Claim Edits Coder (Outpatient) | 17-Week Remote Contract – Boston, MA

Claim Edits Coder – Remote | Leading Boston Healthcare Organization

Claim Edits Coder (Remote) — 17-week contract; 40 hrs/week; EPIC experience required. Join a revenue cycle team ensuring accurate, compliant claim submissions for a leading healthcare organization based in Boston, MA. This medical coding job is ideal for candidates with strong knowledge of CPT/HCPCS, Medicare and commercial payer rules who seek the flexibility of remote work.

Job Details

• Location: Remote (organization based in Boston, MA)
• Assignment Type: Contract (17 weeks)
• Start Date: May 13, 2026
• End Date: September 5, 2026
• Schedule: 5 shifts per week, 8-hour days (40 hours/week)
• Weekly Estimated Pay: $1,470 – $1,580
• Weekend Requirement: Must be able to work at least one weekend day

Top Qualifications / Requirements

• Minimum 3 years of experience in medical coding, claim edits, claims processing, or revenue cycle workflows
• Proven understanding of Medicare, Medicaid and commercial payer billing guidelines (including Blue Cross)
• Hands-on experience reviewing CPT/HCPCS codes, modifiers, ICD-10 diagnosis coding, and charge capture accuracy
• Knowledge of medical necessity, payer edit logic, and clean claim rate improvement strategies
• Familiarity with hospital or physician billing claim edit work queues and denial management processes
• Experience using EPIC (preferred) or comparable EMR/billing systems
• Coding certification preferred: CPC, CCS, RHIT, RHIA

Key Responsibilities

• Review and resolve claim edits within EPIC or comparable billing systems to ensure clean claims and timely reimbursement
• Validate CPT, HCPCS, modifiers, ICD-10 diagnosis codes, and documentation for coding accuracy prior to claim submission
• Confirm claims meet Medicare and commercial payer requirements; apply payer-specific rules (e.g., Blue Cross)
• Review documentation and prior authorizations to confirm medical necessity and compliance with payer policies
• Work high-volume claim edit queues efficiently while maintaining quality, accuracy, and compliance standards
• Identify recurring edit trends, recommend workflow improvements, and escalate systemic issues to reduce denials
• Collaborate with coding, clinical documentation improvement (CDI), and revenue cycle teams to improve clean claim rates and revenue capture
• Support timely claim correction, resubmission, and appeals activities to preserve reimbursement

Why join us: work remotely while contributing to a high-performing revenue cycle team for a leading Boston-based healthcare organization. Advance your career in medical coding and claims processing with the flexibility of a remote position. This is an excellent opportunity for experienced coders and revenue cycle specialists seeking remote healthcare jobs.

Apply now to be considered for this remote Claim Edits Coder position supporting a Boston-based healthcare team and help improve claim accuracy and reimbursement.

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.