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.
NewRevenue Cycle Specialist PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THERevenue Cycle SpecialistWarwick, RIOverview: The Revenue Cycle Specialist manages the financial aspects of patient care by accurately coding diagnoses and treatments, submitting claims to insurance companies, addressing billing inquiries, resolving all payment denials, ensuring timely and accurate reimbursement, while meeting department productivity and quality requirements. Employee must be able to give accurate/tactful explanations to visitors, patients, and fellow workers and remain professional in stressful situations; accurately recognize names, detect/avoid errors in scheduling and message taking; exhibit the courtesy required to work productively with others under stressful conditions; exercise patience.
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.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)RI$43,888–$102,081 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
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.
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, Massachusetts$90,000–$105,000 / yearThis 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.
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.
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).
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.
NewBilling Compliance Auditor III (hybrid) Boston Children's HospitalBilling Compliance Auditor III (hybrid)Boston, MAExperience: 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.
Billing Specialist Brown University HealthBilling SpecialistProvidence, RI$22.04–$36.37 / hourMust use and have knowledge of courteous telephone technique and good customer service skills.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inThe interpersonal skills to exchange factual information with patients and outside agencies with cultural sensitivity and professionalism.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inEXPERIENCE:p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inTwo years' related experience coding and billing using dental billing software and demonstrated expertise and accuracy of code assignment. Training in CDT coding, anatomy, physiology, and dental terminology.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inExperience with Dental software, preferably Dentrix.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inDemonstrated knowledge of PC skills using the windows operating system environment and accompanying software packages.
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.
Medical Assistant - Full time Sturdy Memorial HospitalMedical Assistant - Full timePlainville, MA$19.85–$30.05 / hourPhysical Demands: While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch, or crawl; talk or hear; taste or smell. Essential Job Functions: Clinical responsibilities include rooming patients, taking vitals, procedures, prescription renewals, triage of patient phone calls, review charts, lab test results, scheduling patients, responding to provider messages.
Medical Coder - Remote YO AI LabsMedical Coder - RemoteBoston, MARemoteWe are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets.
NewAdministrative Coordinator Brown University HealthAdministrative CoordinatorProvidence, RI$24.29–$40.07 / hourThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Communicate with patient care unit - help utilize anesthesia staffing for inpatients that need to be done either next day or emergently. Communicate with other MD''s/Fellows/Clinical staff to coordinate anesthesia consults and follow ups font-weight: 400; font-size: 1.6rem font-weight: 400; font-size: 1.6remSchedules patients using the scheduling system.
Urgent Care Center Medical Assistant/Coordinator Emerson HospitalUrgent Care Center Medical Assistant/CoordinatorMaynard, MA$20–$26 / houruseConfig":"job","isInHeader":false,"showAllResultsButton":true,"defaultValue":"","layoutConfig":{"post_types":["job"],"usePostTypeLabel":false,"orderby":{"date":"desc"},"strings":{"label":"Search jobs by keyword","placeholder":"Search jobs by keyword","submit":"Search","dropdownTitle":"Suggestions","allResults":"All results","noResults":"No results found","closeDialog":"No results found"},"elasticpress_meta_keys":[]},"allResultsUrl":"https:\/\/emersonhealth.org\/careers\/careers-search\/"}. Reporting to the Practice Manager and working directly with physicians, you'll combine clinical expertise with administrative support to ensure every patient receives efficient, compassionate care.
NewIS Application Analyst - Epic Resolute Hospital Billing South Shore HealthIS Application Analyst - Epic Resolute Hospital BillingWeymouth, MARemoteReporting to the Access & Revenue IS Manager, the successful candidate will develop workflows, system configurations, change documentation, and train staff on Epic Epic Resolute Hospital Billing application functionality. South Shore Hospital, Southeastern Massachusetts's leading provider of emergency, acute, and outpatient care, is seeking an experienced Epic Resolute Hospital Billing Analyst to join our IS team.