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 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.
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!
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
Senior Consultant, Supplemental Health Sun Life FinancialSenior Consultant, Supplemental HealthWellesley Hills, MA$71,100–$106,700 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
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.
Inpatient DRG Reviewer Zelis Healthcare, Inc.Inpatient DRG ReviewerBoston, MA$79,000–$99,750 / yearWhere the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Diagnostic Imaging Registrar South Shore HealthDiagnostic Imaging RegistrarWeymouth, MA$18.18–$24.47 / hour3. Greets and receives patients, escorts patients to specific areas, assists patients into wheelchair and pushes wheelchair patients to designated hospital departments. Makes all necessary changes to an exam in the event of a missed or inaccurate entry, makes all necessary changes to the exam information in all computer systems to effect proper flow of correlated.