76 jobs found in Boston

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Signature Performance, Inc. is seeking an Outpatient Coding Auditor capable of ensuring coding accuracy and driving documentation improvements across a nationwide remote team. You will review audits, deliver clear findings, and educate coders and managers on best practices. The role demands strong organizational skills, professionalism, and the ability to coach others, with a focus on compliance and reimbursement systems across CPT/ICD-10-CM/PCS and related guidelines. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Outpatient Coding Auditor #2972 United States Remote/Nationwide Position Description About You You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies. Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4 and Healthcare Common Procedure Coding System...

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 includes attending physician, surgeon, dates of surgery, disposition, discharge date, and infant birth weight etc.). Uses the AHA 'Coding Clinic for ICD-10-CM' for official coding guidelines set forth by the ICD-10-CM Coordination and Maintenance Committee. Sequences the assigned codes, exercising all principles of assigning ICD-10-CM codes to determine the appropriate selection. Prioritizes daily work to ensure timely submission to the billing system. Participates in training programs including educational sessions for updates to ICD-10-CM, Coding Clinic Guidelines and learning ICD-10-CM/PCS. Follows Policy &...

Community Care Cooperative (C3) is seeking a Certified Outpatient Coder to join our billing and credentialing team. You will review ambulatory records for multi-specialty providers to ensure codes are accurately supported by documentation, and you will translate medical record data into payer-friendly language for processing physician charges. The role reports to the Director of Revenue Integrity and requires knowledge of ICD-10-CM, CPT/HCPCS, and payer guidelines, with experience in an EMR #J-18808-Ljbffr

The Coding Network (TCN) is seeking a contracted Ophthalmology E&M coder to work remotely for clients across the United States. The role focuses on non-surgical Ophthalmology E&M coding, with hours ranging from 15 to 40 per week. Applicants must have at least 3 years of Ophthalmology E&M coding experience, hold an active CPC/RHIA/RHIT certification, and pass TCN’s coding exam. You will access client EMRs securely and submit coded cases from a remote location. #J-18808-Ljbffr

Mountainside Treatment Center is seeking a Medical Billing Specialist to verify insurance benefits and eligibility for behavioral health services. This remote role requires 1+ year in insurance verification, patient access, or medical billing, with strong attention to detail and clear communication to support a smooth patient intake process. The position offers a Monday–Friday schedule from 8:30 am to 5:00 pm and a competitive hourly rate. #J-18808-Ljbffr

Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding to support a leading healthcare client. You will review medical records and clinical documentation to assign ICD-10-CM codes that support risk adjustment and HCC reporting. Ideal candidates have strong medical record review, coding compliance, and CMS guideline experience, collaborating with providers to improve documentation quality and coding accuracy. Medicare Advantage and HCC coding experience are highly valued. #J-18808-Ljbffr

The Coding Network (TCN) is looking to contract with an Ophthalmology E&M coder to perform the Ophthalmology E&M coding for a number of clients throughout the country. The coder will access the operation reports via a remote connection to the client's EMR and return the coded cases. Hours can range from a 15-40 hour/week commitment. NOTE: We do not have needs for surgical Ophthalmology at the moment, our current needs are for E&M only All applicants must: Have a minimum of 3 years of Ophthalmology E&M Specific Coding Have an active coding certification (CPC, RHIA, RHIT) Live and work in the United States of America Take and pass TCN’s Ophthalmology E&M Coding Exam If you meet the above criteria and are willing to test please submit your resume. #J-18808-Ljbffr

Job Description Job Description Shift delivers AI agents that transform insurers' most critical work. By combining deep industry expertise and unmatched data resources, Shift provides proven results that have earned the trust of hundreds of the world's leading insurers. Our insurance-grade AI is accurate, explainable, and secure—empowering human experts to move with unmatched speed, total confidence, and a renewed focus on the people they serve.        Your browser does not support the video tag. Our culture is built on innovation, trust, and a drive to transform the insurance industry through our SaaS platform. We come from more than 50 different countries and cultures and together we are creating the future of insurance. Learn more at www.shift-technology.com   As part of our US Healthcare Payment Integrity and Customer Success organization, you will use your technical and clinical coding knowledge to help implement and support solutions that improve claim payment...

