131 jobs found

Job Description Job Description Ophthalmic Consultants of Boston (OCB is seeking a detail-oriented and experienced Certified Professional Coder (CPC) to join our team on a full time basis. The primary responsibility of this role is to review modifier 25 ophthalmology claims and associated documentation, providing feedback and guidance to clinical teams to ensure accurate coding and compliance with regulatory standards. Working Hours: Full time position Monday through Friday. Travel is required. Waltham 3 days per week, Plymouth 1 day per week, and an optional remote day(work from home). Key Responsibilities: Review and analyze modifier 25 claims and related documentation for accuracy and compliance. Provide detailed feedback and recommendations to clinical teams to improve coding practices. Collaborate with clinical teams to address coding and documentation questions and concerns. Maintain up-to-date knowledge of coding regulations and industry best practices. Assist in...

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 pharmacovigilance?related 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....

Job Description Job Description POSITION SUMMARY As a Medical Biller at MASS LUNG & ALLERGY (MLA) this position performs a wide variety of duties and responsibilities in a manner that places emphasis on quality of care and customer service. The incumbent must work collaboratively with all staff in support of patient services, exhibiting flexibility and a "can-do" attitude. Patient services are the key priority in this position requiring the Medical Biller to serve as a point of contact with other internal and external departments, all with the goal of fostering an environment which promotes patient comfort and trust. The position must exemplify the core values and mission of the organization, always exercising utmost discretion, diplomacy, and tact in patient/staff interactions. 60% DUTIES AND RESPONSIBILITIES: Register and verify insurances for inpatient/outpatient hospital, pulmonary function test readings, sleep study readings and nursing home claims. Verifies...

Emerus Coding Specialist The purpose of this position is to review medical records documentation to select and sequence the appropriate ICD-10-CM diagnosis codes, verify the correct CPT-4/HCPCS procedure codes are attached and to capture charges for laboratory, radiology, supplies and medical procedures within the following types of records: Emergency Facilities, Inpatient, Observation and Ancillary services. Essential job functions include: Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and CPT-4 to include IV infusion and injection codes Review clinical documentation and diagnostic results to extract data and apply HCPCS and facility level Evaluation & Management codes for billing Abstract and code diagnoses and procedures from health records by using appropriate classification systems Other job functions include: Attend staff meetings or other company sponsored or mandated meetings as required Perform...

IP Coder 3 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift: Various (United States of America) Job Summary: The IP Coder 3 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in inpatient and/or IVR (interventional radiology) medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate. Abstracts demographic and coding...

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...

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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

Associate Director, Evidence Generation, Global Medical Lupus Biogen is seeking a dynamic and experienced associate medical director to lead and support evidence generation activities for our Lupus clinical late-stage development programs. Through development, support and execution of a cross-functionally accepted Evidence Generation plan, the Associate Medical Director, Evidence Generation will lead the implementation of a cross-portfolio evidence generation plan and successfully deliver the plan using a balance between therapeutic knowledge, technical expertise, project and communication skills, leveraging and prioritizing internal and external resources as required. This individual contributor role supports a late-stage development program in SLE and CLE and reports to the Global Medical Lead Lupus. As a leader in Evidence Generation, you will play a critical role in shaping and executing scientifically rigorous, impactful research initiatives that enhance our clinical data...

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. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines. Utilize encoders and various coding resources. Perform CPT Procedure...

Inpatient Coder III - Per Diem Assistance needed for month end, vacation coverage, etc. Flexibility with start/end time or weekend hours is available. Location: 100% remote. Requirements: Virtual orientation held on your start date (Monday, 8:30-5). Ability to conduct training during the hours of 6 AM to 6 PM (EST) M-F. Job Profile Summary 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...

Outpatient Coders 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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this...

Explore Opportunities At Atrius Health We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, AP/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing Together. Certified Medical Coder As the Certified Medical Coder, you will ensure accurate coding of surgical services using CPT-4 and ICD-9/ICD-10, aligned with federal and insurance regulations. Review and interpret operative and pathology reports to validate diagnosis and procedure coding. Identify and recommend...

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...

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...

Customer Service Operations Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Management is responsible for strategic oversight and leadership direction within the Customer Service function. Job Summary: The Supervisor, HCP Medical Documentation oversees the Clinical Notes Team responsible for reviewing and qualifying medical documentation to ensure compliance with insurance requirements, primarily for Continuous Glucose Monitoring (CGM) products. This role manages a team of associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of claims. The Supervisor ensures timely turnaround of documentation, allocates work across multiple systems, and drives team performance through coaching, development, and accountability. Responsibilities Directly...

