149 jobs found in Cambridge, MA

Department Description: The Critical Care Auditor/ Coder position will be working directly with the Department of Anesthesia, Critical Care and Pain Medicine and will have the opportunity to work remotely following an initial onsite training period. The incumbent will be required from time-to-time to attend billing onsite staff meetings and meetings with the physicians they support. AFS, LLC is located in Needham Heights, Massachusetts. Job Location: Virtual Job Summary: Performs professional certified coding and provides administrative and project support to the department. Analyzes surgical-medical documentation, provides the individual surgeon/physician with the application of appropriate ICD-10/CPT/HCPCS descriptor codes including the appropriate use of modifiers to ensure compliance for reimbursement. Essential Responsibilities: Analyzes evaluation and management, including critical care, procedures and other notes and documents to determine the scope and complexity of the...

Medical Coder A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Position Details: Client Direct Client Location Cambridge, MA Job Title Medical Coder Position Duration 9+ Months Must have skill-set [Job Description] Job Summary The Medical Coder is responsible for conduct of centralized medical coding activities. As part of the study management team (SMT), the Medical Coder works in partnership with the Clinical Data Project Manager (CDPM) and Clinical Programmer (CP) to ensure coding targets are identified during database development and also...

Role Summary Medical Strategic Account Associate Director (NJ, NYC) responsible for executing account plans and medical activities within designated geographies and for developing KOLs in support of Sanofi's Rare Disease portfolio. The role reports to the Strategic Account Director, Medical and contributes to medical engagement and account planning. Location: Cambridge, MA; Morristown, NJ. Travel as needed to meet with key stakeholders. Responsibilities Responsible for support of 7 branded products and 8 pipeline assets and building and gaining approval for account specific plans. Help build plans with a combined business and scientific mindset. Collaborate with the Strategic Account Director, Medical to co-create cross-portfolio account plans for a set geography of key accounts. Develop and broaden a network of developing KOLs for peer-to-peer engagement within targeted accounts. Identify suitable clinical trial and registry sites and provide comprehensive support throughout...

Amylyx has an audacious mission to usher in a new era for treating diseases with high unmet needs. Where others see challenges, we see opportunities that we pursue with urgency, rigorous science, and unwavering commitment to the communities we serve. We are a clinical-stage company currently focused on post-bariatric hypoglycemia (PBH), Wolfram syndrome, and amyotrophic lateral sclerosis (ALS). Our mission is powered by our people. Our core values - be audacious, be curious, be authentic, be engaged, and be accountable - creating a culture of caring. Amylyx has assembled an experienced team ready to take action because the communities we serve have no time to wait. If you share our passion and are determined to tackle some of medicine's toughest problems, we encourage you to read the opportunity below and apply. The Opportunity The Associate Director, Medical Affairs is a strategic, execution-focused role responsible for translating Medical Affairs strategy into...

PB ENT Coder (On-Site) - Cambridge, MA (02138) | CPC or CCS-P Required PB ENT Coder (On-Site) - Cambridge, MA. CPC or CCS-P required. Support ENT surgical and E/M coding in our revenue cycle team. Join our collaborative on-site medical coding team located in Cambridge, MA, a hub for world-class universities and healthcare innovation. You will support ENT providers, improve coding accuracy, and contribute to clean claims and optimized revenue cycle performance. Job Details - On-Site Medical Coding Job Location: Cambridge, MA 02138 (On-Site) - Boston/Cambridge area candidates preferred Schedule: 5 shifts per week, 8-hour days Hours: 40 hours per week Assignment Length: 26 weeks Start Date: March 2, 2026 Job Type: Professional Billing (PB) ENT Coder - surgical coding, E/M coding, revenue cycle Compensation Estimated Weekly Salary: $1,310-$1,410 per week Job Requirements & Qualifications CPC, CCS-P, or equivalent...

