213 jobs found in Massachusetts

Professional Surgical Coder IThe Professional Surgical Coder I is responsible for the accurate and timely assignment of ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. This role reviews clinical documentation, assigns appropriate diagnoses and procedures, identifies documentation gaps, and queries providers as needed to ensure coding accuracy, compliance, and optimal reimbursement. The Professional Surgical Coder I collaborates with physicians and leadership to support documentation improvement and maintain high-quality coding standards.Compensation Pay Range: $26.30 - $37.60Essential FunctionsAnalyzes patient medical records and interprets documentation to identify all diagnoses and procedures performed. Assigns proper ICD-10CM and CPT-4 diagnostic and procedural codes to charts and related records by reference to designated coding manuals and other reference material.Identifies any and/or all complications or comorbidities. Applies sequencing guidelines based...

Outpatient Coder IThe Outpatient Coder I reviews and abstracts ICD-10 codes per the outpatient coding guidelines. Reviews CCI and LCD/NCD edits for all lab accounts.Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.Primary Duties And Responsibilities:Communicates directly with physicians to ensure that clinical documentation is coded timely,...

Director/Associate Director, Platform and Pipeline Medical Affairs LeadWave Life Sciences is a biotechnology company focused on unlocking the broad potential of RNA medicines to transform human health. Our RNA medicines platform, PRISM, combines multiple modalities, chemistry innovation and deep insights in human genetics to deliver scientific breakthroughs that treat both rare and prevalent disorders. Our toolkit of RNA-targeting modalities including RNAi silencing and RNA editing provides us with unmatched capabilities for designing and sustainably delivering candidates that optimally address disease biology. Our diversified pipeline is focused on our obesity, alpha-1 antitrypsin deficiency and PNPLA3 I148M liver disease programs and includes clinical programs for Duchenne muscular dystrophy and Huntington's disease, as well as several preclinical programs utilizing our versatile RNA medicines platform. Driven by the calling to "Reimagine Possible", we are leading the charge...

Location: Boston, Massachusetts, United StatesCompany: IQVIAPosted: 2026-06-19A leading global health communications firm seeks an Associate Director, Business Development. The ideal candidate will manage revenue growth through new business development with pharmaceutical clients. Responsibilities include building client relationships, managing sales objectives, and collaborating with internal teams. Success in this role requires strong communication, sales experience, and an understanding of medical communications. The role involves travel and necessitates residing in the U.S.#J-18808-Ljbffr

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...

Associate Director, Medical Information and ReviewDeciphera, a member of Ono Pharmaceutical Co., Ltd., is a biopharmaceutical company focused on discovering, developing, and commercializing important new medicines and providing hope to people living with cancer, neurologic and autoimmune disease. Deciphera is leveraging its proprietary switch-control kinase inhibitor platform and deep expertise in kinase biology to develop a broad portfolio of innovative medicines. In addition to advancing multiple product candidates from Deciphera's platform in clinical studies, QINLOCK® (ripretinib) is Deciphera's switch-control kinase inhibitor approved in many countries including the European Union and the United States for the treatment of adult patients with advanced gastrointestinal stromal tumor (GIST) who have received prior treatment with 3 or more kinase inhibitors, including imatinib. ROMVIMZA® (vimseltinib) is a kinase inhibitor approved in the United States for adult patients with...

Map Supervisor/Medical Care CoordinatorWaltham 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 14–18. 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 DifferenceSupervise all medication related and medical/psychiatry appointment related aspects of the programParticipate in training new staff on MAP procedures and communicate/coordinate the MAP certification processProvide staff refresher trainings as neededCollaborate closely with the program nurseResponsible for preparing for and managing the yearly MAP...

Medical Coder, Per Diem (Hybrid Candidates Considered)Purpose 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.Description: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...

Medical Records TechnicianReviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered.Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided.Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment.Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures.Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Medical Office CoderShift details: Per diemJob Summary:The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bills are satisfied in a timely manner.Essential Duties:Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission.Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims.Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10.Westborough Behavioral Healthcare Hospital...

