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Healthcare Administration

Post-Service Claims Nurse Reviewer: FEP & Coding Expert

Job in Hingham, Plymouth County, Massachusetts, 02043, USA
Listing for: Blue Cross and Blue Shield of Massachusetts Inc.
Full Time position
Listed on 2026-01-25
Job specializations:
  • Healthcare
    Healthcare Administration
Job Description & How to Apply Below
A leading healthcare organization in Hingham is seeking a Clinical Reviewer. This full-time role requires expertise in medical coding and compliance with Federal Employee Program guidelines. You will perform comprehensive claims reviews, ensuring medical necessity and coding accuracy while collaborating with various departments. Candidates should have a nursing background with active Massachusetts licensure and coding certification. This position offers competitive compensation and benefits that promote work-life balance.
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