207 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. Under the general supervision of the Facility Outpatient (OP) Coding Manager and OP Coding Supervisor, the Facility OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The facility OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing. Job Description: Essential Duties & Responsibilities including but not limited to: Hospital Coding: •...

POSITION SUMMARY: Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center's computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. Position : Inpatient Lead Coder Department : Clinical Documentation Schedule : Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: Abiding by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and...

Gather Health is seeking a Risk Adjustment Coding Specialist to support accurate diagnosis documentation as part of its value-based care initiatives. This role plays a crucial part in ensuring compliance with coding practices and enhancing quality outcomes under Medicare Advantage contracts. The ideal candidate has at least two years of professional coding experience, living in the Boston area. Benefits include comprehensive health insurance, retirement plans, and generous PTO. #J-18808-Ljbffr

A leading pharmaceutical company is seeking a Principal Medical Writer Associate Director. This remote position involves creating regulatory-compliant clinical documents, leading digital innovations, and managing project initiatives. Candidates should have over six years of experience in medical writing, strong regulatory expertise, and the ability to work within global teams. Competitive compensation and a comprehensive benefits package are offered. #J-18808-Ljbffr

Job Description Oracle Health is a comprehensive suite of healthcare technology solutions designed to help organizations advance patient care, improve operational efficiency, and enhance caregiver experiences. Building on Oracle’s global expertise in cloud technology, data management, and analytics, Oracle Health delivers integrated electronic health records (EHR), population health tools, and data-driven insights for hospitals, clinics, and health systems. By connecting data and workflows across the continuum of care, Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system support for CE marking processes and requirements under the EU Medical Device Regulation (EU MDR). Responsibilities The Senior Compliance Specialist will provide quality system support...

**Job Title:** Principal Medical Writer Associate Director**Location**: USA, Remote. Proximity to Cambridge/Boston, MA or Morristown, NJ is highly desirable for attending occasional team meetings**About the Job**Global Medical writing and Document management serves to generate timely, high quality, cost effective and regulatory compliant documents. Our mission is to synergize and harness evolving technologies pushing the edge of regulatory writing.**Main Responsibilities:****Document Development*** Create high-quality regulatory-compliant clinical documents supporting product life cycle* Ensure timely delivery while maintaining compliance with standards**Innovation*** Lead implementation of new digital technologies and AI solutions* Drive process improvements for efficiency gains**Regulatory Expertise*** Prepare registration dossiers and Health Authority responses* Monitor and implement regulatory documentation requirements**Project Management*** Lead cross-functional initiatives...

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...

Inpatient Lead Coder Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center's computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. Essential Responsibilities / Duties: Assists IP Coding Manager with assignment of work to Coders, analysis of the daily unbilled report, and follow-up on unanswered physician queries and missing documentation. Assists PFS in researching unbilled accounts and...

Associate Director, Medical Review The Associate Director, Medical Review, will serve as a functional expert in the area of Medical Review for their assigned region and products and ensure alignment and integration of process and technology efficiencies in medical review activities across diseases areas for Global Medical Affairs Oncology (GMAO). The individual in this role must excel in providing advanced medical and scientific review of commerical and medical affairs materials (promotional and non promotional materials) to support the non-promotional and promotional review processes. The Individual in this role will be responsible for performing timely, accurate and detailed scientific/medical review of non-promotional and promotional materials for the US and Global market in accordance with established policies and practice standards, including regulatory guidelines to meet customer needs. He/she ensures Takeda non-promotional/ promotional materials convey accurate, correct...

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. 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 selection. Analyzes data to identify deficiencies, prepare reports to deliver provider education...

Inpatient Medical Coder II Boston Medical Center (BMC) is more than a hospital. Its a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care BMC is committed to providing consistently excellent and accessible health services to all—and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world. Position: Inpatient Medical Coder II Department: Clinical Documentation Schedule: Full Time Essential Duties & Responsibilities:...

Inpatient Lead Coder Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center's computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. Essential Responsibilities / Duties: Assists IP Coding Manager with assignment of work to Coders, analysis of the daily unbilled report, and follow-up on unanswered physician queries and missing documentation. Assists PFS in researching unbilled accounts and...

