NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorNewton, MARemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteBoston, MARemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
CDI Validation Specialist Compunnel, Inc.CDI Validation SpecialistBoston, Massachusetts$63 / hourTemporaryFull timeThis role ensures efficiency, accuracy, and quality of documentation, supports education and training for CDI Specialists, and collaborates with coding and validation managers to improve documentation practices that directly impact key performance indicators. Job Summary We are seeking an experienced CDI Validation Specialist (CDI Team Lead) to oversee, evaluate, and analyze Clinical Documentation Integrity (CDI) functions.
FS Java Angular v16+ AWS API Kforce Inc.FS Java Angular v16+ AWS APIBoston, MA$64–$74Use of formal methods (traditional structured or Agile/iterative) for delivering new or enhanced applications, identify and communicating systems development processes and developing work you're doing associated with the respective phases of the lifecycle. 4+ years of proven experience with server-side development with Java, Spring, Spring Boot, Camel, JMS, Apache Kafka, and Persistence frameworks (JPA/Hibernate).
Associate Director, Clinical Data Management Prime Medicine, Inc.Associate Director, Clinical Data ManagementCambridge, MA$174,000–$212,000 / yearPrime Medicine is seeking an experienced Associate Director of Clinical Data Management to lead clinical data strategy and execution across gene editing programs from first-in-human studies through regulatory submission. Designed to make only the right edit at the right position within a gene while minimizing unwanted DNA modifications, Prime Editors have the potential to repair almost all types of genetic mutations and work in many different tissues, organs and cell types.
Accounts Receivable Lead SarnovaAccounts Receivable LeadBoston, MAThe A/R Management Lead also serves as a subject matter expert, identifying process improvements to increase efficiency within the A/R Management team, and acting as a resource to help team members resolve issues. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle.
NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorFall River, MARemote$57,400–$99,000Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
Billing Manager - Digitech SarnovaBilling Manager - DigitechBoston, MAAdditional responsibilities include identifying deficiencies within the group and escalating them to the Director, building positive relationships both internally and externally, maintaining Key Performance Indicators (KPIs), and delivering annual reviews with staff, along with corrective actions when necessary. The A/R Management Manager is responsible for directly managing the ARM team and ensuring that outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner to maximize reimbursements.
NewIR Technologist Intermountain HealthIR TechnologistBoston, MA35.60 - $54.93 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. As an Interventional Radiology Technologist, you’ll play a hands‑on role in cutting‑edge diagnostic and interventional procedures—circulating, scrubbing, monitoring, and operating advanced IR imaging systems.
NewInterventional Radiology Technologist $15,000 Bonus Intermountain HealthInterventional Radiology Technologist $15,000 BonusProvidence, RIFrequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. $39.16 - $60.42 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
NewNuclear Medicine PET CT Technologist Intermountain HealthNuclear Medicine PET CT TechnologistWorcester, MAFrequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. $43.09 - $66.47 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Inpatient Coding Quality Specialist Brigham and Women's HospitalInpatient Coding Quality SpecialistSomerville, MA$30.60–$44.51 / hourEnsure coding practices align with official coding conventions, guidelines, and regulatory requirements set forth by organizations such as the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other relevant bodies. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Inpatient Coding Quality Specialist Mass General BrighamInpatient Coding Quality SpecialistSomerville, MassachusettsEnsure coding practices align with official coding conventions, guidelines, and regulatory requirements set forth by organizations such as the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other relevant bodies. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Coding Compliance Analyst UnitedHealth Group IncCoding Compliance AnalystWorcester, MARemote$23.89–$42.69 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Conducts random and scheduled internal audits of physician billing and medical records documentation to ensure: Correct Coding (CPT, ICD-10, HCPCS, Modifiers), Accurate Data Entry, Accurate Charge Preparation/Processing, Compliance with governmental and third-party billing regulations.
