78 jobs found in Boston, MA

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. The Inpatient Coder reviews the inpatient record and accurate, timely, and compliant assignment of ICD-10-CM and ICD-10-PCS codes to assure the correct MS-DRG, APR DRG, SOI assignment. **The IP coder will work closely with the Coding leadership, IP Coding Validators, and collaborates with Clinical Documentation Staff to assure coding uniformity, consistency and accuracy with ICD-10-CM, ICD-10-PCS, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. *** Job Description: Essential Duties & Responsibilities: Review the complete electronic and scanned medical record of discharged patients. Assigns ICD-10-CM diagnosis and ICD-10-PCS procedure codes from documentation in the medical record. Abstracts coded data and patient information into the coding abstracting...

The Medical Affairs Associate Director (T1D) is a key role in Global Medical Affairs, working on global activities for a designated disease area(s). Key responsibilities include, but are not limited to, Medical Plan development, launch strategy and execution, scientific leadership, external medical expert engagement, and strategic alignment with commercial and other cross-functional business partners. This role will also be critical in developing medical content, including training, Q&A, and externally-facing medical materials, and contributing to the development of the publication plan. This role reports to the disease area Global Medical Lead and is a core member of the disease area Global Medical team. Key Duties & Responsibilities Execute and communicate the Global Medical Plan in collaboration with other internal stakeholders across Vertex. Serve as product expert for all global compound or disease area related issues with the external community and internally at...

About the job HAE Field Medical Associate Director, Midwest/ South Central Territory Job Title: HAE Field Medical Associate Director, Midwest/ South Central Territory Job Location: United States Job Location Type: Remote Job Contract Type: Full-time Job Seniority Level: Mid-Senior level Headquartered in Carlsbad, California, and with offices in Boston, Massachusetts, and Dublin, Ireland, Ionis has been at work for more than three decades discovering medical breakthroughs that have redefined life for people with serious diseases. We are pioneers in RNA-targeted medicines, and our platform continues to revolutionize drug discovery and transform lives for patients with unmet needs. With five currently marketed medicines for serious diseases and an expansive late-stage pipeline, we continue to build upon our groundbreaking innovations in science and technology to provide greater value to patients; and we are well positioned financially to deliver on our...

Planet Pharma's client is looking for an Associate Director / Senior Medical Writer, who will be responsible for providing medical writing support for the development of complex clinical documents for regulatory submissions including, but not limited to clinical protocols, informed consents (ICFs), clinical study reports (CSRs), investigator brochures (IBs), patient narratives, annual reports and other key clinical and regulatory documents. This individual will support the overall strategy for all medical writing processes according standards. Key Accountabilities/Responsibilities: Manage medical writers (in-house FTEs and contractors, and external vendors) who are individually contributing to the MW activities for a variety of regulatory documents Author clinical content and project manage SME contribution of regulatory documents to develop content for regulatory submissions that is well-organized, consistent, accurate, and that complies with applicable company SOPs,...

Become a part of our caring community and help us put health first The Supervisor, Medical Coding confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions are typically related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates. Ensures consistency in execution across team. Holds team members accountable for following established policies. Use your skills to make an impact Required Qualifications Bachelor's Degree or equivalent experience 4 - 6 years of billing and coding experience in a health care organization CPC (Certified Professional Coder) Certification required through AAPC or CSS Certification through AHIMA Preferred Qualifications 2 - 3 years of Supervisor...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. With oversight from the department Manager and exercising independent judgment within the scope of their professional practice, the Certified Professional Coder performs a variety of tasks associated with coding physician and other provider charges, and providing coding education to providers in that area. Duties include hands-on documentation review, surgical coding of physician or other qualified health care provider services. Coding of inpatient and outpatient Evaluation and Management by assigning the appropriate CPT, ICD-10-CM and HCPCs codes. Job Description: Essential Duties & Responsibilities including but not limited to: Coding Responsibilities: Provides review and/or coding of any professional services including but not limited to surgeries and diagnostic services for appropriate use of CPT, ICD-10 - CM, HCPCS, and Modifier useage/linkage as...

Job Description destinationone Consulting specializes in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, Food and more. We are proactively building a data bank for opportunities in these fields. By applying, you ensure our recruiters can quickly match you with suitable roles when they arise. Location: Various locations across Massachusetts The Medical Billing Specialist is responsible for managing the billing process for a healthcare practice, ensuring accurate and timely submission of claims and payments. This role is critical in maintaining the financial health of the organization and ensuring compliance with insurance regulations. Key Responsibilities: Prepare and submit accurate claims to insurance companies and government programs. Verify patient insurance coverage and benefits before services are rendered. Review and post payments, adjusting accounts as necessary....

