Medical Physician Coder Boston Children's HospitalMedical Physician CoderBoston, MAThe Physician Medical Coder performs coding validation and review of charges for assigned medical departments to ensure timely, accurate, and compliant submission of charges. With patients from local communities and 160 countries around the world, we’re committed to reflecting the spectrum of their cultures while opening doors of opportunity for our team.
PACE Finance Director Harbor Health Services IncPACE Finance DirectorMAManaging a team of three staff, the Finance Director ensures accurate revenue reimbursements for all enrolled participants, serve as the finance business partner to the Senior Vice President, Elder Service Plan and collaborates with senior leadership to ensure compliance with all federal and state regulatory and financial reporting requirements. Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health.
Medical Coder II Lynn Community Health CenterMedical Coder IILynn, MAReviews medical records prospectively to ensure that the care of the patient is recorded in language that payers can interpret which accurately and completely depicts acuity of the patient and resources expended. Experience with computer systems required, including EMR, web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
Senior Medical Coder UnitedHealth GroupSenior Medical CoderNorth Andover, MA$23.89–$42.69 / hourWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._. + 3+ years of experience working with DRG coding with a mastery of complex procedures, cardiac catheterization, complex cardiology, interventional radiology, orthopedic and neurology cases.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistBoston, MA$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Medical Biller Part Time or Full Time Eye Care SpecialistsMedical Biller Part Time or Full TimeNorwood, MAThe ideal candidate will be organized, accurate, and comfortable working both independently and as part of a team. We look forward to hearing from you!
Medical Coder II/III CodaMetrixMedical Coder II/IIIBoston, MassachusettsThis role requires a proven ability to communicate highly complex coding issues and solutions to a wide range of stakeholders, alongside an unwavering commitment to continuous learning, quality, and innovation in medical coding practices. They will play a pivotal role in improving the quality and efficiency of coding operations by collaborating closely with cross-functional teams, including Machine Learning, Product, and Customer Implementations.
Billing Compliance Educator Dana-Farber Cancer Institute IncBilling Compliance EducatorBOSTON, MARemote$93,800–$106,000 / yearPrimary Duties and Responsibilities: Designs, develops, and maintains a comprehensive billing compliance education program for physicians, advanced practice providers, coders, reviewers, managers, and revenue cycle staff, including onboarding, annual training, and targeted risk-based education. This role develops and delivers training for billing providers, including physicians and advanced practice providers, and provides post-review education and feedback in collaboration with Billing Compliance Reviewers and Senior Billing Compliance Reviewers, as needed.
Third Party Reviewer Brigham and Women's HospitalThird Party ReviewerSomerville, MA$19.81–$28.30 / 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.
Practice Administrator - School of Dental Medicine Tufts UniversityPractice Administrator - School of Dental MedicineBoston, MassachusettsThis includes maintaining a safe environment, assuring that patients' dental needs are addressed in a caring, confidential, timely and thorough manner, ensuring that patients are properly informed about their treatment and clinic procedures, and those procedures are accurately captured in the patient care system by notifying the front desk operations team prior to services being provided and makes sure that residents/students have obtained all patient related consents, waivers and financial responsibilities have been collected in full. What You'll Do: The Practice Administrator oversees the overall management, direction of the clinic/department and directly backs-up all clinic/practice operations and provides leadership, planning, financial management, clinical staff supervision, patient management and operational oversight and implements measures that prevent financial losses related to treatment changes that necessitate separate or additional signed consents/waivers.
Patient Account Representative Lawrence General HospitalPatient Account RepresentativeLawrence, MAAs the Patient Account Representative, you will be responsible for ensuring accurate and timely billing and collection of assigned patient accounts with the goal of providing patient-focused customer service and achieving the departmental goal of ensuring maximum revenue and cash flow benefit to the hospital. Preferred: Knowledge of medical coding and medical terminology Merrimack Health is a private, non-profit community hospital providing the Merrimack Valley southern New Hampshire regions with patient-centered, compassionate, and quality health care for the whole family.