Outpatient Technical Advisor, Coding Brigham and Women's HospitalOutpatient Technical Advisor, CodingSomerville, MA$63,648–$90,750.40 / yearThe Technical Advisor advises on external/internal coding reviews and audits, new coding/billing regulations impacts, coding and billing interlinking billing issues, coding education and workflow training for outpatient coding, claim edits and denials related to ambulatory surgery coding/charging. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Outpatient Technical Advisor, Coding Mass General BrighamOutpatient Technical Advisor, CodingSomerville, MassachusettsThe Technical Advisor advises on external/internal coding reviews and audits, new coding/billing regulations impacts, coding and billing interlinking billing issues, coding education and workflow training for outpatient coding, claim edits and denials related to ambulatory surgery coding/charging. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Technical Product Owner - AI Coding Platforms Boston Scientific CorpTechnical Product Owner - AI Coding PlatformsMarlborough, MAServe as the primary product interface with external AI partners, including vendors such as OpenAI, Anthropic and other strategic providers, to manage joint roadmaps, influence feature direction, resolve enterprise adoption barriers and accelerate the rollout of AI coding capabilities at Boston Scientific. This role will own the portfolio of AI coding capabilities that support engineers, data scientists, researchers and technical teams in using AI assistants, coding agents, large language model-powered developer tools and workflow automation safely and effectively within enterprise guardrails.
NewCoding Specialist III C999 UMass Memorial Health CareCoding Specialist IIIWorcester, MAJob Description We are seeking a qualified Medical Coding Specialist to interpret medical record data, assign ICD‑CM, CPT codes and modifiers, manage coding staff and workflows, and ensure coding quality and compliance. Qualifications High School education, plus recognized medical coding certification and training in medical terminology from an accredited program (AHIMA, NHA, AAPC).Certified CPC and experience in IR coding.
Coding Education Specialist, Remote Brigham and Women's HospitalCoding Education Specialist, RemoteSomerville, MARemote$63,648–$90,750.40 / yearThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. This role ensures that coding professionals have the knowledge and skills required to accurately assign medical codes, maintain compliance with coding guidelines, and contribute to the revenue cycle management process.
Coding Education Specialist, Remote Mass General BrighamCoding Education Specialist, RemoteSomerville, MassachusettsRemoteThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. This role ensures that coding professionals have the knowledge and skills required to accurately assign medical codes, maintain compliance with coding guidelines, and contribute to the revenue cycle management process.
Inpatient Coding Quality & Education Specialist Brigham and Women's HospitalInpatient Coding Quality & Education SpecialistSomerville, MA$63,648–$92,570.40 / yearThe specialist partners closely with Coding Operations, Coding Quality, Clinical Documentation Integrity (CDI), Revenue Integrity, Quality, and other operational teams to identify trends, develop educational strategies, improve coding workflows, and support quality reporting methodologies including Vizient, Elixhauser, mortality, severity of illness (SOI), risk of mortality (ROM), expected length of stay, and other coding-sensitive measures. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities.
Inpatient Coding Quality & Education Specialist Mass General BrighamInpatient Coding Quality & Education SpecialistSomerville, MassachusettsThe specialist partners closely with Coding Operations, Coding Quality, Clinical Documentation Integrity (CDI), Revenue Integrity, Quality, and other operational teams to identify trends, develop educational strategies, improve coding workflows, and support quality reporting methodologies including Vizient, Elixhauser, mortality, severity of illness (SOI), risk of mortality (ROM), expected length of stay, and other coding-sensitive measures. Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities.
Coding Specialist II, Professional Billing UMass Memorial Health Care IncCoding Specialist II, Professional BillingWorcester, MA$23.81–$35.08 / hourExceptional 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. Individual Departments, (Emergency Medicine, Trauma Center, Endoscopy Suite, PBCBO, HIM, etc.) will have unique procedures, processes and/or focus, so responsibilities and tasks can differ depending on departmental needs.
Coding Specialist III UMass Memorial HealthCoding Specialist IIIWorcester, MassachusettsExceptional 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. Requires good interpersonal and communications skills and maintains a professional manner when working with team members, management and other staff members.
