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- A leading healthcare organization in Hingham is seeking a Clinical Reviewer. This full-time role requires expertise in medical coding and compliance with Federal Employee Program guidelines. You will perform comprehensive claims reviews, ensuring medical necessity and...SuggestedFull time
$41.72 - $50.99 per hour
...Reviewer to facilitate and coordinate provider service appeals. The successful candidate will possess strong clinical judgement and coding knowledge, coupled with the ability to analyze medical claims. This full-time position offers a competitive salary range of $41.72...SuggestedHourly payFull time$47.4 - $57.93 per hour
...guidelines and National Committee for Quality Assurance (NCQA) standards. The Nurse Reviewer facilitates both medical necessity and coding integrity determinations for a variety of complex services, including individual consideration of medical technologies, medical...SuggestedHourly payShift workBlue Cross Blue Shield of Massachusetts
Hingham, MA3 days ago$47.4 - $57.93 per hour
...Post-Service Claims Nurse Reviewer in Hingham, MA. The role involves reviewing complex claims using detailed medical knowledge and coding expertise, ensuring compliance with guidelines and policies. Candidates must possess a BSN, active Massachusetts licensure, and coding...SuggestedHourly payFull time$41.72 - $50.99 per hour
...successful candidate will facilitate and respond to provider appeals for denied services, requiring strong clinical, regulatory, and coding knowledge. The role demands collaboration with various departments to resolve claims appeals. Candidates must hold a valid RN...SuggestedHourly pay$41.72 - $50.99 per hour
...Nurselocations: Hinghamtime type: Full timeposted on: Posted Yesterdayjob requisition id: R08406## Job Profile: Appeals Nurse Reviewer Job Code: HCM101 Business Title: Appeals Nurse ReviewerReports To: Patricia Corsini RN, BSN**The Role** The Clinical Appeals Nurse Reviewer...SuggestedShift workNight shift$79.6k - $113.8k
A healthcare organization located in Weymouth is looking for a Coding Educator to serve as a subject matter expert in ICD10/CPT coding. The role demands assessing provider documentation quality, conducting education sessions, and collaborating with multiple departments...Suggested- ...a Coder to manage daily responsibilities of chart abstraction and audits in accordance with regulations. The role requires current coding credentials, strong organizational skills, and the ability to work independently in a remote environment. This position offers competitive...SuggestedRemote work
Well Sense Health Plan
Boston, MA3 days ago $32 - $42 per hour
...schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do Assign diagnostic and procedural codes using ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes Accurately sequence and abstract medical codes from patient records, ensuring...SuggestedHourly payReliefRemote workRelocation packageFlexible hoursDatavant
Boston, MA3 days ago$29.8 - $41 per hour
...an IP Coder III to join their team in Boston, MA. This full-time, remote position involves reviewing inpatient records for accurate coding assignments according to ICD-10-CM and ICD-10-PCS guidelines. The ideal candidate will have a minimum of 3 years of experience in...SuggestedRemote jobHourly payFull time- A healthcare organization is hiring an Inpatient Coding Specialist responsible for accurate ICD-10 coding for inpatient encounters. The role involves reviewing medical records, ensuring compliance with regulations, and collaborating with clinical teams. Candidates should...SuggestedRemote jobMonday to Friday
$25.5 - $36.49 per hour
...seeks a Medical Coder to review patient medical records and ensure reimbursement accuracy. Candidates should have 3-5 years of medical coding experience and knowledge of ICD-10, CPT, and HCPCS. The role requires strong leadership and communication skills, while providing...SuggestedRemote jobHourly payFull time$18 - $34 per hour
...leader is seeking a Medical Coder to work remotely in Quincy, Massachusetts. The role involves accurately assigning ICD-10 diagnosis codes, performing billing tasks, and ensuring compliance within the Ambulatory Surgical Center setting. Ideal candidates will have a high...SuggestedHourly payRemote workShields Health Care Group
Quincy, MA3 days ago- A leading healthcare institution in Somerville, Massachusetts is seeking a Medical Coder to ensure proper coding compliance, documentation accuracy, and adherence to coding guidelines. Responsibilities include assigning diagnosis and procedure codes based on medical documentation...Suggested