Denial Specialist 1-Professional Billing Lahey Hospital and Medical CenterDenial Specialist 1-Professional BillingMA$22.05–$29.68 / hourActual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. The PFS Denial Specialist I role is vital to ensure that hospital denied accounts are thoroughly reviewed for any opportunity to correct, refile and or appeal claims for re-processing and reimbursement.
Medical Auditor - Remote YO AI LabsMedical Auditor - RemoteBoston, MARemoteWe are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments.
Specialty Billing Coordinator, Lahey Health Shared Services Lahey Hospital and Medical CenterSpecialty Billing Coordinator, Lahey Health Shared ServicesBurlington, MA$24.15–$32.50 / hourEssential Responsibilities include: Overseeing AR for International and Executive Client Accounts, this includes: Works closely with Revenue Cycle Team to ensure accurate compliant claim submissions, denial management and AR follow up for both hospital and professional charges. Job Description: Under the managerial oversight of the Manager of Customer Service and Director of Executive - International Health the Specialty Billing Coordinator serves as a primary point of contact for Executive clients and International payers of Lahey Hospital & Medical Center (LHMC).
Billing Compliance Auditor III (hybrid) Boston Children's HospitalBilling Compliance Auditor III (hybrid)Boston, MA$69,888–$111,831.20 / yearExperience: 3 years CPT and ICD10 coding experience; including some experience reviewing physician documentation and assisting physicians to meet required. Assists in response to billing audit requests from outside the institution e.g., government audits, payer audits.
Hospital Billing Specialist (Accounts Receivable) Tufts MedicineHospital Billing Specialist (Accounts Receivable)Lowell, MA$21.53–$26.91 / hourIn addition, this role focuses on performing the following Billing related duties: Bills patients for administered care, handles incoming payments, calculates patient intake costs, and tracks accounts receivable to ensure accuracy. Regular interaction with other departments of the provider organization using electronic system tools to resolve accounts, including Patient Access, Revenue Integrity, Coding, Medical Records, Utilization Review, Hospital Departments, Physician's Offices, and other administrative teams.
Revenue Integrity Senior Analyst - HMFP Beth Israel Lahey HealthRevenue Integrity Senior Analyst - HMFPWoburn, Massachusetts$55,370–$74,110 / year5 or more years physician/professional revenue operations experience with a focus in one or more of the following areas: coding, revenue integrity, charge reconciliation, charge compliance, charge auditing, CDM management. Sensory Requirements Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity> 20 feet, Visual clarity feet, Conversation, Telephone.
Clinical Analyst Appeals (Remote) Lahey Hospital and Medical CenterClinical Analyst Appeals (Remote)MARemote$93,142–$124,800 / yearThe Clinical Analyst will perform high-level clinical appeal for services in the inpatient and outpatient hospital setting, to ensure that Beth Israel Lahey Health (BILH) is in compliance with all applicable federal and state laws and regulations as they pertain to coding, billing, and documentation. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
Director Billing Compliance Dana-Farber Cancer Institute IncDirector Billing ComplianceBROOKLINE, MARemote$154,200–$170,800 / yearResponsibilities include leading routine monitoring, assessing for and identifying areas of risk assessments, conducting investigations, responding to audits, providing consultation/guidance, and sharing program findings with providers and leadership. Reporting to the VP, Chief Compliance Officer with a dotted line reporting relationship to the VP, Revenue Performance Management, the Director of Billing Compliance is a strategic leader and subject matter expert responsible for ensuring the integrity, accuracy, and compliance of billing practices across the organization.
Hospital Billing Specialist (Accounts Receivable) Lowell General HospitalHospital Billing Specialist (Accounts Receivable)Lowell, MA$21.53–$26.91 / hourIn addition, this role focuses on performing the following Billing related duties: Bills patients for administered care, handles incoming payments, calculates patient intake costs, and tracks accounts receivable to ensure accuracy. Regular interaction with other departments of the provider organization using electronic system tools to resolve accounts, including Patient Access, Revenue Integrity, Coding, Medical Records, Utilization Review, Hospital Departments, Physician's Offices, and other administrative teams.