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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, MA2 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
Ready to help us transform healthcare? Bring your true colors to blue. Job Profile: Appeals Nurse Reviewer Job Code: HCM101 Business Title: Appeals Nurse Reviewer Reports To: Patricia Corsini RN, BSN The Role The Clinical Appeals Nurse Reviewer facilitates, coordinates...SuggestedHourly payFull timeShift workNight shift$35 - $40 per hour
...Boston, MA. 3-6 Month - Remote - Medical Coder W2 Candidates Only $35-$40/hr Must have strong experience with RADV Must be comfortable code for Government and State Models Coders assist with code abstraction and coding quality audits using the Official Coding Guidelines...SuggestedRemote workHub Technology Group
Boston, MA2 days ago- The Compliance Coding and Billing Manager is responsible for promoting ethical coding and billing practices across the entire spectrum of South Shore Health . In this leadership role, the Compliance Coding and Billing Manager oversees two coding and compliance auditors...SuggestedWork at office
$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 leading health organization is looking for a Medical Coder in Massachusetts. This role involves coding medical records using CPT, HCPCS, and ICD-10 codes while ensuring accuracy and compliance. The telecommute option provides flexibility to work from anywhere in the...SuggestedRemote job
- A healthcare organization in Massachusetts is seeking a Certified Professional Coder to ensure proper coding compliance and documentation accuracy. In this role, you will analyze medical records, assign diagnosis and procedure codes, and maintain coding accuracy to support...Suggested
$24.04 - $33.65 per hour
A leading healthcare provider in Boston is seeking a Coder to assign appropriate codes to diagnoses and procedures based on physician documentation. Ideal candidates will have an Associate's Degree in Health Information, coding certification, and at least 12 months of coding...Suggested$18 - $34 per hour
A medical service provider in Massachusetts seeks a Medical Coder for accurate diagnosis coding and ensuring compliance within the Ambulatory Surgical Center setting. The ideal candidate will have a High School diploma and a relevant medical coding certification, alongside...Suggested$87.93k - $107.47k
...ensure effective payment policies. The ideal candidate will have significant experience in healthcare reimbursement methodologies and coding. This role offers a salary range of $87,930.00 - $107,470.00 with benefits including medical insurance, 401(k), and additional...Suggested$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...SuggestedContract workTemporary workWork experience placementWork at officeImmediate startNight shiftWeekend work- A healthcare solutions company in Boston is seeking a Medical Coder II or III to oversee quality assurance in medical coding. The ideal candidate will have significant coding experience, proficiency in CPT and ICD-10-CM guidelines, and a commitment to improving operations...Flexible hours
- ...their remote team. Ideal candidates will possess excellent attention to detail and knowledge of medical terminology, with a focus on coding accuracy. Responsibilities include reviewing medical records, assigning codes for diagnoses and procedures, and maintaining coding...Remote work
Datavant
Boston, MA4 hours agonew - ...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...Remote job
- 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 job
- A leading healthcare company in the United States is seeking a Medical Coding Auditor with a minimum of 3+ years of experience and specific coding certifications. This remote position entails reviewing medical claims, assessing correct coding guidelines, and managing multiple...Remote job
$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...Work at officeLocal areaWork from homeFlexible hours- 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 organization in Massachusetts seeks an individual to design and oversee coding education programs for medical coders. This role requires strong instructional skills and coding experience to develop curriculums, conduct training sessions, and provide ongoing...
$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- ...archival initiative to modernize a legacy tape library database. Candidates should be undergraduate or graduate students with basic coding proficiency and an interest in broadcast media. Benefits include the opportunity to gain valuable exposure to the broadcast...Internship
$35 - $40 per hour
...seeks a Medical Coder to work remotely for a duration of 3-6 months. Ideal candidates must have experience in RADV and be adept in coding for Government and State Models. Responsibilities include assisting with code abstraction and performing coding quality audits in compliance...Remote jobHourly pay- ...support. AFS, LLC is located in Needham Heights, Massachusetts. Job Location: Virtual Job Summary: Performs professional certified coding and provides administrative and project support to the department. Analyzes surgical-medical documentation, provides the individual...Work experience placementRemote work
AFS
Cambridge, MA1 day ago $20.38 - $36.44 per hour
.... Join us to start Caring. Connecting. Growing together. As a Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization...Hourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift work$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...Remote jobHourly pay$131.04k - $196.55k
...Senior Manager, Medical Coding Agios Pharmaceuticals is searching for a dynamic Senior Manager, Medical Coding to join our growing Clinical Data Management team. We want someone who cares about this important work, and who’s driven to connect to our mission of helping...Full timeTemporary workFor contractorsRemote workWork from homeFlexible hours3 days per weekKinsley Power Systems
Cambridge, MA2 days ago