Job TitleDenials Management CoderJob PurposeResponsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.Duties and ResponsibilitiesRead and interpret insurance carrier EOBs.Review medical reports, verify coding.Resolve coding related denial.Make any necessary coding corrections.Generate replacement claims (electronic and paper)Research carrier specific coding policies.Review and interpret carrier NCD and LCD policies.Communicate any coding denial trends to coding manager.QualificationsCPC/COC certification AAPC or CCS certification from AHIMAMinimum one (1) year of coding...

Medical Coder/Biller – Full Time Child Health Associates is looking for an experienced Medical Coder/Biller to join our Billing team! We're looking for someone with strong Evaluation & Management (E/M) coding experience who is detail-oriented, organized, and enjoys working collaboratively to support accurate coding, timely billing, and quality patient care. This is a full-time, on-site position based in our Auburn office. What You'll Do Review provider documentation and assign accurate ICD-10-CM, CPT, HCPCS, and E/M codes. Ensure coding is compliant with CMS guidelines, payer requirements, and current coding regulations. Submit and monitor insurance claims for timely reimbursement. Review documentation to ensure it supports the appropriate level of E/M services and identify opportunities for improvement. Research and resolve claim denials, coding edits, and payment discrepancies. Work closely with providers and staff to improve documentation and coding...

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 40-Hours, Days, Hybrid $20.00 - $27.00 Disclaimer: We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization. Job Summary: Medical Billers are responsible for the timely submission of professional medical claims to insurance companies. Verifies completeness and accuracy of insurance claims prior to submission. Reviews and appeal unpaid and denied claims. Services as a resource for CTP and ICD-10 inquiries. Answers patients\' billing questions...

Specimen Processing Supervisor 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: 5 Neponset St, Worcester MA. Coverage required at 8 other Reliant Medical Group Sites Schedule: 40 Hours per week. Monday - Friday between 7:00am & 5:30pm Primary Responsibilities: Oversees Daily Department Activities: Supervises the daily activities of the lab processors and/or client services to ensure efficient and accurate...

Job TitleOpportunities 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: 5 Neponset St, Worcester MA.Coverage required at 8 other Reliant Medical Group SitesSchedule: 40 Hours per week. Monday - Friday between 7:00am & 5:30pmPrimary ResponsibilitiesThe duties listed below are intended only as illustrations of the various types of work that could be performed. The omission of specific statements of duties does not exclude them from the position if the...

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...

Join the BILH TeamWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Coder PositionThe Coder position, working on the physician billing side, will be working with the Orthopedics Department at Beth Israel Deaconess Medical Center in Boston, MA. This 32-hour position has the opportunity to work remotely, with work hours occurring Monday through Friday. Candidates with CPC, RHIT, CCS, or CCS-P certification are encouraged to apply.Job DescriptionThis position is responsible for the assignment of ICD-10-CM diagnosis and procedure codes and as appropriate, CPT-4.Essential ResponsibilitiesReviews the complete electronic and paper medical record of discharged patients. Assigns ICD-10-CM diagnosis and procedure codes from documentation in the medical record, when indicated assigns CPT-4 procedure codes.Abstracts coded data and patient information into the coding abstracting system in use by BIDMC (information includes attending...

Join The BILH TeamWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Experienced Professional OB/GYN CoderThe ObGyn Department at Beth Israel Deaconess Medical Center is seeking an experienced professional OB/GYN coder. This coder will help support providers and operations during the upcoming 2027 obstetric CPT coding updates, ensuring accurate billing, regulatory compliance, and provider training. The ideal candidate should have strong knowledge of OB/GYN coding guidelines and keen attention to detail to help guide teams through this important coding transition. This is a full-time, 40hr opportunity, working Monday through Friday (day shift hours only). This role allows for remote work once trained, however, applicants must live within New England.Job Description:This position is responsible for the assignment of ICD-10-CM diagnosis and procedure codes and as appropriate, CPT-4.Essential Responsibilities:Reviews the...

Outpatient CoderWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job DescriptionUnder the general supervision of the Outpatient Coding Manager and OP Coding Supervisor, the OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing.Essential Duties & Responsibilities including but not limited to:Review the complete electronic and scanned medical record...