18 jobs found in Concord, NH

Senior Provider Reimbursement Professional - Certified Medical Coder Become a part of our caring community and help us put health first. The Senior Provider Reimbursement Professional - 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 works assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Role Overview Identifies reimbursement policy and process recommendations (primarily with respect to proposed new code edits and the specifics of existing code edits that are reviewed), ensuring compliance with government regulations, contractual considerations, and relevant business decisions. Analyzes provider reimbursement patterns and trends. Begins to influence department's strategy. Makes decisions on...

Senior Medical Coder The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. Medical Coding Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. Review and validate coding performed by other coders to ensure consistency and accuracy. Identify ambiguous or unclear terms and query clinical sites or data management for...

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...

Inpatient Medical Coding Auditor As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review ICD-10 inpatient patient records for accuracy and compliance Review physician documentation to verify diagnosis and procedures Communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process Assign accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, 3M, in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to Companys clients in coding, billing and compliance Perform Peer Reviews of Company Health Information Management coding auditors and coders Assure that services provided to Clients of Company are current and up-to-date with industry standards...

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...

Hcc 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 diagnoses using a standardized system,...

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...

Coder II Position Specialty Scope for this coder II position to include but not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair; Elbows: Cubital tunnel release, Bursectomy, Arthroplasty; Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment); Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations; Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy; Pelvis: Fracture repairs; Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs; Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy; Tibia/Fibula: Plateau...

HCA Capital Division is seeking a Registered Nurse (RN) Clinic Med Surg Lead for a nursing job in Manchester, New Hampshire. Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: ASAP Duration: Ongoing Shift: nights Employment Type: Staff Shift: Nights (Rotating Weekends) Description ***Offering sign on bonus up to $20K*** D100 Introduction Are you looking for a place to deliver excellent care patients deserve? At Catholic Medical Center we support our colleagues in their positions. Join our Team as a(an) RN Clinical Nurse Leader Cardiovascular Tele and access programs to assist with every stage of your career. Benefits Catholic Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include...

A global medical device company seeks a Supervisor in Manufacturing to lead a team in producing safe and quality products. This role requires a Bachelor’s degree and significant leadership experience within a manufacturing environment, preferably in medical devices. You will enhance workflow efficiency and ensure compliance with quality regulations. Benefits include comprehensive health insurance, 401k matching, and paid time off. #J-18808-Ljbffr

The opportunity Delaware North Gaming is hiring a part-time Compliance Auditor to join our team at Gate City Casino in Nashua, New Hampshire. As a Compliance Auditor, you will be responsible for conducting detailed reviews and evaluations of daily paperwork related to gaming as well as internal controls and department procedures. If you want a job that provides fast-paced work in a collaborative environment, apply now. Pay $23.00 - $28.00 / hour Information on our comprehensive benefits package can be found at https://careers.delawarenorth.com/whatweoffer . What we offer We care about our team member's personal and professional well-being. Delaware North provides a benefits package designed to give you the comfort, safety, and security you need to deliver exceptional experiences for our guests. All team members receive benefits including: Weekly pay Employee assistance program Training and development opportunities Employee discounts...

Job Description Job Description   Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary The Home Health Medical Biller is responsible for accurately managing the billing cycle for home health services, ensuring timely submission of claims, and securing optimal reimbursement from Medicare, Medicaid, and commercial insurance plans. This role includes verifying patient eligibility, reviewing clinical documentation, coding diagnoses and services, resolving claim denials, following up on outstanding balances, and maintaining strict compliance with federal, state, and payer-specific regulations. The biller collaborates closely with clinicians, intake, quality assurance, and authorization teams to ensure clean claims and accurate billing. Strong attention to detail, proficiency with EMR and clearinghouse systems, and the ability to communicate effectively with payers and internal staff are essential for success in this...

Job Description Job Description Benefits: Competitive salary Flexible schedule Opportunity for advancement Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary The Home Health Medical Biller is responsible for accurately managing the billing cycle for home health services, ensuring timely submission of claims, and securing optimal reimbursement from Medicare, Medicaid, and commercial insurance plans. This role includes verifying patient eligibility, reviewing clinical documentation, coding diagnoses and services, resolving claim denials, following up on outstanding balances, and maintaining strict compliance with federal, state, and payer-specific regulations. The biller collaborates closely with clinicians, intake, quality assurance, and authorization teams to ensure clean claims and accurate billing. Strong attention to detail, proficiency with EMR and clearinghouse systems, and the ability to communicate...

Health Information Management Role This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education. Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation or deviation...

A leading health care organization located in Chelmsford, Massachusetts is looking for a Supervisor, Operational Services II. This role involves supervising operations within a clinical setting, focusing on patient service and clinical flow. The ideal candidate will have extensive medical practice experience and strong leadership skills. The compensation ranges from $58,800 to $105,000 annually based on full-time employment. A comprehensive benefits package is offered, promoting a fulfilling career path. #J-18808-Ljbffr

Work Location: Billerica, Massachusetts Shift: Department: HC-RD-DTN N&I Clinical Trial Management Recruiter: Rena Ann Peterson Your role Manages multiple studies, projects, and work streams with high complexity, risk, impact and reach, typically Ph III and registrational/sourcing models. Demonstrates skills in successfully leading large-sized global project teams in a matrix organization and directs, influences and motivate stakeholders from closely related areas and beyond, creating a positive working climate. Leads the development of the clinical trial strategy while accountable for successful project execution and delivery of clinical operational budget, timelines and quality standards agreed upon by Governance Committees. As a core member of the Clinical Operations Team and leader of the Clinical Trial Team, aligns clinical trial team with organizational goals, Clinical Operations Team, and/or Global Program Strategy Team. Filters, prioritizes, analyzes and validates...

Associate Director, Clinical Trial Lead (on-site Billerica, MA) Join EMD Serono, Inc. as an Associate Director, Clinical Trial Lead (on-site Billerica, MA). Work Your Magic with us! Start your next chapter and join EMD Serono. Ready to explore, break barriers, and discover more? We know you’ve got big plans – so do we! Our colleagues across the globe love innovating with science and technology to enrich people’s lives with our solutions in Healthcare, Life Science, and Electronics. Together, we dream big and are passionate about caring for our rich mix of people, customers, patients, and planet. That's why we are always looking for curious minds that see themselves imagining the unimaginable with us. This role does not offer sponsorship for work authorization. External applicants must be eligible to work in the US. Your role Manages multiple studies, projects, and work streams with high complexity, risk, impact and reach, typically Ph III and registrational/sourcing models....

Medical Records Technician - Coder Outpatient Summary This Medical Records Technician - Coder Outpatient is located in the Health Information Management (HIM) section at the White River Junction VA Medical Center. The MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities duties include but are not limited to: Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) for one or more specialty and subspecialty health care services provided by the VAMC. Using coding systems include current versions of the International Classification of Diseases (ICD) Clinical Modification (CM), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and conventions when...