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Prepayment Review Coding Specialist

Blue Cross and Blue Shield of Massachusetts, Inc.
Boston, MA
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Ready to help us transform healthcare? Bring your true colors to blue. The ...
Details
Summary
About the job:
position serves as a Prepayment Review Coding Specialist within the Fraud Investigation & Prevention Unit (“FIP”). The position will be a dedicated coding specialist reviewing medical records to identify instances of health care fraud, waste, and abuse and to facilitate accurate claim payments. The Prepayment Review Coding Specialist will conduct pre-payment reviews of claims submitted by providers and members to determine if services rendered are billed accurately to BCBSMA. During such reviews, the coding specialist...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Billing and Posting Clerks
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Diversityjobs
Certifications / Licenses:
Certified Evaluation and Management Coder
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Prepayment Review Coding Specialist

Blue Cross and Blue Shield of Massachusetts, Inc.
Hingham, MA
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Blue Cross and Blue Shield of Massachusetts, Inc. vision insurance, paid ...
Details
Summary
About the job:
time off, 401(k) United States, Massachusetts, Hingham Oct 25, 2025 Ready to help us transform healthcare? Bring your true colors to blue. The position serves as a Prepayment Review Coding Specialist within the Fraud Investigation & Prevention Unit ("FIP"). The position will be a dedicated coding specialist reviewing medical records to identify instances of health care fraud, waste, and abuse and to facilitate accurate claim payments. The Prepayment Review Coding Specialist will conduct pre-payment reviews of claims...
Location:
Hingham, MA
Job Type:
Full-Time
Permanent
Occupation:
Billing and Posting Clerks
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Diversityjobs
Certifications / Licenses:
Certified Evaluation and Management Coder
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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Salary: Upper Income Jobs ($50K-$79K)
Company Name: Blue Cross Blue Shield of Massachusetts
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