83 jobs found in Boston, MA

IFI is seeking to hire a full-time, remote, Medical Billing Specialist International Fertility Insurance is a rapidly growing company of surrogacy insurance experts and case management professionals that provide unsurpassed support and education to intended parents seeking peace of mind as they grow their families. We pride ourselves in providing compassionate, professional service throughout our clients' surrogacy journeys. We have experience supporting intended parents worldwide and work with surrogacy agencies, attorneys, and fertility clinics across the United States, Canada, Mexico, South America, Europe, Israel, Asia, Australia, New Zealand, and South Africa. We collaborate with more than 100 insurance companies to find the best option to meet the needs of intended parents. Learn more about us at www.goifi.com. What you'll do: Manages Medical Billing for maternity services while maintaining accurate tracking through spreadsheets and organizational systems....

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Associate Director, Clinical PV & Medical Quality, CPMQ Global Regions Join to apply for the Associate Director, Clinical PV & Medical Quality, CPMQ Global Regions role at Takeda . Base pay range: $153,600.00/yr - $241,340.00/yr. U.S. based employees may be eligible for short?term and/or long?term incentives and a variety of benefits including medical, dental, vision, 401(k), disability, life insurance, tuition reimbursement, paid volunteer time off, holidays, well?being benefits, up to 80 hours sick time and 120 hours paid vacation for new hires. Salary will reflect qualifications, experience, education, certifications, location, and applicable wage requirements. OBJECTIVES Provides oversight from a clinical research and pharmacovigilance perspective of regulated post?authorization activities in the commercial business units and affiliates. Contributes to and implements the engagement strategy among R&D, Business Units and affiliates and Quality to...

A leading global biopharmaceutical company is seeking a new team member to enhance training within its Oncology division. This role involves developing tailored training programs, collaborating with cross-functional teams, and ensuring compliance within medical affairs. Candidates must have a doctoral degree in a scientific discipline and significant experience in medical affairs or related fields. This position offers a hybrid working environment in Boston, MA, with a competitive salary range of $168,700 to $265,100. #J-18808-Ljbffr

Job Title Job Description Objectives: Provides oversight from a clinical research and pharmacovigilance perspective of regulated post-authorization activities in the commercial business units and affiliates. Contributes to and implements the engagement strategy among R&D, Business Units and affiliates and Quality to ensure a global framework and robust quality systems are in place for the transition of R&D pipeline to the commercial space. Drives a fit-for-use global Quality framework that elevates the capabilities in the business units and the affiliate and enables them to deliver their clinical research and regulated activities with high compliance and agility. Establish and maintain relationships with key stakeholders outside R&D such as the commercial Business Units, affiliates. Global Medical, Commercial Quality, etc., supporting post-authorization strategies through thought partnership and linking R&D SMEs and experts, as needed. How will you...

Associate Director, US Forecasting - Medical Aesthetics page is loaded## Associate Director, US Forecasting - Medical Aestheticslocations: Bostonposted on: Posted 2 Days Agojob requisition id: JR015862Galderma is the emerging pure-play dermatology category leader, present in approximately 90 countries. We deliver an innovative, science-based portfolio of premium flagship brands and services that span the full spectrum of the fast-growing dermatology market through Injectable Aesthetics, Dermatological Skincare and Therapeutic Dermatology. Since our foundation in 1981, we have dedicated our focus and passion to the human body's largest organ - the skin - meeting individual consumer and patient needs with superior outcomes in partnership with healthcare professionals. Because we understand that the skin, we are in shapes our lives, we are advancing dermatology for every skin story. We look for people who focus on getting results, embrace learning and bring a positive energy. They...

Job Description Job Description The Coding Network, LLC (TCN) is the country’s premier broker of remote coding and auditing services, structured as a virtual company connecting healthcare professionals and health systems across the country with over 800 US based single specialty coders and auditors. Flexible Hours: We understand that everyone’s schedule is different and, as such, auditors enjoy the flexibility to commit to as few as 15 hours a week to however many hours work for them to render auditing services. It is one thing to have the freedom to work from home, but TCN coders possess the freedom to utilize the full 24 hour clock and choose when to work beyond the traditional 9-5. Whether you’re looking for extra income in addition to your day job or to make a more robust commitment, we are able to accommodate you. Position & Responsibilities: In order to support the growing need for E&M services and surgical divisions, there are abundant opportunities for...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and...

