14 jobs found in Worcester

Join Med-Metrix Experience these exceptional benefits: 8-Hour Shifts Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Paid Time Off Training and Staff Development Employee Engagement Activities Opportunities for Internal Mobility Job Purpose Responsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. Duties and Responsibilities Read and interpret insurance carrier EOBs. Review medical reports, verify coding. Resolve coding related...

Everyone Is a CaregiverAt UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.Interprets a wide variety of clinical and diagnostic documentation to determine the opportunity for Hierarchical Condition Category (HCC) diagnosis selection and/or removal in accordance with official coding guidelines. Assigns appropriate ICD-CM (current edition) codes to outpatient office-based claims, tracks capture results, and reports clinical documentation patterns and trends. Supports all risk adjustment projects by complying...

Are You A Current Ummass Memorial Health Caregiver?Exceptional patient care, academic excellence and leading-edge research make Ummass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.Interprets a wide variety of clinical and diagnostic documentation in order to process hospital and / or pro-fee charges for episodes of outpatient care. Assigns appropriate ICD-CM (current edition) and CPT codes as well as modifiers. Based on account type, may assign ICD-PCS codes, as appropriate adhering to official coding guidelines.Major Responsibilities:Upon review of the medical record, performs analysis on documentation, which includes review of tests / reports to determine the appropriate ICD-CM...

Opportunities with Reliant Medical Group , part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as a team member. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together. Position Details Primary Location: 123 Summer Street, Worcester, MA, 01606 Department: Surgical Specialties Schedule: Full time, 38.75 hrs./ week- Monday - Friday 7:30a- 5:00p Under general supervision as a Team Lead, coordinates the daily support operations of a single clinical area or group. Primarily acts as a Medical Assistant and performs the full duties associated with this role. Is a resource for other...

UMass Memorial Health in Worcester, MA is seeking an Outpatient Coder II to interpret clinical documentation and assign ICD-CM and CPT codes for outpatient encounters. The role emphasizes accuracy, adherence to coding guidelines, and collaboration with the coding team. The position requires knowledge of coding systems, payer rules, and ongoing participation in training and audits to maintain high-quality coding practices. #J-18808-Ljbffr

Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients,...

UMass Memorial Health in Worcester, MA seeks a skilled Medical Coder to interpret clinical and diagnostic documentation and assign ICD-CM and CPT codes for outpatient episodes. You will ensure documentation supports codes and assist in optimizing reimbursement. Responsibilities include conducting audits, maintaining coding accuracy above 95%, and staying current with coding guidelines and payer requirements through ongoing training and collaboration with clinical staff. #J-18808-Ljbffr

UMass Memorial Health in Worcester, MA is seeking a Supervisor Medical Office in Anesthesiology for a 40-hour day-shift role. The position oversees administrative staff, coordinates patient registration and scheduling, and supports billing processes to ensure smooth clinic operations. Candidates should have five+ years in medical office administration, strong leadership, and experience with common office software; a business administration associate degree is required. #J-18808-Ljbffr

United Surgical Partners International’s Worcester Surgery Center is hiring a Business Office Coordinator to support the Administrator with daily business office operations and supervise Registration and Medical Records. This role ensures smooth workflow, accurate data entry, and efficient patient front-end processes in a fast-paced ambulatory setting. The ideal candidate has at least a high school diploma (Bachelor's preferred), 3–5 years of supervisory experience in a medical environment, and #J-18808-Ljbffr

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $56,243.20 - $101,254.40 (based on a full time schedule of 40 hours per week). Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8:00 - 4:30 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 34000 - 1020 Pain Clinic This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities....

Join Med-MetrixExperience these exceptional benefits:8-Hour ShiftsDay 1 HMO with 2 of your dependents covered for FREEGroup Life InsuranceMedical Cash AllowanceRice AllowanceClothing AllowanceHoliday GiftBereavement AssistancePaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityJob PurposeResponsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.Duties and ResponsibilitiesRead and interpret insurance carrier EOBs.Review medical reports, verify coding.Resolve coding related denial.Make any necessary coding...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations . Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are...

UMass Memorial Health is seeking an Outpatient Coder II to interpret clinical documentation and assign ICD-CM and CPT codes for outpatient encounters across the hospital system. The role focuses on accurate coding, supports reimbursement, and requires close attention to detail. Responsibilities include verifying documentation, minimizing coding backlogs, participating in audits, and maintaining a high accuracy rate while working with billing teams. #J-18808-Ljbffr