Overview Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures,...

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. 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 selection. Analyzes data to identify deficiencies, prepare reports to deliver provider education...

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 (https://jobs.takeda.com/privacynotice) and Terms of Use (https://www.takeda.com/terms-and-conditions/) . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description OBJECTIVES/PURPOSE Responsible for identification of learning needs, development and execution of strategic, tailored training plans and packages, and measurement of training success for Medical Affairs Scientific Training plans within GMAO, which includes ongoing needs assessments, developing and updating training programs, and establishing reinforcement training, including booster and focal training, to drive continual enhancement of GMAO scientific knowledge of Takeda Oncology marketed and pipeline products, relevant...

What We're Looking ForWe'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 you to help shape the future of healthcare from your own workspace!What You Will DoAssign diagnostic and procedural codes using ICD-9-CM, ICD-10-CM, and ICD-10-PCS codesAccurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentationOversee and audit the work of Level 1 & 2 Coders, where applicableChampion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholdersUphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignmentsMaintain a minimum production of 1 chart per hour or site-specific productivity benchmarksFoster professional communication...

Job Description About the role: As a member of Takeda Oncology, your work will contribute to our bold, inspiring vision: We aspire to cure cancer. Here, you'll build a career grounded in purpose and be empowered to deliver your best. As part of the Global Medical Affairs Oncology team, you will report to the Scientific Communications Group Lead, Solid Tumors. As a subject matter expert on scientific publications best practices and the development of scientific communication strategy and deliverables, the Associate Director, Scientific Communications Lead, proactively defines and drives the publication and scientific communication strategic plan and deliverables for the assigned oncology assets based on medical strategies, transparency requirements, and data availability. This position requires a strong scientific and analytical background, preferably in life sciences, and excellent project management skills. The Associate Director, Scientific Communications Lead, develops and...

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...

Title: Senior 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 Senior Certified Outpatient Coder will be a part of an emerging coding team under the billing and...

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 (https://jobs.takeda.com/privacynotice) and Terms of Use (https://www.takeda.com/terms-and-conditions/) . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description About the role: The Associate Director, Medical Review, will serve as a functional expert in the area of Medical Review for their assigned region and products and ensure alignment and integration of process and technology efficiencies in medical review activities across diseases areas for Global Medical Affairs Oncology (GMAO). The individual in this role must excel in providing advanced medical and scientific review of commerical and medical affairs materials (promotional and non promotional materials) to support the...

Community Care Cooperative (C3) is searching for a Senior Outpatient Coder in Boston. This role involves conducting coding audits, assigning diagnosis and procedure codes, and ensuring compliance with guidelines. Applicants must have 10+ years of experience in outpatient coding and possess a CPC Certification. The position offers a hybrid work environment, requiring good interpersonal skills and knowledge of the Epic EMR. Interested candidates should be prepared to contribute to a fast-growing non‑profit organization focused on improving the health and wellness of communities. #J-18808-Ljbffr

Job Description OBJECTIVES/PURPOSE Responsible for identification of learning needs, development and execution of strategic, tailored training plans and packages, and measurement of training success for Medical Affairs Scientific Training plans within GMAO, which includes ongoing needs assessments, developing and updating training programs, and establishing reinforcement training, including booster and focal training, to drive continual enhancement of GMAO scientific knowledge of Takeda Oncology marketed and pipeline products, relevant disease states, and competitor data Ensure strategic collaboration with regions and countries to better understand training needs and deliver programs that meet these needs Work with and oversee vendors to help support training initiatives. Serve as a subject‑matter expert and consultant to the regions and countries within GMA Liaise with members of the GMAO team and key cross‑functional stakeholders, and be a key contributor to the successful...

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage full Revenue Cycle Management (RCM) processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and reimbursement...

Community Care Cooperative in Boston is seeking a Certified Outpatient Coder to join their growing coding team under the billing and credentialing service. The successful candidate will be responsible for reviewing ambulatory medical records and ensuring accurate coding of diagnoses and procedures. This role involves regular communication with healthcare professionals and requires strong knowledge of coding guidelines. The position offers an annual salary range of $50,217 to $57,749. #J-18808-Ljbffr