159 jobs found

About the Role XRHealth is seeking an experienced and detail-oriented DME Medical Billing Specialist to join our team on-site at our Needham, MA office . In this role, you will manage all aspects of billing and reimbursement for our Durable Medical Equipment (DME) operations. You will be responsible for ensuring accurate and timely claim submissions, payment posting, and resolution of denials, while maintaining compliance with all payer and regulatory requirements. Hands-on experience with the NikoHealth system is highly preferred. Key Responsibilities Prepare, review, and submit clean claims to insurance companies through NikoHealth and other billing systems. Verify patient insurance coverage and eligibility for DME services. Process payments, adjustments, and denials accurately and efficiently. Investigate and resolve claim rejections or underpayments in a timely manner. Maintain accurate billing records and ensure compliance with HIPAA and payer...

We are seeking a qualified Medical Coder to join our team at Lowell General Hospital's Oncology Department! This role is 100% onsite based out of Lowell General Hospital- Main Campus. Job Overview This position reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges. Effectively utilizes ICD-10, CPT, and HCPCS, modifier and/or other codes according to coding guidelines. Communicates effectively with providers and/or all appropriate staff regarding missing information such as CPT, ICD-10, and documentation issues, to ensure proper coding and reimbursement. Works with leadership to review denial and reimbursement reports for accuracy, as well as conducting audits to ensure documentation, code capture, and billing are accurate and precise. Performs pre and post visit chart audits to ensure proper code assignment. Hours: Full time / 40 hours / Day shifts, Monday through Friday...

DEFINITION / PRIMARY FUNCTIONThe Senior Coder / Abstractor (remote) codes inpatient records and / or outpatient records using commonly accepted classificationsystems and abstracts the information into the coding software or EMR abstracting.POSITION QUALIFICATIONS (Minimum qualifications are required unless stated otherwise.)Experience :Two years of experience in coding with ICD-10-CM, ICD-10-PCS required.Experience in outpatient coding, or willingness to learn outpatient coding including CPT-4 and HCPCS required.Experience using coding software and EMR required.Previous coding in a teaching facility preferred.Education and Training :High School Graduate, advance education in medical terminology, anatomy and physiology, and pathophysiology are all required.Completion of a medical coding program required.License, Certification & Registration :CCSHRR - Certified Professional Coder-Hospital.Other Requirements :Ability to code all inpatient record types i.e.med / surg, behavioral...

Job Posting This is a remote position. BizTek People is hiring for the role of CERTIFIED UROLOGY CODER for our client in Lansing, Michigan Hospital Billing - Remote Coder CERTIFIED UROLOGY CODER Must have own equipment and urology coding experience Certifications Required GED Certified Professional Coding Certificate (AAPC), current with required continuing education CUC Skills & Experience Required 1 year of diagnostic and procedure coding experience Experience working in a multi-physician practice Working knowledge of CPT and ICD-10-CM Knowledge of computer billing systems, programs, and applications Detailed knowledge of medical records, anatomy, physiology, and disease processes Physician electronic filing experience covering all insurance carriers Provide procedure and diagnostic coding based on documentation in patient medical records Responsible for coding daily activities to support the revenue cycle process

Medical Coder Optum 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. Schedule (38.75 hours): Following training, hours will be Monday-Friday (either 4 x 9.7-hour workdays or 5 x 7.75-hour workdays) between the hours of 6am-6pm EST. Candidates residing in EST or CST preferred. You'll 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...

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...

A leading healthcare institution in Boston is seeking a detail-oriented Medical Coder responsible for assigning diagnostic and procedural codes to medical records. This remote role requires 3 years of coding experience and an Associate's Degree in Health Information Management. Candidates must have familiarity with ICD-10-CM, CPT, and HCPCS coding systems. Responsibilities include ensuring compliance with coding guidelines and collaborating with clinical documentation specialists to maintain coding accuracy. Competitive hourly pay is offered. #J-18808-Ljbffr

Overview Site: The Spaulding Rehabilitation Hospital Corporation 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. Job Summary Summary Responsible for accurately assigning diagnostic and procedural codes to medical records, ensuring compliance with coding guidelines and regulatory requirements. Questions Does this position require Patient Care? No Responsibilities Review medical records and extract relevant clinical information to assign appropriate diagnostic and procedural codes using coding systems such as ICD-10-CM, CPT, and HCPCS. Ensure...

A leading hospital in Boston seeks a medical coder to assign diagnostic and procedural codes to records accurately. Responsibilities include reviewing medical records, ensuring compliance with coding standards, and collaborating with healthcare providers. Candidates must have an Associate’s Degree in Health Information Management and 3 years of coding experience, along with CCS or CCA credentials. This position offers competitive pay and a remote work option. #J-18808-Ljbffr

A leading rehabilitation hospital in Boston is looking for a Medical Coder to accurately assign diagnostic and procedural codes to medical records. The role involves ensuring compliance with healthcare regulations and collaborating with clinical documentation specialists. Candidates must have an Associate's Degree in Health Information Management and at least three years of experience in medical coding, with CCS or CCA credentials. Excellent communication skills and knowledge of coding systems are essential. #J-18808-Ljbffr

A leading health data platform company is looking for experienced outpatient coders to join their remote team. The ideal candidate will have strong attention to detail and a deep understanding of medical terminology. This position allows for a flexible schedule, where you will review medical records, assign accurate codes, and maintain high accuracy rates. The role offers comprehensive benefits, competitive pay ranging from $20 - $35 per hour, and a supportive work environment dedicated to professional growth. #J-18808-Ljbffr

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 Summary Responsible for accurately assigning diagnostic and procedural codes to medical records, ensuring compliance with coding guidelines and regulatory requirements. Does this position require Patient Care? No Essential Functions Review medical records and extract relevant clinical information to assign appropriate diagnostic and procedural codes using coding systems such as ICD-10-CM, CPT, and HCPCS. Ensure accurate and detailed coding of medical data, adhering to established coding guidelines and industry standards. Follow coding and documentation guidelines set by regulatory bodies, including CMS, CPT, and other relevant coding authorities, to ensure compliance with healthcare regulations. Maintain the integrity and security of patient information and healthcare data throughout the coding process. Collaborate with clinical documentation specialists and healthcare providers to address documentation queries and obtain additional information for accurate coding....

