275 jobs found

Medical CoderOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.As a Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of revenue through initial coding.Schedule (40 hours): Following training, hours will be 8 hours Monday-Friday between the hours of 6am-6pm EST. Candidates residing in...

Mass General Brigham is seeking a part-time physician for Express Care in Andover, MA. The role supports Emergency Medicine, Family Medicine, or Medicine-Pediatrics with cross-coverage at Andover and Lawrence. You will care for patients with a broad range of acute illnesses in a fast-paced team environment, supervise 6 Advanced Practice Providers, and utilize on-site imaging and point-of-care testing. Flexible scheduling and PSLF eligibility are offered. #J-18808-Ljbffr

This is what you will do: The Associate Director Strategic Planning & Execution, US Medical Affairs is responsible for the execution of strategic initiatives within the US Medical Affairs organization and will partner with TA Leadership teams and cross functionally to execute on projects in line with the functions overall strategic goals. This position will analyze, resolve, and communicate on key strategic programs allowing for US Medical Affairs Leadership to make informed decisions that will contribute to the overall success of the function. This position will apply good project management techniques to insure in scope, on-time, on budget results. You will be responsible for: 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  Oversight of business progress against performance targets through outcomes and metrics...

Medical CoderPurpose of Position: To assign and group diagnoses, procedure and level codes based on medical record documentation in accordance with coding compliance, regulatory and reimbursement requirements. To ensure appropriate coding for case mix classification and expected reimbursement based on assigned diagnosis, procedure and level codes and reimbursement classifications as supported by medical record documentation. To enter diagnoses, procedure and level codes and patient demographic information into computer system.Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information. Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers. Ensures that coding compliance, regulatory and...

Cape Cod Hospital in Hyannis, MA is seeking an Outpatient Health Information Coding and Reimbursement Specialist to assign and validate codes for outpatient records, ensuring correct reimbursement and data accuracy. You will work with official coding guidelines, perform documentation reviews, and query providers to obtain missing information. This role requires active AHIMA/AAPC certifications and at least 1 year of acute care hospital coding experience; strong attention to detail a must. #J-18808-Ljbffr

Cape Cod Healthcare is seeking an Outpatient Coding Specialist in Hyannis, MA. You will assign and group diagnoses, procedures and level codes based on medical record documentation to ensure accurate reimbursement. The role requires CPC eligibility with certification within 3 months, with about two years of outpatient coding experience preferred. Excellent English communication and teamwork are essential. #J-18808-Ljbffr

Join Reliant Medical GroupOpportunities with Reliant Medical Group, part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as a team member. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together.Position Details: Full-timePrimary Location: Worcester, MASchedule: Monday-Friday Full timeExperience: In both Adult and PediatricsPrimary Responsibilities:Administer appropriate diagnostic assessments according to diagnosis and patient populationDesign and develop appropriate patient treatment plans including long term goals and short-term goals for functional outcomes measured by objective data...

Job Description Job Description Contract to potential hire! Location: Lancaster, MA Schedule: M-F 8:30am-5pm Rate: $20-$23/hr DOE Description: Maintain patient records and update information as necessary Assist with medical billing and coding tasks and collections  Coordinate referrals to specialists and other healthcare providers  Requirements: High school diploma or equivalent Previous exposure to working with insurance claims  Prior epxerience with medical billing highly preferred #zip

Everyone Is a CaregiverAt UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.Interprets a wide variety of clinical and diagnostic documentation in order to process hospital and / or pro-fee charges for episodes of outpatient care. Assigns appropriate ICD-CM (current edition) and CPT codes as well as modifiers. Based on account type, may assign ICD-PCS codes, as appropriate adhering to official coding guidelines.I. Major Responsibilities:Upon review of the medical record, performs analysis on documentation, which...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...

Opportunities with Reliant Medical Group , part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as a team member. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together. Position Details Primary Location: 123 Summer Street, Worcester, MA, 01606 Department: Surgical Specialties Schedule: Full time, 38.75 hrs./ week- Monday - Friday 7:30a- 5:00p Under general supervision as a Team Lead, coordinates the daily support operations of a single clinical area or group. Primarily acts as a Medical Assistant and performs the full duties associated with this role. Is a resource for other...

Description At BLS, we pride ourselves on providing high-quality financial services with a focus on supporting our clients’ unique needs. We are currently seeking an experienced Employee Benefit Plan Accountant to join our growing team. This position offers the opportunity to work with a dynamic group of professionals in an engaging and fast-paced environment. Job Responsibilities: Assist in the preparation and review of financial statements of employee benefit plans (including defined contribution (401(k), 403(b), etc.), defined benefit, and health & welfare plans) Assist in the preparation of Form 5500 and related filings Manage the audits of employee benefit plans and coordinate with clients and their service providers Ensure compliance with ERISA regulations and other applicable laws Perform related testing procedures including reconciliation of reports, analysis of certifications and trust reports, sample selection procedures, participant data, contribution,...

