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DRG & Clinical Claims Specialist; Hybrid
Job in
Boston, Suffolk County, Massachusetts, 02298, USA
Listed on 2026-01-30
Listing for:
Zelis
Full Time
position Listed on 2026-01-30
Job specializations:
-
Healthcare
Healthcare Management, Healthcare Administration
Job Description & How to Apply Below
A healthcare financial solutions provider is seeking a Clinical Dispute Analyst to resolve facility and provider disputes related to DRG validation and clinical claims. Candidates should have over 5 years of experience, a current Inpatient Coding Certification, and a degree in business or healthcare. The role requires strong analytical and communication skills, with responsibilities including claim reviews, managing dispute volumes, and being a subject matter expert.
A hybrid work environment is offered.
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