Claim Edits Coder – On-Site Contract Job in Boston, Massachusetts

We are seeking an experienced Claim Edits Coder for a 13-week on-site contract opportunity supporting high-volume claim edit workflows in Boston, Massachusetts 02215. In this role, you will review and correct claim edits prior to adjudication, helping ensure accurate medical coding, clean claim submission, and compliance with payer requirements. This opportunity is ideal for professionals with strong revenue cycle, hospital billing, and coding experience who thrive in a fast-paced environment and are committed to quality and accuracy. Located in Boston’s dynamic 02215 area, this position offers the chance to work on-site in one of the nation’s premier healthcare and medical innovation hubs, surrounded by renowned institutions and a vibrant city atmosphere.

Job Details

• Job Title: Claim Edits Coder
• Location: Boston, Massachusetts 02215
• Assignment Type: 13-week contract
• Work Setting: On-site healthcare role
• Schedule: 5 shifts per week
• Shift Duration: 8-hour days
• Hours: 40 hours per week
• Start Date: 6/18/2026
• Weekly Estimated Pay: $1,280 - $1,422
• Productivity Expectation: 5 claims per hour
• Weekend Requirement: Must be available to work at least one weekend day

Job Requirements

• Minimum 3 years of medical coding experience with strong exposure to claim edits, charge review, or revenue cycle coding workflows
• Strong understanding of Medicare and commercial payer billing guidelines
• Experience reviewing CPT, HCPCS, modifiers, and diagnosis coding for claim accuracy
• Knowledge of medical necessity requirements and payer edit logic
• Familiarity with hospital or physician billing claim edit work queues
• Experience using EPIC or comparable EMR and billing systems
• Coding certification preferred, such as CPC, CCS, RHIT, or RHIA
• Strong analytical, problem-solving, and attention-to-detail skills

Responsibilities

• Review and resolve claim edits within EPIC or comparable billing systems
• Validate CPT, HCPCS, modifiers, diagnosis codes, and charge capture accuracy prior to claim submission
• Ensure claims meet Medicare and commercial payer requirements, including Blue Cross guidelines
• Review documentation and prior authorizations to confirm coding accuracy and medical necessity compliance
• Work high-volume claim edit queues efficiently while maintaining quality and compliance standards
• Identify recurring edit trends and escalate systemic or workflow issues as needed
• Collaborate with coding, clinical, and revenue cycle teams to reduce denials and improve clean claim rates
• Support timely claim correction and resubmission activities to preserve reimbursement

Apply now to join a healthcare team focused on accuracy, compliance, and revenue cycle performance in an on-site Boston contract opportunity located in the vibrant 02215 area.

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.