Associate Director, Client Services - Medical & Scientific CommunicationsSimpson Healthcare, an IQVIA Company, is an established scientific agency & dedicated partner to clients in the life sciences industry for over 20 years. We are actively seeking an Associate Director, Client Services, to join our growing team within IQVIA in support of both new & ongoing client relationships.The Associate Director (AD) is responsible for managing client relationships, delivering projects in alignment with operational excellence standards, and leading account team. AD is accountable and responsible for the assigned clients both in terms of growing and nurturing relationship and ensuring all deliverables meet or exceed client expectations. AD is also responsible for day-to-day success of their team and continued growth and development of individual team members.Client Relations and Brand ManagementEstablish meaningful, professional relationships with client stakeholders, including...

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. United As One for Patients, our purpose in Healthcare is to help create, improve and prolong lives. We develop medicines, intelligent devices and innovative technologies in therapeutic areas such as Oncology, Neurology and Fertility. Our teams work together across 6 continents with passion and relentless curiosity in order to help patients at every stage of life. Joining our Healthcare team is becoming part of a diverse, inclusive and...

Belleville Bariatrics is seeking a Medical Billing Specialist to help manage patient billing, insurance claims, and payments. This role welcomes experienced candidates as well as those with basic medical office or billing knowledge who are eager to learn. You will prepare and submit claims, review information for accuracy, follow up on denials, enter payments, and keep billing records organized. A team-oriented environment with benefits is provided. #J-18808-Ljbffr

This is what you will do: The Associate Director Strategic Planning & Execution, US Medical Affairsis responsible forthe execution of strategic initiatives within the US Medical Affairs organization and will partner with TA Leadership teams and cross functionally to execute on projects in line with the functions overall strategic goals. This position will analyze, resolve, andcommunicate onkey strategic programsallowing forUS Medical Affairs Leadership to make informed decisions that will contribute to the overall success of the function. This position will apply good project management techniques toinsure inscope,on-time, on budget results. Strategic Partnership: Develop annual enterprise strategy for assigned TA and/or Function and ensure effective, efficient, andequitabledelivery of key strategic programs and operational activities Oversight of business progress against performance targets through outcomes and metrics tracking/reporting Highlight and communicate US...

Beth Israel Lahey Health, Inc. in Boston, MA is seeking a Senior Coder to perform professional certified coding and support the department with documentation analysis and compliance for reimbursement. The role may allow full remote work and requires CPC/CCS certifications, 3–5 years of experience, and strong Microsoft Office skills; you will collaborate with clinical staff and physicians to apply ICD-10, CPT, and HCPCS codes accurately. #J-18808-Ljbffr

Job Description Job Description Job Title: Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments. No prior AI experience is required—your healthcare expertise is what matters most. Key Responsibilities Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy, compliance, and quality. Identify coding trends, gaps, risks, and opportunities for improvement. Evaluate audit findings using knowledge of academic medical center protocols and industry best practices. Document audit results and...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

UG2 is seeking a Union Benefits Auditor to conduct detailed audits of union benefit records, eligibility data, and monthly invoices across multiple systems. You will identify discrepancies, investigate variances, and work with HR, Payroll, Finance, Operations, and unions to resolve issues. The ideal candidate is highly analytical, with strong Excel skills, experience with HRIS/payroll/benefits data, and the ability to interpret CBAs and apply contractual provisions. Bilingual Spanish preferred. #J-18808-Ljbffr

Coder Under the general supervision of the Ambulatory Coding Manager, the primary function of the coder is to ensure accurate documentation, coding (CPT/HCPCS/ICD10) and billing of service provided. The coder provides feedback, insight and guidance to providers regarding their coding and documentation practices. The coding position helps to insure compliance with established coding guidelines, third party and governmental policies, regulations and guidelines. Must be a member of AAPC or AHIMA. Must be credentialed as CCS-P, CPC, COC. Credentialed as CRC is preferred. #J-18808-Ljbffr

Medical Reviewer, Associate Director – Safety & Risk Management Job Summary The Medical Reviewer will support pharmacovigilance activities by conducting medical review and causality assessments of individual case safety reports (ICSRs) , contributing to signal detection and risk management, and collaborating with cross-functional safety teams and external vendors. Responsibilities Perform daily medical review and causality assessment of ICSRs accurately and within required timelines. Identify and escalate potential safety signals and collaborate with Safety Product Leads on investigations. Partner with Pharmacovigilance, Quality, Case Management, and vendor teams to ensure consistent case review and safety processes. Identify case review inconsistencies and support corrective actions and process improvements. Contribute to the development and implementation of harmonized medical review practices. Maintain effective communication with case...

Join Our Team at OptumOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and other charges for physicians and other providers of...