UNKNOWN

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What You'll Do: Research, analysis, and quality assurance of new and existing edit concepts focused on areas for growth of the Claims Editing library, Engage with Business Intelligence team to perform edit data analysis and create specifications for data analysis. 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.

YEAR

Zelis

Concept Coding Analyst

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The Coding Analyst III will collaborate closely with cross-functional teams, including Machine Learning, Product, and Customer Implementations, providing expert coding guidance and helping translate complex radiology coding concepts into actionable solutions. This role requires demonstrated mastery of radiology coding, the ability to navigate and communicate highly complex coding scenarios, and an unwavering commitment to quality, continuous learning, and innovation in medical coding practices.

CodaMetrix

Coding Analyst III

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CONTRACTOR

HOUR

The Business Analyst (BA) will work on our established Provider Reimbursement and Claims processing functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community. * While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations.

The Computer Merchant, Ltd

Business Analyst

While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. · Design, develop, optimize, and maintain relational database solutions, including schema design, query development, stored procedures, performance tuning, and data integrity practices; PostgreSQL experience is preferred.

Software Engineer

Ensure 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.

Brigham and Women's Hospital

Inpatient Coding Quality Specialist, Remote

Mass General Brigham

Version Control: Utilize Git/SVN for version control, ensuring seamless collaboration, code integrity, and efficient management of application changesRequirements:Proven experience in conducting business analysis and research tasks, including market research, competitor analysis, and gathering business requirements to shape product features. Web Services Integration: Create web services for system integration using no-code tools, including designing RESTful APIs and SOAP interfaces to enable seamless data exchange, ensuring adherence to security protocols, and providing documentation for developers and third-party systems.

Creatio EMEA LTD

No-Code Business Analyst

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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. 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, Pain Management

Surgical Coding Specialist, Remote

American Academy of Professional Coders (AAPC) preferredExperienceMedical Coding Experience 3-5 years requiredKnowledge, Skills and Abilities- In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing. -Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.-Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.

This role reviews coding-quality findings, identifies trends and knowledge gaps, develops targeted education, and collaborates with coding operations, DQS, CDI, leadership, vendors, and other stakeholders to improve coding accuracy and consistency. 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 Education Specialist, Remote

We 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. Primary Responsibilities: Utilize resources and reference materials (e.g., on-line sources, manuals) to identify appropriate medical codes and reference code applicability, rules and guidelines.

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

<a href="https://www.youtube.com/watch?v=5PbNyi2IDkY">https://www.youtube.com/watch?v=5PbNyi2IDkY</a> 

Caring. Connecting. Growing together. 

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. <a href="https://careers.unitedhealthgroup.com/culture/what-we-offer/">Learn more about what we offer.</a> 

• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. <a href="https://careers.unitedhealthgroup.com/culture/">Learn more about our culture.</a> 

• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. <a href="https://careers.unitedhealthgroup.com/career-areas/">Discover all the ways you can learn, grow and develop.</a>

UnitedHealth Group Inc

Special Investigations Unit Pre Pay Coding Consultant

Working closely with senior specialists, product, and technical teams, you will help validate edit logic, assist with audits, and identify opportunities to reduce waste and recover overpayments for our customers. Conduct Focused Audits: Perform medical coding audits (inpatient, outpatient, professional) by validating ICD, CPT, HCPCS, and DRG codes under the guidance of senior staff.

Shift Technology

Certified Medical Coding Specialist

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The Primary Care 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.

Boston Children's Hospital

Physician Medical Coder (Primary care coding)

May 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.

Lahey Hospital and Medical Center

Coding & Compliance Manager, Surgery

Job Description: Essential Duties & Responsibilities including but not limited to: Performs pre-bill reimbursement audits on inpatient records to determine if codes need to be added/deleted, to ensure that the care of the patient is recorded in language that the payers can interpret, and coding is compliant with all coding guidelines. The Coding Validator I works closely with the Director of Coding and Coding leadership to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, ICD-10-PCS, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic.

OP Coding Validator I

5 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. 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.

Beth Israel Lahey Health

Revenue Integrity Senior Analyst - HMFP

We are seeking an Applications Analyst with experience supporting healthcare financial systems, preferably within the Meditech environment, to partner with Patient Financial Services and Health Information Management teams to optimize workflows and improve system performance. EDUCATION AND RELATED EXPERIENCE: Required: 23 years of experience as a Systems Analyst, Revenue Cycle Applications Analyst, or Project Lead supporting patient accounting/billing, claims, and reimbursement workflows.

Coding Analyst Jobs in Boston, MA

Concept Coding Analyst Zelis

Coding Analyst III CodaMetrix

Business Analyst The Computer Merchant, Ltd

Software Engineer The Computer Merchant, Ltd

Inpatient Coding Quality Specialist, Remote Brigham and Women's Hospital

Inpatient Coding Quality Specialist, Remote Mass General Brigham

No-Code Business Analyst Creatio EMEA LTD

Coding Specialist II, Pain Management Brigham and Women's Hospital

Surgical Coding Specialist, Remote Brigham and Women's Hospital

Surgical Coding Specialist, Remote Mass General Brigham

Coding Specialist II, Pain Management Mass General Brigham

Inpatient Coding Education Specialist, Remote Brigham and Women's Hospital

Inpatient Coding Education Specialist, Remote Mass General Brigham

Special Investigations Unit Pre Pay Coding Consultant UnitedHealth Group Inc

Certified Medical Coding Specialist Shift Technology

Physician Medical Coder (Primary care coding) Boston Children's Hospital

Coding & Compliance Manager, Surgery Lahey Hospital and Medical Center

OP Coding Validator I Lahey Hospital and Medical Center

Revenue Integrity Senior Analyst - HMFP Beth Israel Lahey Health

Applications Analyst Lawrence General Hospital

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