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Nurse Appeals Coder: Medical Necessity & Coding Expert

Job in Hingham, Plymouth County, Massachusetts, 02043, USA
Listing for: BlueCross and BlueShield of Massachusetts
Full Time position
Listed on 2026-01-01
Job specializations:
  • Nursing
Salary/Wage Range or Industry Benchmark: 40.71 - 49.75 USD Hourly USD 40.71 49.75 HOUR
Job Description & How to Apply Below
A leading healthcare organization in Hingham is seeking an Appeals Nurse Reviewer to review provider claims appeals. This role requires strong clinical judgment and medical coding skills to validate and adjudicate claims based on necessity and proper coding. The ideal candidate will be a Registered Nurse with experience in acute care and certification in coding. Comprehensive benefits are offered, including medical, dental, and vision insurance, along with competitive pay ranging from $40.71 to $49.75 per hour.
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