Job Posting Description The Physician Billing Coder oversees the department's revenue integrity process by managing coding work queues and reviewing registration and charge interfaces. The role includes auditing clinical documentation, billing, and payment records to ensure compliance with medical records and coding standards. The coder assesses coding accuracy and risk, prepares reports, and provides feedback based on audit findings. They also work with staff and physicians to identify issues and suggest improvements for the revenue cycle process. Principal Duties and Responsibilities Selects then follows established protocols and selects and reviews a percentage of records to assess coding documentation, billing, and/or reimbursement practices for compliance with all regulations of federal and state agencies and third-party payors and hospital policy. Review the department coding work queues, ensuring that all physicians are accounted for on the community hospital...

Reimbursement Specialist/Medical Biller As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their products value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the worlds largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals...

Job Description Data entry/superbill entry. Submitting claims to various insurance companies. Process claims in a timely manner. Pursue reimbursement from carriers. Reviewing and appealing unpaid/denied claims, handling collection on unpaid accounts. Verify Patient benefits & record patient responsibility into EMR. Post insurance payments (paper and electronic methods) into the EMR. Manage accounts receivable, medical billing, collections and posting. Requirements 2+ years of AR/Billing experience in a healthcare setting. Expert level knowledge with Medent/Cerner. Excellent verbal and written communication skills. Proficient in Excel or Google sheets. Epic/Cerner Certification (Strongly Preferred). Medical Billing Certification (Strongly Preferred).

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. With oversight from the department Supervisor and exercising independent judgment within the scope of their professional practice, the Certified Professional Coder performs a variety of tasks associated with coding physician and other provider charges, and providing coding education to providers in that area. Duties include hands-on documentation review and assigning the appropriate CPT, ICD-10-CM, and HCPCs codes for physician or other health care provider services. Job Description: Essential Duties & Responsibilities including but not limited to: Coding Responsibilities: Provides review and/or coding of any professional services including but not limited to Evaluation and management, office procedures, and diagnostic services for appropriate use of CPT, ICD-10-CM, HCPCS, and Modifier usage/linkage. Productivity and accuracy must be met according to...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Under the direction of the Hospital Coding Manager or Supervisor, and exercising independent judgment within the scope of the job, the Hospital Inpatient Coder II assigns applicable ICD-10 Codes, Present on Admission (POA), Hospital Acquired Condition (HAC), and Patient Safety Indicators (PSI) using current industry standards, the Official Coding Guidelines, Coding Clinic, UHDDS and regulatory requirements. Ensures the integrity and quality of patient data to achieve minimal variation in coding practices; assigns codes only as supported by physician/licensed independent practitioner (LIP) documentation within the body of the medical record. Applies in-depth knowledge of medical terminology and anatomy and physiology specific to coding. Job Description: Essential Duties & Responsibilities including but not limited to: 1. Reviews and abstracts diagnoses and...

Data Quest, Ltd., a licensed, insured & bonded corporate private investigations agency established in 1981, is headquartered in MA. Website: dataquestltd.com . This integrity and customer evaluator opportunity is open to individuals ideally 21-30 years of age. Individuals with degrees or related experience in Criminal Justice, Business Administration, or Hospitality will find these audits applicable. A vehicle is required as you must be able to commute to the audit locations. This is not a full-time or part-time position. Auditing for Data Quest is on an Independent Contractor basis. If you register as an auditor for Data Quest, you can view our job board each month and apply for one or as many audits as you'd like. Each audit pays a flat fee depending on the complexity, ranging from $20 to $50 per audit. You can choose which audit types and dates you prefer around your work and school schedules. Very flexible opportunities are available! There are also route opportunities to...

Job Description The Medical Affairs Associate Director (T1D) is a key role in Global Medical Affairs, working on global activities for a designated disease area(s). Key responsibilities include, but are not limited to, Medical Plan development, launch strategy and execution, scientific leadership, external medical expert engagement, and strategic alignment with commercial and other cross-functional business partners. This role will also be critical in developing medical content, including training, Q&A, and externally-facing medical materials, and contributing to the development of the publication plan. This role reports to the disease area Global Medical Lead and is a core member of the disease area Global Medical team. Hybrid Role 12 month contract with chance to extend or possible convert. Key Duties & Responsibilities Execute and communicate the Global Medical Plan in collaboration with other internal stakeholders across Vertex. Serve as product expert for all global...

Risk Adjustment Coder (QHP) Our national non-profit healthcare client seeks an experienced Risk Adjustment Coder to support their team. The ideal candidate is self-motivated and has impeccable attention to detail and accuracy. This is a fully remote role. Responsibilities: Perform code abstraction and quality audits to ensure accurate ICD-10-CM coding in medical records, primarily for QHP. Code for government and state models ensuring accuracy and regulatory compliance. Stay updated on ICD-10-CM codes, CMS documentation standards, and relevant state and federal regulations. Qualifications: Current core coding credentials through AHIMA or AAPC (e.g., RHIT, CCS, CPC); AAPC CRC certification preferred. At least 5 years in risk adjustment coding including RADV experience. Proficiency in MS Office Suite and able to learn new systems quickly. Excellent written and verbal communication skills. Organized and efficient multi-tasker with the ability to effectively...

