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Claims Edit Coder Jobs in Massachusetts (NOW HIRING)

Careforth

Medical Billing Specialist

Boston, MA · Remote

$19.75 - $25.50/hr

Gather all information necessary to process consumer insurance claims; ensure billing accounts ... Post 835 payment files to the billing system and edit any unmatched payments to post * Research and ...

benchmark

Legal Coordinator

Waltham, MA · On-site

$50K - $66K/yr

In collaboration with legal staff member(s), prepare and/or edit contracts, PowerPoints, memos ... Indicate proper coding and allocation of such outside counsel/vendor's invoices for payment.

All JobsClaims Edit Coder JobsClaims Edit Coder Jobs in Massachusetts

Claims Edit Coder information

What are the key skills and qualifications needed to thrive as a claims edit coder, and why are they important?

To thrive as a Claims Edit Coder, you need a solid understanding of medical coding (ICD-10, CPT, HCPCS), claims processing, and healthcare regulations, typically supported by a coding certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, claims editing software, and payer-specific coding guidelines is crucial. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately identifying and resolving coding errors. These skills ensure correct claim submission, minimize denials, and support timely reimbursement for healthcare providers.

What is a claims edit coder?

Claims Edit Coders are healthcare professionals who review and analyze medical claims to ensure they are coded accurately and comply with insurance and regulatory guidelines. They use specialized coding systems, such as ICD-10, CPT, and HCPCS, to verify that procedures and diagnoses are properly documented. Their work helps prevent billing errors, reduce claim denials, and ensure timely reimbursement for healthcare providers. Claims Edit Coders often collaborate with billing departments and healthcare providers to resolve discrepancies and improve coding accuracy.

What is the difference between Claims Edit Coder vs Claims Processing Specialist?

AspectClaims Edit CoderClaims Processing Specialist
CertificationsCertified Coding Associate (CCA), CPCNone required, but certifications can be beneficial
Work EnvironmentHealthcare facilities, insurance companies, remoteInsurance companies, healthcare providers, office setting
Primary ResponsibilitiesReview and correct claim data, ensure coding accuracyProcess claims from submission to payment, handle inquiries

Claims Edit Coders focus on reviewing and correcting claim data to ensure accurate coding, while Claims Processing Specialists handle the overall processing of claims from submission to resolution. Both roles require knowledge of insurance policies and coding, but Claims Edit Coders are more specialized in coding accuracy, whereas Claims Processing Specialists manage broader claim workflows.

What are some common challenges faced by a claims edit coder, and how can they be addressed?

Claims Edit Coders often encounter challenges such as staying updated with frequent changes in coding regulations and payer-specific requirements. Additionally, coding errors or discrepancies may arise due to incomplete or unclear documentation from providers. To address these issues, it's important to engage in ongoing education, actively communicate with clinical staff for clarification, and utilize reliable coding resources and software. Collaboration with team members and regular training can help maintain accuracy and compliance in claim submissions.
What are popular job titles related to Claims Edit Coder jobs in Massachusetts? For Claims Edit Coder jobs in Massachusetts, the most frequently searched job titles are:
What job categories do people searching Claims Edit Coder jobs in Massachusetts look for? The top searched job categories for Claims Edit Coder jobs in Massachusetts are:
What cities in Massachusetts are hiring for Claims Edit Coder jobs? Cities in Massachusetts with the most Claims Edit Coder job openings:
Claims Edit Coder jobs near you
Infographic showing various Claims Edit Coder job openings in Massachusetts as of August 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 77% In-person, and 23% Remote job distribution.

Travel Hospital Pharmacist - $1,376 per week

GHR Healthcare

Boston, MA • On-site

$1.2K - $1.3K/wk

Other

Medical, Dental, Vision, Retirement

Posted yesterday

New

Job description

GHR Healthcare - Allied Health & Therapy is seeking a travel Hospital Pharmacist for a travel job in Boston, Massachusetts.

Job Description & Requirements
  • Specialty: Hospital Pharmacist
  • Discipline: Allied Health Professional
  • Start Date: 08/17/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours
  • Employment Type: Travel

Revenue Cycle Claims Analyst – Pharmacy | Boston, MA 02118 Travel Assignment

Join a dynamic healthcare revenue cycle team supporting pharmacy claims, reimbursement, and billing operations in Boston, MA 02118. Located in the heart of Boston, this assignment offers the opportunity to work in one of the country’s most historic and energetic healthcare markets, with easy access to world-class dining, culture, and neighborhood amenities.

Overview

In this role, you will research and resolve complex pharmacy claims, support accurate billing practices, and help strengthen revenue cycle workflow efficiency through analysis, communication, and follow-up. If you have strong billing knowledge, an analytical mindset, and experience in healthcare claims or pharmacy reimbursement, this is a great opportunity to grow your career.

Job Details
  • Assignment Type: Travel, on-site
  • Duration: 13 weeks
  • Start Date: 8/17/2026
  • Location: Boston, MA 02118
  • Schedule: 8-hour shifts, any shift
  • Hours: 40 hours per week
  • Openings: 2
  • Estimated Weekly Pay: $1,290 - $1,390
Job Requirements
  • 1+ year of experience in healthcare, pharmacy claims, coding, finance, revenue cycle, patient accounting, or physician billing; 1 to 3 years preferred
  • Bachelor’s degree in Business, Healthcare, or a closely related field, or equivalent work experience
  • Certified Pharmacy Technician certification preferred
  • CPC or RHIT certification preferred
  • Working knowledge of professional billing workflows, charge entry, edit systems, claims processing, and revenue cycle operations
  • Understanding of Medicare, third-party billing, reimbursement, and regulatory billing guidelines
  • Knowledge of CPT/HCPCS, ICD-10-CM/PCS, NDC numbers, and unit conversion
  • Strong analytical, problem-solving, communication, and organizational skills
Responsibilities
  • Research, resolve, and prepare claims that have not passed payer edits
  • Determine and initiate action to resolve rejected drug claims and pharmacy reimbursement issues
  • Serve as a subject matter resource for reimbursement, claims, billing, and provider relationship issues
  • Monitor electronic and paper claim rejections to identify workflow, system, or process improvements
  • Review billing accuracy and support compliance with state, federal, and payer guidelines
  • Collaborate with team members and other departments to improve denials management and reduce avoidable write-offs
  • Communicate findings and recommendations clearly through meetings, email, and presentations
  • Follow up on outstanding account balances in alignment with organizational protocol

Apply now to join this pharmacy revenue cycle and healthcare billing opportunity in Boston, MA.

Benefits

401K with Matching, Healthcare, Dental and Vision

Equal Opportunity

We are an equal opportunity employer and value diversity across our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

GHR Healthcare - Allied Health & Therapy Job ID #505832. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Hospital

About GHR Healthcare - Allied Health & Therapy

For over 30 years, GHR Healthcare has been the bridge between healthcare

professionals and the facilities that need them nationwide. We're committed to

uncovering your ideal fit, supported by GHR's dedication to competitive

compensation, transparent communication, and a devoted team that genuinely

cares about your career journey. You can trust us to stand by your side as your

advocate, confidante, and partner in advancing your career. At GHR, care and

consideration are at the heart of everything we do. Visit ghrhealthcare.com to

learn more.

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