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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
$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$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, MA20 hours ago$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$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- Role Overview As the Lead Technical Product Manager for Medical Coding AI reporting to the SVP of Product, you will own the end-to-end lifecycle of our medical coding models. You will be responsible for defining and executing on the roadmap for our AI/ML models and building...SuggestedFull timeTemporary workWork at office
- 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...SuggestedRemote job
$83.43k - $101.97k
...Sr. Professional Auditor is responsible to verify the accuracy of claims reimbursement, clinical significance, medical necessity, coding, and billing in accordance with the Plans’ provider agreements and the National Healthcare Billing Audit guidelines. Often serving...SuggestedWork experience placementWork at officeFlexible hoursShift work- ...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...SuggestedWork experience placementRemote work
AFS
Quincy, MA4 days ago - 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...Suggested
$21.78 - $31.08 per hour
...organization located in Somerville, MA, is seeking a Medical Coder responsible for reviewing patient medical records and assigning appropriate codes for insurance claims. Candidates should have proficiency in medical coding and excellent communication skills. This role offers a...SuggestedRemote jobHourly pay- ...client account information Handling Protected Health Information Assist in the processing of AP invoices and payments including coding, filing, data entry Scan and store documents into document management systems or databases Respond to Vendor payment requests...SuggestedFull timePart timeWork experience placementWork at office
Boston Staffing
Boston, MA20 hours ago $93k - $139.8k
A healthcare provider in Weymouth, MA, is seeking a Compliance Coding and Billing Manager to oversee coding, billing practices, and compliance audits. The role involves promoting ethical practices, leading investigations, and delivering education to staff. Candidates should...SuggestedFull time$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...SuggestedMonday to Friday$19.09 - $25.69 per hour
...initial point of contact for all patients, schedules appointments, registers and orients all new patients, submits patient information, coding and billing for services provided. This position is responsible for providing excellent customer service and compassionate care....SuggestedWork experience placementWork at officeMonday to FridayShift workWeekend work- ...and equity for communities across the country, one patient at a time. Position Overview Gather Health is seeking a Risk Adjustment Coding Specialist to join our growing team. This role is critical to ensuring the accuracy and completeness of diagnosis documentation and...Temporary workWork at officeLocal areaImmediate startRemote work2 days per week
$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 week$62.4k - $90.75k
...the accurate and appropriate identification of patient medical conditions through comprehensive chart review combined with review of coding output data sources (internal and external claims) that results in improvement in the overall quality, completeness and accuracy of...Remote jobShift work$71.1k - $97.8k
...Inpatient Medical Coding Auditor Become a part of our caring community and help us put health first. The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes...Bi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$23 per hour
...standards.* Understands hazards of various gases; size and contents of cylinders by reading and interpreting cylinder labels and the color-coding of tanks.* Complies with all government and company standards relating to the safe handling of hazardous materials/cylinder gases.*...Full timeTemporary workFor contractorsWork at officeLocal areaMonday to FridayShift workAfternoon shift$23 per hour
...cylinders prior to filling according to required procedures. Understand hazards of gases, read cylinder labels, and interpret tank color-coding. Comply with government and company standards for safe handling of hazardous materials/cylinder gases. Operate a forklift, pallet...Temporary workFor contractorsWork at officeMonday to FridayShift workAfternoon shift$79.6k - $113.8k
...Full time Budgeted Hours: 40 Shift: Day (United States of America) Under the general direction of the Professional Coding Manager, this individual will serve as the subject matter expert and the key point of contact for evaluation and management,...Full timeWork experience placementMonday to FridayShift workSouth Shore Health
Weymouth, MA1 day ago- ...audits, collaborating with various departments, and maintaining strong relationships with providers. The ideal candidate should possess coding certifications and have substantial experience in medical record auditing. Benefits include comprehensive insurance and work-life...
$30.25 - $43.3 per hour
...maintain fiscal responsibility and proper ratios to meet patient needs. Maintains and troubleshoots for computerized scheduling system. Codes and enters data into computer using standard procedures and established time schedule. Supports payroll coding and functioning in...Daily paidPart timeWork experience placementWork at officeShift work$21.78 - $31.08 per hour
...General Brigham.**Job 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...Hourly payRemote workShift work$79k - $99.75k
...responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they...Full timeWork at officeLocal areaRemote workFlexible hoursZelis
Boston, MA20 hours ago$80k - $110k
...analysis and report/dashboard development are key responsibilities. Extensive experience with claims processing, medical terminology and coding systems. In-depth understanding of 835 Remittance, 837 Claim, and 834 Enrollment file formats, with proven ability to interpret,...H1bWork at officeLocal areaRemote work$84k - $91.31k
...the Director of Billing Compliance, the Billing Compliance Reviewer plans and executes risk-based audits, analyzes documentation and coding for medical necessity and regulatory adherence, and recommends corrective actions to mitigate compliance risk. The role evaluates...$22 - $24 per hour
...position with a high performing healthcare organization located in Boston, MA. This role is responsible for ensuring accurate medical coding, timely claims processing, and effective resolution of insurance denials to support the overall success of the revenue cycle. The...Full timeContract workRemote workDaley And Associates, LLC
Boston, MA7 days ago- ...position. Responsibilities Process invoices and expense reports by verifying documentation, ensuring proper approval, coding, and posting transactions with a careful eye on budget management. Prepare monthly accruals for all vendors and purchasing card...Full timeWork experience placementWork at officeRemote workWorldwide
ISC2
Boston, MA20 hours ago