Omega Healthcare is hiring three Facility IP Coders to focus exclusively on oncology coding for a single comprehensive cancer facility. Full-time, 40 hours weekly, M-F, EST hours, with a target of 1.25 coding hours per chart and 95% accuracy. Requires CCS certification and experience with Athena, Altera Sunrise, or Mosaic. Compensation is discussed at interview and includes benefits such as health, vision, dental coverage, PTO, 401K with matching, CE opportunities, and life insurance. #J-18808-Ljbffr

Busy pediatric medical practice in the Longwood area is looking for full time help with their billing process. The ideal candidate will have 2-3 years of medical billing experience and a knowledge of pediatric billing. Prefer someone who has previous experience using Epic Software. Job Responsibilities Include: Answer phone calls from patients and others with billing inquiries and problems Verify insurance coverage and assist with billing inquiries Posting self-pays payment Following up on unpaid claims, contacting payers on various issues, resubmitting and/or appealing claims timely, reviewing charges Other administrative and /or medical billing duties as assigned Benefits: Dental insurance Flexible schedule Health insurance Life insurance Paid time off Retirement plan Vision insurance Associate’s degree or Bachelor’s Degree preferred Experience using Epic Software Detailed oriented with strong organizational skills, Ability to multi task and good problem solving skills...

This position is Remote in the state of Massachusetts. You will have the flexibility to work remotely* as you take on some tough challenges. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Sr. Recovery Resolution Analyst will be responsible for performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive conduct by health care providers who submit claims for payment. This position will utilize information from claims data analysis, plan members, the medical community,...

UnitedHealth Group's Optum Insight is seeking a Sr. Recovery Resolution Analyst in Massachusetts to perform compliance reviews of medical and administrative documentation. The role is remote within MA with 40 hours/week, Monday–Friday, 8:00 am–5:00 pm local time, and occasional overtime. Primary duties include reviewing records, traveling up to 25% within MA, presenting findings to clients, and using Excel-based templates. #J-18808-Ljbffr

Job Description Summary The Professional Surgical Coder I is responsible for the accurate and timely assignment of ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. This role reviews clinical documentation, assigns appropriate diagnoses and procedures, identifies documentation gaps, and queries providers as needed to ensure coding accuracy, compliance, and optimal reimbursement. The Professional Surgical Coder I collaborates with physicians and leadership to support documentation improvement and maintain high-quality coding standards. ESSENTIAL FUNCTIONS 1 - Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures performed. a - Codes 6-9 (# determined according to type of record coded) records per hour, consistently with 95% accuracy. b - Assigns diagnostic and procedural codes for physicians in the inpatient, outpatient, and observation setting. 2 - Identifies any and/or all complications or comorbidities. a -...

The Associate Director, Medical Writing provides strategic and operational leadership for medical writing activities across one or more clinical development programs. This role combines hands‑on writing expertise with responsibilities for resource planning and matrix leadership to deliver high‑quality, fit‑for‑purpose clinical and regulatory documents aligned with program and regulatory objectives. The Associate Director is accountable for document development strategy, planning, and execution; leads clinical content development for complex submissions (including content strategy, organization, and resourcing); and partners with Clinical Development, Regulatory Affairs, Biostatistics, and other key functions to ensure cohesive messaging, mitigate risk, and support successful regulatory interactions and filings. The Associate Director applies advanced technical judgment to solve complex problems and ensures Medical Writing activities are integrated with broader development and...

Coder 2 page is loaded## Coder 2locations: Concord, New Hampshiretime type: Full timeposted on: Posted Todayjob requisition id: R26110**Summary**Responsible for reviewing demographic and clinical medical records, assigning appropriate ICD-10-CM/PCS and CPT/HCPCS codes based on provider documentation and current coding guidelines. Works across multiple encounter types, including Observation/Outpatient in a Bed, Emergency Department, Urgent Care, Ambulatory Surgery, and Ancillary. Utilizes both manual and AI-assisted coding platforms to optimize accuracy, compliance, and throughput. Ensures data integrity for quality reporting, population health, and financial reimbursement purposes.## **Education**Minimum: High school diploma or equivalent required.Preferred: Associate degree in Health Information Technology or related field.## **Certifications**Required: Certified Coding Specialist (CCS), Certified Coding Specialist Physician (CCS-P), Certified Inpatient Coder (CIC), or Certified...