Associate Director Strategic Business Planning and Execution, US Medical Affairs Alexion Pharmaceuticals, Inc. is seeking an experienced Associate Director of Strategic Planning & Execution for US Medical Affairs to drive strategic initiatives and collaborate with Therapeutic Area (TA) Leadership teams. As the Associate Director , you will analyze, resolve, and communicate key strategic programs, ensuring projects are delivered on time, within scope, and on budget. Responsibilities Strategic Partnership Develop annual enterprise strategy for assigned TA and/or Function and ensure effective, efficient, and equitable delivery of key strategic programs and operational activities. Oversee business progress against performance targets through outcomes and metrics tracking/reporting. Highlight and communicate US Medical impact and effectiveness throughout all levels of the organization. Proactively apply business acumen to ensure business continuity and identify future...

Associate Director, Scientific Training Lead, Global Medical Affairs Oncology Join to apply for the Associate Director, Scientific Training Lead, Global Medical Affairs Oncology role at Takeda . Base Pay Range $168,700.00 – $265,100.00 per year Job Description About the Role As a member of Takeda Oncology, your work will contribute to our bold, inspiring vision to cure cancer. Here, you will 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 Head of Medical Excellence & Scientific Training and focus on developing, delivering, and measuring scientific training aligned with Takeda’s therapeutic goals. Responsibilities 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. This includes ongoing needs...

Associate Director, External Scientific Partnerships – US Medical Affairs Are you ready to make a difference in the world of rare diseases? As the Associate Director, External Scientific Partnerships, US Medical Affairs, you will be at the forefront of strategic initiatives with US-based health professional societies and associations. Collaborating with Director, ESP and TA Leadership teams, you will drive and deliver a comprehensive strategic engagement plan for our rare disease portfolio. Your role will involve professional society collaborations, HCP education, and engagement with Key Opinion Leaders, all aligned with US Medical Affairs' strategic goals. You will analyze and communicate key strategic external landscapes, enabling informed decisions that contribute to Alexion's success. Accountabilities Maintain strategic relationships with US-based scientific societies and be responsible for execution of plans. Align partnership initiatives with TA strategies and Leadership...

A leading pharmaceutical company in the United States is seeking an Associate Director for Strategic Planning & Operations. This role will focus on enhancing operational efficiency and effectiveness within the Global Medical Affairs organization. Key responsibilities include developing strategic plans, driving long-term planning for the CNS portfolio, and fostering collaboration across various departments. The ideal candidate will possess extensive experience in Global Medical Affairs and strong leadership skills. #J-18808-Ljbffr

Medical Coder At Sprinter Health, our mission is reimagining how people access care by bringing it directly into their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can't get to a doctor's office. For many, the ER becomes their first touchpoint with the healthcare systemdriving over $300B in avoidable costs every year. By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we've supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway. As a Medical Coder, you will be responsible for reviewing and abstracting professional medical records to ensure accurate code assignment. You'll play a critical...

Ovation Healthcare At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated professionals with a desire to help independent hospitals...

Inpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal...

Allegheny Health Network Job Posting 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 updates in daily work (5%) Performs other duties as...

Senior Inpatient HIM Coder We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact effectively with the billing department...

Discover. Achieve. Succeed. #BeHere A minimum of three years of experience as an inpatient coder at an academic facility is preferred. Bachelor's degree in HIM or equivalent is preferred. Pay is expected to be between: $24.05 - $38.48. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

Welbehealth Pace Coding Auditor And Educator WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews...

Inpatient Medical DRG Coder Hospital (Remote) A DRG coder is a medical coding professional who specializes in assigning Diagnosis-Related Group (DRG) codes for inpatient hospital stays. DRG (Diagnosis-Related Group): It's a classification system used primarily for inpatient hospital billing. It groups patients with similar clinical conditions and resource usage into categories. Hospitals are reimbursed based on these DRG codes rather than individual services. Responsibilities Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and perform...

Coding Specialist Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. Job Summary Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS, and ICD-10-CM coding a minimum of 1-4 specialties. Will be Coding Professional Fee, Facility, or HCC. Professional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a...

Baylor Scott & White Health Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our core values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Eligibility on day 1 for all benefits Dollar-for-dollar 401(k) match, up to 5% Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more Immediate access to time off...

Medical Coding Auditor Become a part of our caring community and help us put health first. The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal...

Hcc (Hierarchical Condition Category) Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...