Coding & Compliance Manager, Surgery Lahey Hospital and Medical CenterCoding & Compliance Manager, SurgeryBoston, MA$92,955–$125,091 / yearMay perform additional job duties as time permits, such as: developing and presenting performance metric reports with a review of findings with Attending Physicians, Directors, Managers and Chiefs; service on committees; maintains relationship with third party billing companies to ensure continuous excellence in services; fosters relationships with affiliates related to coding and compliance. Monitors, proposes, and minimizes billing and coding operational inefficiencies by reviewing accuracy and production levels and communicating data analysis on audit trends, scrubber data, government audit requests, denials/appeals as well as developing and implementing corrective action plans for setting performance targets.
Billing & Certified Coding Specialist I (Remote) Lahey Hospital and Medical CenterBilling & Certified Coding Specialist I (Remote)MARemote$25–$34 / hourReviews and corrects all claims/charge denials and edits that are communicated via Epic, Explanation of Benefits (EOB), direct correspondence from the insurance carrier or others and uses information learned to educate PFS and office staff to reduce future denials and edits of the same nature. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare''s yearly fee schedule, Medicare Website, and specialty newsletters.
NewCoding Specialist III, Professional Billing UMass Memorial Health Care IncCoding Specialist III, Professional BillingWorcester, MA$25.83–$38.36 / hourExceptional 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. Requires good interpersonal and communications skills and maintains a professional manner when working with team members, management and other staff members.
Coding Specialist, Pain Management Mass General BrighamCoding Specialist, Pain ManagementSomerville, MassachusettsProvides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Coding Specialist, Pain Management Brigham and Women's HospitalCoding Specialist, Pain ManagementSomerville, MA$25.50–$36.49 / hourProvides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Inpatient Coding Specialist, Remote Mass General BrighamInpatient Coding Specialist, RemoteSomerville, MassachusettsRemoteThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. The Inpatient Coding Specialist is responsible for the accurate and timely assignment of ICD-10-CM/PCS codes and DRGs for inpatient encounters in compliance with federal regulations, payer guidelines, and organizational policies.
Inpatient Coding Specialist Brigham and Women's HospitalInpatient Coding SpecialistSomerville, MA$25.50–$36.49 / hourThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.
Coding Specialist Outpatient Telecommute-Surgical Coder Brown University HealthCoding Specialist Outpatient Telecommute-Surgical CoderRI$24.29–$40.07 / hourMonitors and resolves rejected accounts on the Claims Edit Report and e Clinical Works error reports by established timeframe researching coding conflicts including chargemaster, medical necessity and various other coding and billing issues. Reviews the outpatient clinical documentation of extract data and assign appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics.
Coding Specialist II, Anesthesia Mass General BrighamCoding Specialist II, AnesthesiaSomerville, MassachusettsThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.
Coding Specialist, Pathology Mass General BrighamCoding Specialist, PathologySomerville, MassachusettsThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.
Coding Specialist, Pathology Brigham and Women's HospitalCoding Specialist, PathologySomerville, MA$22.22–$31.71 / hourThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.
Coding Specialist II, Anesthesia Brigham and Women's HospitalCoding Specialist II, AnesthesiaSomerville, MA$22.22–$31.71 / hourThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.
Scratch & Intro to Coding Teaching Opportunities Concorde EducationScratch & Intro to Coding Teaching OpportunitiesBoston, Massachusetts$50–$100 / hourSome programs provide established lesson plans and project guides, while others allow instructors flexibility to incorporate age-appropriate coding activities and creative projects that align with assignment objectives and school expectations. Assignment offers remain contingent upon factors including program availability, instructor qualifications, school partner approval, scheduling compatibility, successful completion of any legally required background review or clearance process, and final written assignment confirmation.
