- Baystate Health (Springfield, MA)
- …time Physical Therapist to join our team in Springfield, MA. **Position** + Hierarchical Condition Category Registered Nurse Educator **SCHEDULE:** + Monday ... the following: + Chronic illness diagnoses Coding + Knowledge of CMS HCC guidelines and application relevant to improved documentation and favorable reimbursement +… more
- Commonwealth Care Alliance (Boston, MA)
- …leadership, and strategically and operationally leads various quality reviews of claims, Hierarchical Condition Categories ( HCC ) and clinical coding, call ... pre-payment and post-payment claim reviews, call monitoring reviews, and evaluation of HCC audits/reviews, among others, to relevant departments. The role also leads… more
- Commonwealth Care Alliance (Boston, MA)
- …and is responsible for designing quality and control assurance reviews of claims, Hierarchical Condition Categories ( HCC ) and clinical coding, call ... of relevant quality audit/review results, call monitoring reviews, and evaluation of HCC audits/reviews, among others, to relevant departments. The role also leads… more