold, inspiring vision: We aspire to cure cancer. Here, you'll build a career grounded in purpose and be empowered to deliver your best. As part of the Global Medical Affairs Oncology team, you will report to the Scientific Communications Group Lead, Solid Tumors. As a subject matter expert on scientific publications best practices and the development of scientific communications strategy and deliverables, the Associate Director, Scientific Communications Lead, Solid Tumors proactively defines and drives the publication and scientific...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties.  Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient...

Baylor Scott & White Health is seeking a Coding Auditor 1 to join our health information management team. The role focuses on performing coding quality audits using ICD-10-CM/PCS, CPT, and HCPCS references to ensure accurate classification and DRG/ APC alignments. The ideal candidate will have 5 years of coding experience and hold one of the listed certifications, with strong communication skills for feedback and collaboration across departments. #J-18808-Ljbffr

Associate Director, U.S. Medical Affairs - Hematology Oncology (PR/595950) Boston, Ohio Salary: USD200000 - USD225000 per annum + 20% Bonus; LTI Program; Unlimited PTO Associate Director, U.S. Medical Affairs - Hematology Oncology EPM Scientific is partnering with a global biopharmaceutical company focused on advancing innovative therapies for patients with high unmet needs in oncology. We’re seeking an experienced Medical Affairs strategist with expertise in hematologic oncology to support U.S. Medical Affairs strategy and execution across pipeline and marketed products for complex hematologic malignancies. Responsibilities Partner with the Medical Director, Hematology Oncology to develop and execute U.S. Medical strategy, objectives, and tactical plans Collaborate with R&D, HEOR, and Scientific Communications to drive integrated evidence generation and publication strategy Analyze clinical and real-world data and translate insights to inform Medical strategy Plan and...

Wave Life Sciences is a biotechnology company focused on unlocking the broad potential of RNA medicines to transform human health. Our RNA medicines platform, PRISM, combines multiple modalities, chemistry innovation and deep insights in human genetics to deliver scientific breakthroughs that treat both rare and prevalent disorders. Our toolkit of RNA‑targeting modalities including RNAi silencing and RNA editing provides us with unmatched capabilities for designing and sustainably delivering candidates that optimally address disease biology. Our diversified pipeline is focused on our obesity, alpha‑1 antitrypsin deficiency and PNPLA3 I148M liver disease programs and includes clinical programs for Duchenne muscular dystrophy and Huntington’s disease, as well as several preclinical programs utilizing our versatile RNA medicines platform. Driven by the calling to “Reimagine Possible”, we are leading the charge toward a world in which human potential is no longer hindered by the burden...

This is what you will do: The Associate Director Strategic Planning & Execution, US Medical Affairs is responsible for the execution of strategic initiatives within the US Medical Affairs organization and will partner with TA Leadership teams and cross‑functionally to execute on projects in line with the functions overall strategic goals. This position will analyze, resolve, and communicate on key strategic programs allowing for US Medical Affairs Leadership to make informed decisions that will contribute to the overall success of the function. This position will apply good project management techniques to insure in scope, on‑time, on‑budget results. You will be responsible for: 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 Oversight of business progress against performance targets through outcomes and metrics...

A leading healthcare institution is seeking a Clinical Educator to develop and teach hospital-based education programs. The role includes delivering lectures, curriculum development, and mentoring students while ensuring current clinical practices. Applicants must hold a Bachelor's degree related to Medical Laboratory Science and possess a minimum of 3 years of relevant experience. This full-time position is located onsite in Boston with a competitive salary range between $79,560 and $115,720 annually. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

Elliot Health System in New Hampshire is seeking a Professional Production Coder responsible for accurate medical coding using CPT, HCPCS, and ICD-10 codes. This role ensures compliance with coding guidelines, supports clinical documentation integrity, and collaborates with providers to address discrepancies. Applicants should have a High School Diploma, coding certifications, and at least 2 years of coding experience. The position offers comprehensive health coverage and various benefits for both full-time and part-time employees. #J-18808-Ljbffr