QE lead
East Hartford, CT · On-site
$71K - $92K/yr
... Medical necessity review processes Authorization workflows Clinical policy validation Payer ... coding guidelines, enabling effective collaboration with clinical and business stakeholders. • ...
East Hartford, CT · On-site
$71K - $92K/yr
... Medical necessity review processes Authorization workflows Clinical policy validation Payer ... coding guidelines, enabling effective collaboration with clinical and business stakeholders. • ...
East Hartford, CT · On-site
$71K - $92K/yr
... Medical necessity review processes Authorization workflows Clinical policy validation Payer ... coding guidelines, enabling effective collaboration with clinical and business stakeholders. • ...
Hartford, CT · On-site
$16.94 - $18/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Hartford, CT · On-site
$16.94 - $18/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Hartford, CT · On-site
$16.94 - $18/hr
Competitive hourly rate + referral bonuses Job Code: COHOCOFO What You'll Earn & Enjoy ✅ Paid ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Quick apply
Hartford, CT · On-site
$16.94 - $18/hr
Competitive hourly rate + referral bonuses Job Code: COHOCOFO What You'll Earn & Enjoy ✅ Paid ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Manchester, CT · On-site
$16.94 - $18/hr
Competitive hourly rate + referral bonuses Job Code: COHOCOFO What You'll Earn & Enjoy ✅ Paid ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Quick apply
Manchester, CT · On-site
$16.94 - $18/hr
Competitive hourly rate + referral bonuses Job Code: COHOCOFO What You'll Earn & Enjoy ✅ Paid ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Hartford, CT · On-site
$16.94 - $18/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Quick apply
Hartford, CT · On-site
$16.94 - $18/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Hartford, CT · On-site
$16.94 - $18/hr
Competitive hourly rate + referral bonuses Job Code: COHOCOFO What You'll Earn & Enjoy • Paid ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Hartford, CT · On-site
$16.94 - $18/hr
Competitive hourly rate + referral bonuses Job Code: COHOCOFO What You'll Earn & Enjoy • Paid ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
East Hartford, CT · On-site
$22.50 - $29.75/hr
East Hartford, Connecticut Direct Why work with us? We are a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work with us you'll have training ...
East Hartford, CT · On-site
$22.50 - $29.75/hr
East Hartford, Connecticut Direct Why work with us? We are a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work with us you'll have training ...
Manchester, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Quick apply
Manchester, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Stafford Springs, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Quick apply
Stafford Springs, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Somers, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Quick apply
Somers, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Manchester, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Manchester, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
East Hartford, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
East Hartford, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Tolland, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Quick apply
Tolland, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Tolland, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Tolland, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Somers, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Somers, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Stafford Springs, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Stafford Springs, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Enfield, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Quick apply
Enfield, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Windsor, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Quick apply
Windsor, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy ✅ Paid Time Off ✅ ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Windsor, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
Windsor, CT · On-site
$16.94 - $21/hr
Competitive hourly rate + referral bonuses Job Code: What You'll Earn & Enjoy • Paid Time Off • ... online and in-person Your Day-to-Day * Provide non-medical home care following each client ...
$5.27 - $9.02
0% of jobs
$9.02 - $12.76
0% of jobs
$12.76 - $16.51
0% of jobs
$16.51 - $20.25
0% of jobs
$20.25 - $24
0% of jobs
$25.28 is the 25th percentile. Wages below this are outliers.
$24 - $27.74
73% of jobs
$31.02 is the 75th percentile. Wages above this are outliers.
$27.74 - $31.49
2% of jobs
$31.49 - $35.23
8% of jobs
$35.23 - $38.98
8% of jobs
$38.98 - $42.73
4% of jobs
$42.73 - $46.47
4% of jobs
$5
$29
$46
| Aspect | Online Medical Coding | Medical Billing |
|---|---|---|
| Primary Role | Assigns codes to medical diagnoses and procedures | Prepares and submits insurance claims for reimbursement |
| Certifications | Certified Professional Coder (CPC), CPC-H | Certified Professional Biller (CPB), CPC |
| Work Environment | Remote or on-site, healthcare facilities, coding companies | Remote or on-site, healthcare facilities, billing companies |
| Industry Usage | Healthcare providers, hospitals, clinics | Insurance companies, healthcare providers, billing services |
Online Medical Coding involves translating medical diagnoses and procedures into standardized codes, essential for billing and record-keeping. Medical Billing focuses on submitting claims to insurance companies and following up on payments. While both roles require similar certifications and often work in similar environments, they perform distinct functions within the healthcare revenue cycle.
Job Details:
Must Have Skills
QA Strategy & Transformation (Broadcom → IBM migration)
Data migration validation (reconciliation & regression)
Sampling-based validation for large datasets
Automation-led validation approaches
SQL / data validation techniques
Nice to have skills
Clinical Adjudication (CAM)
Medical necessity review processes
Authorization workflows
Clinical policy validation
Payer decision frameworks
Detailed Job Description
• Possesses strong experience in Clinical Adjudication (CAM), supporting medical necessity reviews, authorization workflows, and clinical policy validations, with solid alignment to payer decision frameworks.
• Demonstrates strong understanding of utilization management and coding guidelines, enabling effective collaboration with clinical and business stakeholders.
• Lead QA strategy for large-scale platform transformation (Broadcom → IBM stack), ensuring seamless transition across systems.
• Strong expertise in data migration validation, including before/after reconciliation and comprehensive regression coverage.
• Hands-on experience with sampling-based validation approaches for large enterprise datasets and systems.
• Proficient in automation-led validation, leveraging SQL/data checks and RPA/UI tools (e.g., UiPath) to drive efficiency.
• Ability to define QA operating model, team structure, and delivery roadmap (8–15 resources) aligned to program goals.
• Extensive exposure to enterprise-scale programs with multi-system dependencies (online, batch, and data migration ecosystems).
Minimum years of experience
8-10 years
Certifications Needed :No
Top 3 responsibilities you would expect the Subcon to shoulder and execute
Stakeholder Managment IT and Business
Test Managment and defect Management
Test Reporting and SLAs
Sourced by ZipRecruiter
11 - 50 Employees
Edison, NJ, US
2015