Concord Hospital in New Hampshire seeks an experienced Medical Coder to review demographic and clinical records, assign ICD-10-CM/PCS and CPT/HCPCS codes, and ensure compliant coding across OBS, ED, ASC and ancillary services. The role uses AI-assisted and manual coding platforms, emphasizing data integrity for quality reporting and reimbursement. Remote/hybrid work is supported, with occasional weekend or evening hours as needed. #J-18808-Ljbffr

Job Description Job Description Position: Associate Director, Medical Writing Science Location: Hybrid — 3 days per week in the Boston office; 2 days remote Duration: 2+ month contract with possibility for extension or conversion General Summary The Associate Director, Medical Writing Science manages the overall operations of a team or major project and implements this through effective leadership. This role provides guidance and leadership for document development supporting regulatory filings and coordinates the clinical sections of complex regulatory submissions, including organization, content, and resource requirements. The Associate Director applies advanced technical expertise to develop solutions to complex problems, fosters interdisciplinary understanding, and integrates Medical Writing Science activities with those of other departments. The role requires strong strategic thinking, cross-functional collaboration, scientific expertise, and the ability to lead...

Shift delivers AI agents that transform insurers' most critical work. By combining deep industry expertise and unmatched data resources, Shift provides proven results that have earned the trust of hundreds of the world's leading insurers. Our insurance-grade AI is accurate, explainable, and secure—empowering human experts to move with unmatched speed, total confidence, and a renewed focus on the people they serve. Our culture is built on innovation, trust, and a drive to transform the insurance industry through our SaaS platform. We come from more than 50 different countries and cultures and together we are creating the future of insurance. As part of our US Healthcare Payment Integrity and Customer Success organization, you will use your technical and clinical coding knowledge to help implement and support solutions that improve claim payment accuracy. Working closely with senior specialists, product, and technical teams, you will help validate edit logic, assist with audits, and...

Do you love Oncology Coding? Are you ready to get away from all the other areas & the high stress trauma charts? Omega Healthcare is looking to bring on 3 Facility IP Coders who have a deep passion for Oncology Coding. You will be dedicated to coding for 1 Comprehensive Cancer Facility. Please see the below details & comments. Details Full Time Only 40hrs per w Hours M-F between 6am-6pm EST ( discussed further during interview) Productivity: 1.25CPH Accuracy 95% 95% CCS Required Systems: Experience with Athena Required ( other systems are Altera Sunrise, Mosaic) Pay: $42hr (open to discussion based on experience) Need experience coding complex medical and surgical charges for cancer cases. Must have a thorough understanding of NCI Guidelines, SEERS training, and Vizient mortality mode Laptop Provided ( unless you wish to use your own equipment) IP Facility Coding for Hospital Reimbursement Omega Healthcare provides Health, Vision, and dental coverage- Long and short-term...

Servier Pharmaceuticals in Boston is seeking an Associate Director, Medical Portfolio Management (Neurology). You will partner with the Senior Director and cross‑functional leads to design integrated medical plans and align initiatives with long‑term business value. The role focuses on strategic alignment, benefit realization, governance, budgeting, and risk management, with potential people leadership as the function grows; travel ~15% with a hybrid, Boston-based setup. #J-18808-Ljbffr

We're looking for a Vibe Coder who builds with AI tools and isn't afraid to get into the code when a project requires it. You'll create agents on Agentplace, add custom functionality, and connect business tools through APIs. The practical part of our hiring process is Agent Games: Main Street Edition, a free online hackathon running December 4–7, 2026. Instead of a separate take-home assignment, you'll have 72 hours to build an AI agent for a real local business. About Agentplace Agentplace is a platform for building AI agents that answer customer questions, book appointments, handle support, and deliver services online. More than 3,000 agents have been built on the platform, and we were named Product of the Week on Product Hunt. We're a small, remote team. You'll build and test agents that businesses use to serve their customers. What you'll do Build and publish business agents on Agentplace, from the initial prompt to the finished product. Add custom...

Mass General Brigham seeks a Lead Medical Assistant to supervise the clinical support team and ensure efficient patient care at the assigned site. You will act as a liaison between site staff, the Practice Manager, and the Medical Director, promoting effective operations. The role requires 3–5 years of MA experience and CMA certification, with strong EHR proficiency and leadership abilities. This onsite position includes a comprehensive benefits package and opportunities for growth. #J-18808-Ljbffr