Job Description Job Description Medical Biller – Onsite Location: Beverly, MA Schedule: Monday–Friday, 8:00 AM – 4:30 PM Pay: $25.00 - $30.00 / Hourly Start Date: ASAP Department: Revenue Cycle Benefits: This position is eligible for medical, dental, vision, PTO. Job Overview We are seeking a detail-oriented and organized Medical Biller to join our Revenue Cycle team. This role will support the current biller and assist with full-cycle medical billing and prior authorizations to ensure accurate and timely claim submission. The ideal candidate has hands-on experience using Epic and thrives in a fast-paced medical office environment. Key Responsibilities Prepare, submit, and track medical billing claims to commercial insurance plans and government payers Review patient records for accuracy, completeness, and proper documentation prior to billing Perform full-cycle billing, including charge entry, claim submission, follow-up, and resolution Utilize...

Job Description Job Description Benefits: Bonus based on performance Health insurance Paid time off Flexible schedule This is a full-time position available for immediate hire. The company is a reputable third-party medical billing firm providing comprehensive billing and consulting services to clients across a wide range of provider specialties. Please submit your resume ONLY if you meet the job requirements outlined below. Resumes that do not align with these requirements will not be considered or retained. Insurance A/R Coordinator Qualified applicants must have a minimum of two years of experience in medical billing, with a primary focus on physician services. Experience working with multiple provider specialties is strongly preferred. Familiarity with Epic and CareTracker billing systems is a plus; however, extensive hands-on industry experience is most important. Significant exposure to the following aspects of billing / revenue management is required:...

A healthcare provider is seeking an Inpatient Coder III for a remote, per diem position. Responsibilities include reviewing medical records for accurate coding, ensuring timely coding and compliance with guidelines. Candidates should have a high school diploma, relevant certifications, and at least three years of experience in ICD-10-CM coding. The position offers flexible hours, competitive pay ranging from $31.92 to $39.90 per hour, and a supportive work environment. #J-18808-Ljbffr

Position Title: Inpatient Coder III - Per Diem Hours: Up to 30 hours per week. Assistance needed for month end, vacation coverage, etc. Flexibility with start/end time or weekend hours is available. Location: 100% remote. Requirements: Virtual orientation held on your start date (Monday, 8:30‑5). Ability to conduct training during the hours of 6 AM to 6 PM (EST) M‑F Job Profile Summary 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...

Join to apply for the Coder Abstractor-Inpatient role at Sturdy Health 2 days ago Be among the first 25 applicants Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding and medical terminology commensurate with coding guidelines. Required Skills / Qualifications / Training / Experience Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate Proficiency in technology usage, including 3M encoder Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology Knowledge of ICD-10CM and ICD-10-PCS coding systems, guidelines, and conventions. Familiarity with UHDDS definitions and Coding Clinic Organized, flexible, highly motivated, capable of keeping abreast of constantly...

A health care provider is seeking a dedicated Coder Abstractor-Inpatient to ensure accurate coding of patient care data for optimal reimbursement. The ideal candidate will possess knowledge of ICD-10CM and coding systems, with an Associate's degree required and RHIA or RHIT credentials. You will work independently while adhering to HIPAA standards in a full-time position. Salary range is $25.01 - $30.86 per hour, with entry-level experience encouraged. #J-18808-Ljbffr

A healthcare facility in Attleboro is seeking a Coder Abstractor-Inpatient to collect and record patient care data. The role requires proficiency in coding systems such as ICD-10 and understanding medical terminology. Applicants should have a minimum of 2 years of coding experience in an acute care setting and necessary credentials. The job offers a competitive salary ranging from $25.01 to $30.86 per hour and is ideal for independent and detail-oriented professionals. #J-18808-Ljbffr

Coder Abstractor-Inpatient page is loaded## Coder Abstractor-Inpatientlocations: Attleboro, MAtime type: Full timeposted on: Posted 2 Days Agojob requisition id: R8470Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding and medical terminology commensurate with coding guidelines.**Required Skills/Qualifications/Training/Experience:*** Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate* Proficiency in technology usage, including 3M encoder.* Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology.* Knowledge of ICD-10CM and ICD-10-PCS coding systems, guidelines, and conventions. Familiarity with UHDDS definitions and Coding Clinic.* Organized, flexible,...

Job Description Job Description Overview Company Overview: Allied Universal®, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace, you will be part of a team that contributes to a culture that positively impacts the communities and customers we serve. Job Description Allied Universal is Currently Hiring a Part Time Security Sift Supervisor for a Medical Company in Boston MA Saturday and Sunday 6 AM - 2 PM Starting Pay is $25.50 Per Hour / Paid Orientation / Paid Training  Candidate Must Be 21+ Years Old and Must Have 5+ Years of Previous Security Experience      The Security Shift Supervisor will supervise and coordinate the delivery of quality services on a specific shift at an assigned customer. The Shift Supervisor will act as a liaison between site supervisor, Account Manager/Field Operations Manager and professional security...