ITF Therapeutics LLC is looking for an Associate Director, Medical Operations in Boston, MA. This local job opportunity with ID 3097318258 is live since 2025-03-04 14:26:28. Title: Associate Director, Medical Operations Location: Concord, MA, Remote Reporting to: Director, Medical Operations About the Company ITF Therapeutics is the U.S.-based rare disease division of Italfarmaco S.p.A., a private multinational group headquartered in Milan, Italy. Established in 1938, its mission has been to improve patient lives and overall well-being through pioneering research & development, high-quality production, and global marketing of branded prescription and non-prescription products. Operating in the pharmaceutical and API development, Italfarmaco Group has a presence in over 90 countries, employs 3,800 individuals, including 300 professionals across its four Research & Development Hubs, and generates a turnover exceeding 1 billion Euros. The group is known for its products in...

Manages both Medical Record and Coding Position Function: Manages both Medical Record and Coding II. Job Relationships: Interacts with all Management members at St. Elizabeth's Medical Center and BMC Interacts with Medical and Nursing staff at both clinics and SEMC. Interacts with line staff as necessary. Interacts with Management of other hospitals and clinics as needed. Interacts with appropriate staff of regulatory and accrediting organizations as needed to ensure compliance with legal standard. Interact with IS department to resolve existing systems issues and implement new systems. III. Authority: Has direct authority over all employees of both Medical Records and Coding. Has authority to create, revise, or terminate departmental policies and procedures. Has authority to revise job descriptions as needed to ensure effective operation of department. Provides counseling for job improvement; is responsible for...

Job Description Job Description Seeking an Associate Director, Medical Affairs for one of my Pharma clients in Boston. Hybrid - 3 days onsite work required. 12+ month Contract with potential to extend. REQUIREMENTS: Advanced degree (Masters, PharmD,. or Ph.D.) or equivalent highly relevant experience 8+ years of experience or the equivalent combination of education and experience 3+ years of relevant experience in medical affairs and/or clinical development, including Global experience This person will be helping to build out the regional US team Type 1 Diabetes (T1D) sector and transplant medicine or immunology background Veeva experience is good to have Good scientific fluency Good communication skills Highly organized person Day to day: o Creation & review of slide decks and documents o Medical data review o Engaging with different groups across the Company Communication and medical and scientific knowledge of the disease area with the...

Become a part of our caring community and help us put health first The Senior Provider Reimbursement Professional (MCCAU Code Edit Policy Team)-Certified Medical Coder performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. The Senior Provider Reimbursement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Provider Reimbursement Professional - Certified Medical Coder (MCCAU Code Edit Policy Team) updates, maintains, and reviews fee scheduling and pricing structures. Ensures contracted rates and reimbursement policies are priced and applied accurately. Identifies reimbursement policy and process recommendations and ensures compliance with government regulations. Analyzes provider reimbursement patterns and trends. Begins to influence department’s strategy....

SCHEDULE: Monday - Friday; 40 Hrs and occasionally as needed LOCATION: 444 Harrison Ave. Boston and other regional locations as needed. SUMMARY OF POSITION: This position is responsible for implementing and maintaining all medical billing operations Medical Billing, Director, Associate, Behavioral Health, Billing, Medical

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...

JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) WORK MODEL/SALARY 100% Remote The pay range for this position is $32.02 (entry-level qualifications) - $49.63 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal...

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 Objectives/Purpose The Associate Director, Global Medical Communications, Immunology is a key strategic partner of the Global Medical Affairs team, responsible for dynamically driving the strategic planning and tactical execution of the comprehensive medical communications plan as a central component of the global medical strategy for assigned assets. In strategic partnership with cross-functional stakeholders, the Associate Director, Global Medical Communications, Immunology will: Lead the planning and execution of the integrated congress plans including oversight of content for and design of the Medical...

Associate Director, Medical Affairs and Scientific Communications Verve is a clinical-stage genetic medicines company established with a mission to solve the global health epidemic of cardiovascular disease. Founded by world-leading experts in cardiovascular medicine, human genetics and gene-editing, Verve is pioneering a new approach to the care of cardiovascular disease, potentially transforming treatment from chronic management to single-course gene editing medicines. The company’s initial three programs – VERVE-101, VERVE-102, and VERVE-201 – target genes that have been extensively validated as targets for lowering low-density lipoprotein cholesterol (LDL-C), a root cause of cardiovascular disease. VERVE-101 and VERVE-102 are designed to permanently turn off the PCSK9 gene in the liver and are being developed initially for heterozygous familial hypercholesterolemia (HeFH) and ultimately to treat atherosclerotic cardiovascular disease (ASCVD) patients not at goal on oral...