A leading biopharmaceutical company is seeking an Associate Director for Medical Insights and Analytics. This role involves leading analytics execution to support Medical Affairs, ensuring compliance with standards, and translating complex data into insights. Candidates should have a Bachelor's degree in a relevant field and 6-8 years of analytical experience, ideally within life sciences. Proficiency in tools like Python and SQL is essential. The position is based in Cambridge, Massachusetts, offering competitive compensation and comprehensive benefits. #J-18808-Ljbffr

**Job Title:** Associate Director, Medical Value and Outcomes (Mid-Atlantic)**Location**: Remote/Field**About the Job**The Medical Value & Outcomes team member serves as the medical scientific lead for population-based healthcare decision makers to facilitate scientific exchange on disease state management and the value of Sanofi Genzyme products, to provide insights to internal teams on key evidence gaps relevant to healthcare decision-makers, and to identify/facilitate research, education, and other collaborations per applicable SOPs. This position represents the MS and Immunology franchises serving as the MVO lead for assigned strategic regional accounts.The position supports the strategic and cross functional alignment within the organization in order to achieve the medical mission of safe and appropriate use of Sanofi Genzyme therapies. The MVO assists in the development of Integrated Medical Plans through collaboration with Medical Communications and Publications,...

A healthcare organization is seeking an experienced Coder for its Medical Specialties Professional Coding Team. Responsibilities include assigning appropriate diagnosis and procedure codes to patient encounters, ensuring compliance with coding guidelines, and analyzing medical records for coding purposes. Qualified candidates must have a High School Diploma, certification from AAPC, and 3-5 years of medical coding experience. This position offers remote work and a competitive hourly pay range of $22.22 - $31.71. #J-18808-Ljbffr

A healthcare provider is seeking a Medical Coder to review patient medical records, translating information into codes for insurance claims. The ideal candidate will have 3-5 years of medical coding experience, extensive knowledge of coding systems, and strong analytical skills. Responsibilities include confirming treatments, resolving coding discrepancies, and providing guidance to medical staff. This position values independence and attention to detail, aiming for compliance with legal standards and maximizing reimbursement. #J-18808-Ljbffr

A leading healthcare organization located in Somerville, MA, is seeking a Medical Coder responsible for reviewing patient medical records and assigning appropriate codes for insurance claims. Candidates should have proficiency in medical coding and excellent communication skills. This role offers a remote work option with a pay range of $21.78 - $31.08 per hour. If you're passionate about healthcare and coding, we invite you to apply and be part of a dedicated team. #J-18808-Ljbffr

A healthcare organization based in Brookline, MASS, is looking for a Billing Compliance Reviewer to execute audits and ensure billing compliance with federal regulations. The candidate will collaborate with clinical and administrative teams to enhance documentation practices. The ideal applicant should have at least 3 years of relevant experience and a certified coding credential. The position offers a salary range of $84,000 to $91,311, fostering an inclusive work environment. #J-18808-Ljbffr

Become a part of our caring community and help us put health first Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor - DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient DME coding disputes and expertise in...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Senior auditor responsible for clinical or physician compliance topics. Assigned the most complex clinical/documentation/coding/billing reviews. Provides guidance to other auditors within AHN on audit approach and analysis. Responsible for creating and overseeing orientation of auditors. Leads all hospital or physician audits/investigations, auditing support and responses related to external audit activity. ESSENTIAL RESPONSIBILITIES: Establishes and implements orientation for all members of the AHN audit compliance team. Evaluates the progress of team members including review of reports and audit activities. Works with senior management responsible for AHN-wide case management/physician programs to develop processes that meet Medicare and 3rd party payor requirements. Provides guidance to staff auditors on audit topics and reports. (20%) Conducts educational sessions for...

About Nucs AI Nucs AI is revolutionizing cancer care through cutting-edge AI and medical imaging technology. Founded in 2024 by a multidisciplinary team of oncologists, AI researchers, and healthcare innovators, we're tackling one of medicine's most pressing challenges: the growing demand for accurate, timely cancer diagnostics in the face of rising scan volumes and limited radiologist capacity. We sit at the intersection of diagnostics and treatment planning-building AI-powered tools at the convergence of medical imaging, radioligand therapy, and artificial intelligence. Starting with prostate cancer and expanding across oncology, we partner with world-leading medical institutions and pharmaceutical companies across the US, Europe, and Australia to bring precision oncology into everyday clinical practice. Our mission is to enhance diagnostic precision and expand access to expert-level cancer care, improving patient outcomes worldwide. We're venture-backed, early-stage,...

