• Healthcare Medical Claims

    Commonwealth Care Alliance (Boston, MA)
    …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Degree Required Experience (must have): + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding more
    Commonwealth Care Alliance (07/18/24)
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  • Claims Financial Recovery Coding

    Humana (Boston, MA)
    …caring community and help us put health first** The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 for the Financial Recovery ... and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding ...of medical claims knowledge and/or claims processing experience within the healthcare industry.… more
    Humana (08/20/24)
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  • Medical Coding Operations Assistant

    LogixHealth (Bedford, MA)
    …with MS Excel and Outlook required; Microsoft Teams experience is a plus + Medical office background, Coding experience and/or certification is a plus Specific ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
    LogixHealth (06/18/24)
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  • Resource Coordinator, Coding

    LogixHealth (Bedford, MA)
    …School Diploma or equivalent combination of education and experience required + Certified in Medical Coding or currently actively pursuing a Medical ... Excel and MS Word required. + Prior experiences in medical /clinical setting required + 2 or more years in...management services, offering a complete range of solutions, including coding and claims management and the latest… more
    LogixHealth (08/06/24)
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  • Senior Administrative Lead, Coding

    LogixHealth (Bedford, MA)
    …ien ce: Priorex pe r ie nce an dpro fi c ie ncywith MS Exc el and medical background r eq uired Coding experience and/or certification is a plus. Spe cificJ ob ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
    LogixHealth (08/06/24)
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  • Resource Assistant, Coding

    LogixHealth (Bedford, MA)
    …Diploma or equivalent combination of education and experience required 2. Baseline knowledge of medical coding or currently in a certification program is a plus ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
    LogixHealth (08/06/24)
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  • Claims Specialist, Audit & Contracting

    LogixHealth (Bedford, MA)
    …Excel, and Outlook Preferred: + One to two years related experience + Healthcare industry knowledge + Medical billing experience Benefits at LogixHealth: We ... revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting… more
    LogixHealth (08/06/24)
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  • Medical Coder

    Westborough Behavioral Healthcare Hospital (Westborough, MA)
    …companies and healthcare professionals to resolve issues resulting from denied claims . + Adhere to coding policies and procedures consistent with the ... School degree required. + Associate's Degree or Certificate in Medical Coding /CPC required. + Knowledge of ...+ Knowledge of CMS rules and regulations and current coding resources + Knowledge of Healthcare Common… more
    Westborough Behavioral Healthcare Hospital (08/08/24)
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  • Medical and BH Reimbursement Policy Manager

    Commonwealth Care Alliance (Boston, MA)
    …commercial coding rules/ regulatory requirements + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ... + Develops and maintains corporate reimbursement policies, and works collaboratively with the Claims Coding Analyst to ensure consistency with the Plan's … more
    Commonwealth Care Alliance (08/17/24)
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  • Senior Healthcare Contract Negotiator

    LogixHealth (Bedford, MA)
    …revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting ... Signing Bonus Location: On-Site in Bedford, MA This Role: As a Senior Healthcare Contract Negotiator at LogixHealth, you will work closely with the Contract Manager… more
    LogixHealth (07/27/24)
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  • Payment Integrity Recovery Analyst

    Commonwealth Care Alliance (Boston, MA)
    … experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , ... public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance, Payment Integrity and Analytics + Direct and… more
    Commonwealth Care Alliance (08/17/24)
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  • Healthcare Contract Administrator

    LogixHealth (Bedford, MA)
    …revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting ... Location: On-Site in Bedford, MA $1,000 Signing Bonus This Role: As a Healthcare Contract Administrator at LogixHealth, you will oversee open and existing contracts.… more
    LogixHealth (07/17/24)
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  • Multispecialty Pro Fee Medical

    Sutherland Global Services (Boston, MA)
    Have you kept up with the changes in medical coding , physician practices, and the healthcare industry in general? Are you proficient with ICD-10, CPT and ... and we've contracted with some of the country's largest healthcare systems and physician practices to help support their...coding for multi-specialty practices + Thorough knowledge of medical terminology and medical abbreviations and the… more
    Sutherland Global Services (08/31/24)
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  • Denials Medical Coder

    Fresenius Medical Center (Waltham, MA)
    MEDICAL CODER FOCUS** **:** + Must have 2+ years of "Denials" experience within medical healthcare coding + Requires strong Excel skills + Requires ... Required. **EXPERIENCE AND REQUIRED SKILLS:** + Requires 2+ years' related Denials Medical Coding experience + Great computer skills with demonstrated… more
    Fresenius Medical Center (07/25/24)
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  • Medical Revenue Analyst

    Atrius Health (Chelmsford, MA)
    …Bachelor's degree (or equivalent education, training or experience) required. o Certification in medical coding is preferred including CCS, CCS-P, CPC or other ... of complex medical necessity and billing policy related to denied claims for all payers. In accordance with department policies and procedures responsible for… more
    Atrius Health (06/19/24)
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  • Medical Billing Specialist

    LogixHealth (Bedford, MA)
    …revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting ... Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and coders to provide cutting edge solutions that will… more
    LogixHealth (08/06/24)
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  • Medical Audit Claim Reviewer

    Point32Health (Canton, MA)
    …Preferred: 8-10 years of related work experience **Skill Requirements** + Knowledge of medical billing and coding , healthcare regulations, and industry ... crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies,...claims submitted. + Stay up to date with healthcare regulations and industry standards to ensure that all… more
    Point32Health (08/21/24)
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  • Medical Billing Specialist

    Robert Half Accountemps (Lexington, MA)
    …Massachusetts. This role provides a contract to hire employment opportunity within the healthcare industry. As a Medical Billing Specialist, you will be tasked ... with handling claims and customer interactions, ensuring the efficient and accurate...medical administration is a plus * Certification in medical billing or coding is advantageous Robert… more
    Robert Half Accountemps (08/22/24)
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  • Business Encounter Data Analyst

    WellSense (Boston, MA)
    …Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our ... Competitive salaries . Excellent benefits **Key** **Functions/Responsibilities:** + Understand the claims encounter data requirements in detail to ensure claims more
    WellSense (08/27/24)
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  • Medical Records Chart Specialist

    LogixHealth (Bedford, MA)
    …Preferred: + One to two years related experience + Experience with document management, medical records, or a coding background + Electronic medical record ... collaborative environment and will bring your expertise to process medical records that have been reviewed by Coders and...management services, offering a complete range of solutions, including coding and claims management and the latest… more
    LogixHealth (08/06/24)
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