183 jobs found in Massachusetts

Cape Cod Healthcare is seeking a Coding and Billing Compliance Auditor to ensure accuracy, integrity, and regulatory compliance of clinical documentation, coding, and billing across the health system. The role conducts audits, identifies discrepancies, and educates staff to reduce risk and optimize reimbursement. You'll collaborate with Revenue Cycle, HIM, CDI, and Compliance teams, prepare audit reports, and present findings to leadership, driving continuous improvement in coding standards and #J-18808-Ljbffr

Cape Cod Healthcare is seeking a Coding and Billing Compliance Auditor to ensure accuracy and regulatory compliance across the health system. You will conduct audits, identify discrepancies, and educate staff to reduce risk and optimize reimbursement. The role requires five years of physician coding/auditing experience, CPC or CCS-P certification, and strong knowledge of ICD-9/ICD-10, CPT, and HCPCS. Hybrid schedule with opportunities for professional growth are offered. #J-18808-Ljbffr

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At 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...

UnitedHealth Group is seeking a remote Certified Medical Coder to oversee a surgical coding team and ensure accurate professional billing across CPT, HCPCS, and ICD-10 coding. You will collaborate with physicians and staff to optimize revenue and resolve payer rejections. The role requires 3+ years of coding experience, a high school diploma or GED, and certification eligibility or CPC/CCS credentials; Epic proficiency is a plus. Telecommuting policy applies to this nationwide remote position. #J-18808-Ljbffr

Westboroughbehavioral is seeking a Medical Office Coder to join their team in Westborough, Massachusetts. This per diem position requires the coder to accurately assign medical codes for billing purposes, perform audits, and ensure compliance with coding regulations. Applicants should have a High School degree and an Associate's Degree or Certificate in Medical Coding/CPC, alongside at least one year of coding experience, preferably in psychiatric services. The role offers benefits like 401K, medical, dental, and vision coverage. #J-18808-Ljbffr

UnitedHealth Group seeks a remote Medical Coder to oversee a surgical coding team and ensure accurate coding for professional charges across office, hospital, and ambulatory settings. You will work with physicians and staff to maximize revenue, maintain compliance with ICD-10, CPT and HCPCS coding, and support payor relations. Telecommuting is allowed; strong communication and organizational skills are essential. #J-18808-Ljbffr

UMass Memorial Health is seeking an Outpatient Coder II to interpret clinical documentation and assign ICD-CM and CPT codes for outpatient encounters across the hospital system. The role focuses on accurate coding, supports reimbursement, and requires close attention to detail. Responsibilities include verifying documentation, minimizing coding backlogs, participating in audits, and maintaining a high accuracy rate while working with billing teams. #J-18808-Ljbffr

Calibre CPA Group is seeking a Payroll Compliance Auditor to join the Payroll Compliance Audit team in Chicago, IL. The role travels to client sites in the Chicago metropolitan area, conducts payroll and contract audits, and supports report creation for fund administrators. The position is based in Chicago with travel as needed, offering benefits such as health and vision insurance, a 401(k) and profit-sharing plan, and generous PTO. Expires August 21, 2026. #J-18808-Ljbffr

Job Information Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 (final offer may vary based on experience, skills, qualifications, and internal equity considerations) Schedule: Monday through Friday, 7:00 a.m. – 3:30 p.m. (1 – Day Shift, 8 Hours, United States of America) Hours: 40 per week Cost Center: 99940 – 5470 ED Coding and Revenue Capture Sign‑off: This position may have a signing bonus available. A member of the Recruitment Team will confirm eligibility during the interview process. Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Major Responsibilities Upon review of the medical record, perform analysis on documentation, which includes review of tests/reports to determine the appropriate ICD‑CM (current edition) and/or CPT codes as well as modifiers. Based on account type, may assign ICD‑PCS codes, as defined by official coding guidelines and other recognized...

and the job listing Expires on August 21, 2026 Full-Time Job Accounting, Data Analytics, Economics & Finance Calibre is an established and growing public accounting firm with a 80-year history in the Washington DC, NY, IL and CA markets. We are dedicated to providing the best possible working environment, including a commitment to the personal and professional growth of our employees. It is our goal to cultivate our employees and give them a variety of resources to develop and grow into a career at Calibre. Calibre CPA Group is seeking a Payroll Compliance Auditor to work in the firm’s Payroll Compliance Audit department. This position involves analyzing and reviewing payroll, tax, and personnel records to determine employer compliance with collective bargaining agreements. Our Compliance Auditors are responsible for creating and submitting reports of audit findings to fund administrators on a variety of employee benefit plans. This exciting entry-level opportunity involves...

Surgical Coding Manager 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 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. Location: Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Oversees surgical coding team of 8 coders. Facilities and monitors workflows. Assigns work daily and projects as needed Responsible for procedure and diagnostic coding of professional charges. Works...

Everyone Is a Caregiver At 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. Major Responsibilities: Upon review of the medical record, performs analysis on documentation,...

Inventing The Future Of Health Care For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start caring. Connecting. Growing together. Supervises staff through scheduling, evaluations, training, and personnel decisions, while addressing employee concerns and implementing performance improvement plans. Oversees daily staffing to support patient care needs and ensures high patient satisfaction by resolving concerns and collaborating with physicians. Conducts incident follow-ups and performs clinical duties as needed. Provides leadership, supports teamwork, manages budgets and operational activities, and contributes to policy and program development. Expected to align with the organization's mission, vision, and goals while providing strategic leadership and decision-making. Responsible for influencing, coaching, and developing teams to achieve...

UnitedHealth Group seeks an experienced Medical Coder with leadership responsibilities to oversee a surgical coding team remotely across the United States. You will ensure accurate CPT/HCPCS/ICD-10 coding, collaborate with physicians and staff, and drive compliant coding practices while maximizing revenue. Strong communication and Epic proficiency are essential, with telecommuting flexibility and adherence to regulatory standards. #J-18808-Ljbffr

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. Education/Training Associates required with Bachelor’s Degree preferred. Approved Coding Course completion Licenses/Certification RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist) required Required Qualifications and Skills 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...

Massachusetts Health Information Management Association in Worcester seeks a Coding Specialist responsible for accurate coding and recording of patient care data. Applicants must have an Associate’s degree (Bachelor’s preferred) and possess certifications such as RHIA, RHIT, or CCS. The position requires a self-starter with knowledge of ICD-10 coding, medical terminology, and proficiency in technology, including 3M encoder. Salary ranges from $28.32 to $43.45 per hour. #J-18808-Ljbffr

Medical Billing Specialist The Medical Billing Specialist is responsible for accurate claims submission, accounts receivable follow-up, payment posting, EOB and COB processing, credit balance refunds, bad debt and collections. Takes initiative to research problems and determine correct action steps to resolve eligibility, billing and account problems, and working in collaboration with an outside billing company. This may involve accessing the clinical computer system where source information resides; contacting departmental/practice representatives to obtain additional information, researching source charge entry/clinical report documents to verify information, etc. Responsible for the posting of billing information from the clinical management system to the billing system. Assist in the preparation of reports and analyses, providing feedback and recommendations to management relating to findings. Required: High School graduate or equivalent. At least five years medical billing...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

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. 1,500 Sign on Bonus We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule,...