Join us at  Northeast Health Services , a member of Transformations Care Network (TCN), as we embark on an exciting journey to empower Clinical Supervisors like you to make a difference in the field of behavioral health. We are committed to improving accessibility while raising the standard of care. Clinical Supervisors are responsible for providing clinical supervision and training for unlicensed, graduate level clinicians who provide outpatient mental health counseling, along with carrying a caseload. Clinical Supervisors conduct individual and group supervision and oversee clinical development of therapists in conjunction with the Clinic Directors. Clinical Supervisors are organizational culture carriers who are accountable for promoting clinical excellence and quality outcomes.  Key Responsibilities: Deliver 15-20 billable units of clinical services to clients per week Provide 10-12 hours of individual and group supervision weekly to unlicensed clinicians....

If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-21350 Facility: LOC0014 - 549 Columbian Street549 Columbian StreetWeymouth, MA 02190 Department Name: SHS Physician Services Admin Status: Full time Budgeted Hours: 40 Shift: Day (United States of America) Under experienced leadership the Professional Surgical Coder is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding. Using established department policies and procedures in conjunction with the current versions of ICD-10 and CPT-4, the Professional Surgical Coder will determine the proper diagnosis, assign co-morbidities and complications, secondary diagnoses and any HAC (Hospital Acquired conditions) documented. As well as both E/M codes and procedure codes. The Professional...

Signature Healthcare is Southeastern Massachusetts' premier local provider of quality, personalized medical services. We are comprised of the award-winning not-for-profit Signature Healthcare Brockton Hospital; Signature Medical Group (SMG), a multi-specialty physician group of more than 150 physicians practicing in 18 ambulatory locations. We believe our distinctive Signature Healthcare team approach is the way healthcare should be: medical professionals across many locations communicating and collaborating, taking advantage of technologies and resources to make a difference in the lives and health of our patients. Position Summary: Under the general direction of the Corporate Director, Health Information Management & Privacy Officer provides leadership and technical support for ambulatory coding auditing and educating functions. Responsible for ensuring accurate diagnosis and procedure coding as well as providing documentation and coding related feedback and educational...

divh2HIMS Coder Career Opportunity/h2pValued for your Expertise in HIMS Coding/ppAre you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your passion and values? Join our team where we believe in careers close to home and heart. Your role is vital in ensuring accurate coding of medical records, maintaining data integrity, and supporting healthcare efficiency. Translating medical information into standardized codes, youll contribute to quality patient care. As a HIMS Coder, responsibilities include precise coding based on ICD-10-CM and CMS 13 group codes and maintaining compliance with regulatory guidelines and company policies. If youre eager to make a meaningful impact, explore this exciting opportunity with us where your expertise meets personal values./ppA Glimpse into Our World/ppAt Encompass Health, youll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing...

Risk Adjustment Consultant Hours: 40 hours per week; M-F. Location: Fully Remote 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. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. An experienced level role that applies practical knowledge of job area typically obtained through advanced education and work experience. Works independently with general supervision, problems faced are difficult but typically not complex, and may...

Medical Coding Specialist 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. Responsible for accurately assigning diagnostic and procedural codes to medical records, ensuring compliance with coding guidelines and regulatory requirements. Essential Functions: Review medical records and extract relevant clinical information to assign appropriate diagnostic and procedural codes using coding systems such as ICD-10-CM, CPT, and HCPCS. Ensure accurate and detailed coding of medical data, adhering to established coding guidelines and industry standards....

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...

Field Medical Associate Director, Caplacizumab Location: Remote, US About the Job The Field Medical Associate Director (FMAD) is a senior-level position within Sanofi's Field Based Medical organization with an expert understanding, in both science and business, with existing relationships with priority key opinion leaders and key decision makers within top regional health care systems located within their assigned territory. The FMAD develops strategic engagement plans that transform medical practice and shape the healthcare ecosystem using a data-driven, AI-enabled approach to deliver personalized scientific engagement to Healthcare Organizations, Healthcare Providers, and Clinical Researchers. FMADs support our products and disease states throughout the product life cycle, maximizing the impact of our innovative medicines to improve patient lives. In addition to external engagements, the FMAD serves as a strategic medical leader supporting their TA field medical team through...

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...

Map Supervisor/Medical Care Coordinator Waltham House is the first residential group home designed specifically for LGBTQIA+ youth in New England. Its founding principles are that every child deserves to live in an environment in which they feel safe, respected, supported and cared for by those around them. The group home provides a safe and supportive living environment with 24-hour staffing for up to 12 gay, lesbian, bisexual, and/or transgender youth ages 1418. Many youth at Waltham House have experienced difficulty at home or in placement due to their gender expression or sexuality identities. How You Will Be Making a Difference Supervise all medication related and medical/psychiatry appointment related aspects of the program Participate in training new staff on MAP procedures and communicate/coordinate the MAP certification process Provide staff refresher trainings as needed Collaborate closely with the program nurse Responsible for preparing for and managing the...

Coder II Position Specialty scope for this coder II position includes but is 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:...