US Tech Solutions

Job Title Duration: 6+ Months Monday-Friday, 8am-4:30pm License/Certification required: RHIT, RHIA, CIC, CPMA, OR CPC We are opening these positions due to increased volume of DRG review. The normal day is DRG reviews and audits. Responsibilities Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and...

A global staff augmentation firm is looking for a qualified candidate in Plainsboro, NJ to ensure the scientific accuracy and clinical appropriateness of promotional materials. Responsibilities include reviewing promotional pieces, collaborating with stakeholders, and staying updated with medical literature. Required qualifications include a PharmD/MD with two years of relevant experience and strong communication skills. This contract position is for six months duration with a minimum of three days per week in the office. #J-18808-Ljbffr

Traditional Medicare Bill Collector Duration: 26 weeks (Contract to Hire) Location: Fully remote (must be based in Texas) Schedule: Flexible start time between 6:00 AM to 9:00 AM, must remain consistent daily, 30 min or 1 hour lunch Responsibilities: We are seeking a Traditional Medicare Bill Collector with strong hospital revenue cycle experience to support billing and collections efforts. This role is focused on managing Medicare accounts, resolving outstanding balances, and ensuring accurate and timely reimbursement. The ideal candidate will have hands on experience working with Traditional Medicare claims in a hospital setting and a strong understanding of the full billing and collections lifecycle. What We Are Looking For Someone who has true hands-on Medicare experience, not just general billing A candidate who can work accounts independently and drive resolution Strong attention to detail and ability to navigate complex claims issues Reliable and consistent...

US Tech Solutions in Cambridge, MA is seeking an Associate Director, Medical Affairs to support and oversee medical affairs activities related to biliary atresia and elafibranor. The role reports to the Senior Director, Medical Affairs. This position will lead medical reviews, advisory board planning, and the design and monitoring of US-based clinical studies, collaborating with Medical Information, MSLs, and the Grants/Communications teams. #J-18808-Ljbffr

$120 per hour Cambridge, MA Contract Duration: 5 Months contract Schedule: Hybrid preferred; remote candidates will also be considered. If hybrid, candidate is expected to visit the office at least twice per week (days based on business need). High likelihood of extension beyond the current end date. Summary & Purpose of the Position Reporting to the Senior Director, Medical Affairs (Adult Cholestatic Diseases) , the Associate Director, Medical Affairs will support and oversee select medical affairs activities related to biliary atresia . This role will contribute to the U.S. medical strategy for elafibranor and the broader Medical Affairs plan for cholestatic diseases. Responsibilities Medical review of non‑promotional and promotional content. Information responses (in collaboration with Medical Information). Scientific communications including poster presentations and publications (in conjunction with the Publication/Medical Communications team). Advisory board...