Overview The HealthCare Authorization, Insurance Verification, and Medical Billing Specialist is responsible for supporting the full revenue cycle functions related to client eligibility, authorization acquisition, and medical billing. This includes securing insurance authorizations, verifying eligibility, performing detailed billing reviews, assisting with claims processing, documenting all activities, and coordinating closely with internal staff, payers, and managed care entities to ensure accurate and timely reimbursement. This includes ensuring all activities are performed in accordance with OIG compliance guidance, payer requirements, and internal controls designed to prevent fraud, waste, and abuse. Maintains accurate, complete, and timely documentation to support billing and reimbursement. Participates in audits, monitoring activities, and corrective action plans as required. Details Schedule: 40 hours, Monday–Friday, 8:00 a.m.–4:30 p.m. Pays: $48,000 - $60,0000 annually...

A healthcare data collaboration firm is seeking experienced inpatient coders to join their fully remote team. The ideal candidate will have at least 3 years of inpatient coding experience, knowledge of ICD-10-CM/PCS coding, and strong attention to detail. Responsibilities include accurately coding patient records and maintaining high accuracy rates. This position offers up to $5,000 in sign-on bonuses, comprehensive training, and a flexible schedule, fostering a supportive work culture. #J-18808-Ljbffr

Clinical Educator Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Clinical Educator Full time, 4x10 shifts Reporting to the Medical Laboratory Science Program Director, the Clinical Educator serves as a primary educator for hospital-based Medical Laboratory Science and related education programs within the Department of Pathology. This role supports a growing and evolving hospital-based education infrastructure and contributes to instructional excellence, program development, and workforce pipeline initiatives. 70% - Instruction & Education:...

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 and CPT 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-10 CM/CPT 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-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

About the Role Join our client as a full-time Urology & Urogynecology Coder ! This onsite role offers a hands‑on opportunity to code clinical visits and surgical procedures while engaging with the full revenue cycle—from verifying coverage to obtaining prior authorizations. Location Hanover, MA 02339 (free onsite parking) Schedule Monday–Friday, 8:00 AM–6:00 PM EST (Must make schedule between this time frame) Type Contract‑to‑Hire Responsibilities Code urology and urogynecology clinical visits and surgical procedures Handle full-service revenue cycle tasks: insurance verification, prior authorizations, patient communication Collaborate with physicians, clinics, and insurance companies Maintain detailed, accurate documentation using Athena and Urochart (transition to AthenaOne in 2026) General urology: kidney stones, prostate cancer, prostatitis, hematuria, testicular pain, bladder/vaginal infections Qualifications CPC or CPC-A certification required Revenue cycle...

Description The Coding Specialist reports to the Coding Manager and is responsible for correct coding of professional services and upholding compliance standards. Responsibilities Perform coding and related duties using established Professional Billing Office and Coding Services policies in an accurate and timely manner. Review medical documentation and system generated charges or paper encounter forms. Appropriately assign CPT, ICD-9/ICD-10, HCPCS II, and modifiers based on documentation and payor requirements. Demonstrate a commitment to integrating coding compliance standards into daily coding practices. Identify, correct and report coding problems. Maintain current knowledge of coding, compliance and reimbursement procedures. Review current literature, newsletters, payor policy updates and coding manuals. Resolve coding edits and denials in a timely manner. Identify opportunities to reduce denials and enhance revenue. Function as a resource to Professional Billing Office...

A leading healthcare institution in Boston seeks a Coding Specialist to ensure accurate coding of services and uphold compliance standards. Responsibilities include performing coding duties, resolving denials, and maintaining coding procedures. Candidates must possess a high school diploma, complete a Coding Certificate, and have strong communication skills. Familiarity with medical terminology and coding certifications from recognized bodies are preferred. This is a full-time position located in Charlestown with a day shift. #J-18808-Ljbffr

A healthcare organization is seeking a Certified Risk Coder in Boston. This role involves retrospective and prospective risk coding reviews, ensuring accurate documentation and risk adjustment for outpatient practices. The ideal candidate will have experience in risk adjustment and medical billing, proficient knowledge in EHR systems, and a CRC Certification. Join a fast-paced, innovative team requiring strong communication and customer service skills with an emphasis on quality assurance. #J-18808-Ljbffr

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required. Additional Skills and Experience: - Familiarity with retrospective payment reimbursement highly preferred....