$80k - $115k
...manage, and maintain all reference data assets in the Terminology Reference Library (TRL), including clinical, and claims-related coding standards. In this senior role, you will ensure high-quality, standardized, and actionable data to support therapeutic area frameworks...SuggestedWork at officeLocal areaWork from homeFlexible hours$63.65k - $90.75k
Summary Responsible for designing, implementing, and overseeing coding education programs for medical coders and other relevant staff. This role ensures that coding professionals have the knowledge and skills required to accurately assign medical codes, maintain compliance...Remote jobShift work- A biotechnology company in Massachusetts is looking for a Senior Manager, Medical Coding to oversee high-quality medical coding for clinical trials and regulatory submissions. This role involves developing long-term coding strategies, optimizing processes, and collaborating...Remote job
- A healthcare provider organization is seeking a Coding Specialist to serve as the subject matter expert in ICD10, CPT coding, and documentation. This role requires over three years of experience in coding and auditing in acute care settings. The ideal candidate will conduct...Full time
$35 - $40 per hour
...pushing, reaching above shoulder, repetitive motion, sitting, standing, walking, visual requirement (able to see screens, detect color coding, read fine print), hearing requirement. Other Requirements: Include but are not limited to: Ability to: understand, remember and...Contract workTemporary workWork experience placementWork at officeImmediate startNight shiftWeekend work- Job Description Summary The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders...Work experience placementLocal area
$21.32 - $34.39 per hour
A healthcare organization in Boston is looking for a coding specialist to conduct thorough medical record reviews and apply coding systems (ICD and CPT). The ideal candidate will possess strong data entry skills and at least one year of coding experience in healthcare...Hourly pay$18 - $34 per hour
...because of our teamwork and tremendous opportunities for professional growth. The Medical Coder will accurately assign ICD-10 diagnosis codes and review CPT/HCPCS surgical procedure codes for accuracy, compliance, and proper reimbursement within the Ambulatory Surgical...Monday to FridayShields Health Care Group
Quincy, MA3 days ago$55k - $70k
...invoices in the Nexus program for all regions: Boston, New York, Washington, DC, San Francisco, Los Angeles and Corporate for proper coding. Review and verify vendor numbers, invoice numbers, invoice dates, total amount and inclusion of sub-ledgers if required. Submit...For contractorsWork at officeBXP Ltd
Boston, MA3 days ago$79.04k - $104k
...accreditation requirements.* Reviews and maintains the department charge-master and maintains compliance and ensuring appropriate coding and billing.* Maintains knowledge of new technology or procedures in the department by reading appropriate literature and/or attending...Remote workBeth Israel Lahey Health, Inc.
Winchester, MA2 days ago- ...Summary: Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff, identifying missing information and submitting...
Mass General Brigham (Enterprise Services)
Somerville, MA4 days ago $22.36 - $32.45 per hour
...member’s medial record. Our Investment In You Full-time remote work Competitive salaries Excellent benefits Responsibilities Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by...Full timeWork at officeRemote workFlexible hoursWell Sense Health Plan
Boston, MA3 days ago- -Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations. -Does this position require Patient Care? No -Essential Functions-Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS...Remote work
Mass General Brigham (Enterprise Services)
Somerville, MA4 days ago $162.5k - $286.4k
...Qualifications 4+ years of experience in clinical informatics or healthcare data applied in a clinical setting Deep expertise with medical coding standards, such as SNOMED-CT, ICD-9, ICD-10, CPT, HCPCS, LOINC, and RxNorm Proficiency in SQL or Python for data analysis and...Relocation- Risk Adjustment Coder/Auditor Location: Braintree, Massachusetts The coder’s primary responsibilities are to code, abstract and analyze outpatient medical records using ICD-10 and CPT coding guidelines and educate network providers on proper documentation and coding practice...
- ...Summer Intern job at CODAMETRIX. Boston, MA. CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix’s...Full timeSummer workInternshipSummer internshipWork at officeLocal areaRemote work2 days per week3 days per week
