- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to blue. This position is eligible for the Flex persona The Risk Adjustment Senior Coding Quality Auditor & Educator provides education and training for the Risk ... needs, and delivery of relevant training. The Risk Adjustment Senior Coding Quality Auditor & Educator will utilize analytics to identify and target providers… more
- Baylor Scott & White Health (Boston, MA)
- …tracks results and identifies trends and deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding and compliance changes ... knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the...**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and… more
- Intermountain Health (Boston, MA)
- **Job Description:** The goal of the Clinical Documentation Specialist- Auditor is to improve the accuracy of the overall clinical picture and the representation of ... illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical records documentation for reimbursement,… more
- Baylor Scott & White Health (Boston, MA)
- …healthcare clinical operations, hospital revenue cycle systems, hospital billing and coding , and healthcare compliance issues and requirements. Working knowledge of ... other disciplines outside own area of expertise, including clinical disciplines, registration, billing and collections, HIM / Medical Records management, and information technology. Capable of producing and communicating highly-sensitive documentation and… more
- CIBC (Boston, MA)
- …you to complete an attribute-based assessment and other skills tests (such as simulation, coding , MS Office). Our goal for the application process is to get to know ... more about you, all that you have to offer, and give you the opportunity to learn more about us. **Job Location** MA-100 Federal Street, 19th Fl **Employment Type** Regular **Weekly Hours** 40 **Skills** Analytical Thinking, Auditing, Audit Management, Client… more
- Commonwealth Care Alliance (Boston, MA)
- …the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing ... and clinical coding and reimbursement edits and necessary coding ...+ Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to have):** + Masters… more
- Brockton Hospital (Brockton, MA)
- …and identified issues. + Supports internal and external audits of HCPCS, CPT coding , DRG coding , and medical record reviews, using proven healthcare audit ... government payers, including Medicare and Medicaid. Collaborate with SHC's Healthcare's Compliance Auditor to meet audit plan objectives. + Works with SHC management… more
- Astellas Pharma (Westborough, MA)
- …assist with the Internal Audit program for the organization, serving as an assistant auditor to help ensure all aspects of the GMP organization remain compliant with ... to management. + Specialized knowledge of any industry-related niche topics: bar coding , cell culture, auditing techniques, QC methods, HEPA filtration science, etc.… more
- Astellas Pharma (Westborough, MA)
- …assist with the Internal Audit program for the organization, serving as an assistant auditor to help ensure all aspects of the GMP organization remain compliant with ... to management. + Specialized knowledge of any industry-related niche topics: bar coding , cell culture, auditing techniques, QC methods, HEPA filtration science, etc.… more
- Astellas Pharma (Westborough, MA)
- …audits. **Preferred:** + Specialized knowledge of industry-related niche topics: bar coding , cell culture, auditing techniques, QC methods, HEPA filtration science, ... considerations. + ASQ certifications (eg, certified quality engineer, quality auditor , quality professional, etc.) + Experience with an electronic document… more
- Astellas Pharma (Westborough, MA)
- …**Preferred:** + Specialized knowledge of industry-related niche topics: bar coding , cell culture, auditing techniques, QC methods, HEPA filtration science, ... considerations. + ASQ certifications (eg, certified quality engineer, quality auditor , quality professional, etc.) **Working Conditions** + This position is… more