61 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...

Location: Boston, Massachusetts, United StatesSalary: $150,098.40 - 225,147.60Company: Alexion Pharma Spain S.L.Posted: 2026-07-30## Associate Director, US Strategic Business Planning & Execution, Medical AffairsBoston, Massachusetts, United States of AmericaApply NowFind out how well you match with this job**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...

Location: Boston, Massachusetts, United StatesSalary: $150,098.40 - 225,147.60Company: AlexionPosted: 2026-08-08This 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...

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

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

ConvenientMD in New England is seeking a Revenue Integrity Coder to ensure accurate coding and billing. You will collaborate with Billing, Compliance, and CDI teams to optimize revenue and minimize compliance risks, drawing on ICD-10-CM, CPT, and HCPCS knowledge. The role emphasizes audits, documentation clarification with clinicians, and process improvements to strengthen revenue integrity. A CCS or CPC certification and at least three years of coding experience are preferred, with strong #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

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

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...

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...

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...

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...

Job Description At ConvenientMD, we’re on a mission to make good health more convenient for all – working to improve how patients and providers experience healthcare in New England. To support this belief, we’re building a team of dedicated professionals who genuinely care about improving lives, are passionate about work that can make a difference, and are driven to learn from one another. The Opportunity As a Revenue Integrity Coder, you will ensure the accuracy of coding and billing for ConvenientMD. You will work closely with Billing, Compliance, and Clinical Documentation Improvement (CDI) teams to optimize revenue and reduce compliance risks. This role requires expertise in medical coding, reimbursement methods, and regulatory guidelines. Your Impact Medical Coding: Accurately assign ICD-10-CM, CPT, and HCPCS codes for billing based on medical records. Auditing: Conduct detailed audits of coded data to ensure accuracy and completeness. Collaboration: Work with physicians,...

Community Behavioral Health Center Clinical Supervisor (Adult) job at Boston Medical Center. Boston, MA. Position Summary The Clinical Supervisor oversees and supervises master's level clinicians who are responsible for evaluating, treating, and providing behavioral health services for patients of BMC Department of Psychiatry. Responsibilities will include: overseeing daily onsite clinical activities, providing regular clinical and programmatic supervision to clinicians, providing clinical back-up and support to the teams as needed; performance management of Master’s level clinicians; payroll and timekeeping for program staff; and reviewing cases and documentation to ensure staff are compliant with approved protocols and procedures. In addition, the Clinical Supervisor also provides direct clinical care through individual, group, couples, and family psychotherapy using an anti-oppression and health equity lens. The position consults with, collaborates, and communicates with a wide...

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...

About Us A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need. The Caregivers and families we support stay with Careforth for many years, building lasting relationships along the way. Join us today and live our values: lead with heart, cultivate trust, go beyond. Position Summary Reporting to the Director of Healthcare Revenue Cycle Management, the Billing Specialist will handle all functions related to the collection of necessary claim documentation, claim submission, collections, and follow through on outstanding claims and cash applications. This individual will process all transactions relating to delinquent accounts, special adjustments, and/or write-offs, ensuring a...

Senior Medical Coding Analyst CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare providers away from the keyboard and back to clinical care. Reporting to the Senior Manager, Medical Coding & Audit, as a Senior Medical Coding Analyst, this role will be a key member of the team responsible for ensuring that CodaMetrix meetsand exceedsour customers' coding quality expectations. They will leverage their strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. They will play a pivotal role in improving the quality and efficiency of coding...

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...

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

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...