Professional Coding Manager Lahey Hospital and Medical CenterProfessional Coding ManagerMA$83,637–$112,570 / yearWorks with staff to ensure compliance of, and proper coding technique as defined by CMS regulations, Local Medicare Review Policies (LMRPs), Local Carrier Determinations (LCDs), the AMA, any applicable BILH compliance policies, and/or any relevant accrediting organizations. Attends management meetings, interacts with other managers to resolve problems, and conducts regular staff meetings to ensure consistent communication of the Coding department as well as BILH policies, expectations, and goals.
Medical Coding Educator & Auditor StratAcuity Staffing Partners IncMedical Coding Educator & AuditorMARemote$65,000–$75,000 / yearIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. This highly visible role supports more than 400 physicians across multiple specialties and requires a unique blend of advanced coding expertise, audit experience, and the ability to confidently educate and present to both small groups and large physician audiences.
SIU Code Auditor Fallon HealthSIU Code AuditorWorcester, MassachusettsThe SIU Code Auditor will conduct coding audits of medical records provided by providers to check for missing documentation and other medical documentation for E&M, DME, medical, home health services, and may include some behavioral health care services to identify potential over-payments and suspected fraud waste and abuse. Reporting, education, and regulatory support: Assist with claim denial reporting, respond to regulatory agency complaints, support required fraud reporting to state and federal agencies, and recommend to members, providers, or employee education based on findings.
Coding & Compliance Auditor South Shore Health Systems IncCoding & Compliance AuditorWeymouth, MA$73,000–$104,400 / yearResponsibilities if Required: Education if Required: License/Registration/Certification Requirements: Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician Based - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Medical Auditor (CPMA) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator - American Health Information Management Association (AHIMA). 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.
SIU Code Auditor Fallon Community Health Plan IncSIU Code AuditorWorcester, MABrief summary of purpose: The SIU Code Auditor will conduct coding audits of medical records provided by providers to check for missing documentation and other medical documentation for E&M, DME, medical, home health services, and may include some behavioral health care services to identify potential over-payments and suspected fraud waste and abuse. Reporting, education, and regulatory support: Assist with claim denial reporting, respond to regulatory agency complaints, support required fraud reporting to state and federal agencies, and recommend to members, providers, or employee education based on findings.
NewCoding Specialist II, Professional Billing UMass Memorial HealthCoding Specialist II, Professional BillingWorcester, MassachusettsExceptional 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. Individual Departments, (Emergency Medicine, Trauma Center, Endoscopy Suite, PBCBO, HIM, etc.) will have unique procedures, processes and/or focus, so responsibilities and tasks can differ depending on departmental needs.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Boston, MAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Manager Professional Billing Coding Operations - Remote Boston Medical CenterManager Professional Billing Coding Operations - RemoteMARemote$78,000–$113,000 / yearThe hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers. Provides training to healthcare professionals, coders, and Revenue Cycle staff in ICD, CPT, HCPCS Level II coding guidelines, proper documentation guidelines and other information related to coding.
NewCoding Specialist III, Professional Billing UMass Memorial HealthCoding Specialist III, Professional BillingWorcester, MassachusettsExceptional 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. 4. Requires good interpersonal and communications skills and maintains a professional manner when working with team members, management and other staff members.
Ambulatory Coding Lead Signature HealthcareAmbulatory Coding LeadWest Bridgewater, MAResponsible for insuring accurate diagnosis and procedure coding as well as providing documentation and coding related feedback and educational services to providers and coders. Monitors coding productivity and assigns/prioritizes daily work schedules for Coding Specialists, Risk Coders and charge entry staff.
Lead Coding Instructor Code NinjasLead Coding InstructorCanto, MassachusettsWe are looking for a Lead Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Growth Opportunities: Code Ninjas is a rapidly growing organization, and strong team members have opportunities for career progression into leadership and management roles within the center.
Coding and Compliance Auditor South Shore HealthCoding and Compliance AuditorWeymouth, MAThe 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. Support all departments of the Health System with coding guidance: Pertaining to compliance training / education as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional, surgical and Home Health divisions of the Health System to ensure accuracy and support program objectives.