Remote Medical Billing & Coding Compliance Auditor

0100 Mass General Brigham Incorporated; Somerville (MA); Hybrid; USD 27,000 - 39,000; Full time

Job summary

Mass General Brigham Incorporated is seeking a healthcare billing reviewer to conduct thorough reviews of medical billing and claims documentation. You will verify codes, ensure regulatory compliance, and collaborate with providers to obtain necessary information.

Responsibilities include auditing for accuracy, identifying denials and fraud indicators, and working with billing teams to resolve discrepancies. A HIPAA-compliant workspace and remote/hybrid setup support this role.

Qualifications

• Experience in medical billing, claims processing, or coding within healthcare.
• Familiarity with HIPAA, CMS guidelines, and NCCI edits.
• Strong analytic skills and attention to detail in reviewing complex billing data.

Responsibilities

• Review medical claims and billing documentation for accuracy and regulatory compliance.
• Verify appropriateness of billed services and codes.
• Identify compliance issues such as upcoding or unbundling and recommend corrections.

Skills

Medical billing

Claims processing

Coding knowledge

Auditing

EHR systems

Education

High School Diploma or equivalent

Tools

Billing software

EHR systems

Job description

Mass General Brigham Incorporated is seeking a healthcare billing reviewer to conduct thorough reviews of medical billing and claims documentation. You will verify codes, ensure regulatory compliance, and collaborate with providers to obtain necessary information.

Responsibilities include auditing for accuracy, identifying denials and fraud indicators, and working with billing teams to resolve discrepancies. A HIPAA-compliant workspace and remote/hybrid setup support this role.