- Evolent (Boston, MA)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Clinical Rules Management , Analyst ** Seeking a detail-oriented ** ... Clinical Rules Management , Analyst ** who will play a critical role in ensuring the accuracy and integrity of our clinical rule engine, impacting our … more
- Beth Israel Lahey Health (Charlestown, MA)
- …cycle and modality-specific billing processes and/or workflows. The Revenue Integrity Analyst is responsible for educating providers, clinical colleagues, and ... taking a job, you're making a difference in people's lives.** A Revenue Integrity Analyst serves as a primary point of contact for Service Line Directors, Managers,… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …remote with the ocassional time onsite as needed.** The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed ... be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies...in an academic medical center + Experience working in clinical trials management system (CTMS) + CPT/DRG… more
- Intermountain Health (Boston, MA)
- **Job Description:** The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... ensure regulatory compliance and revenue optimization for assigned service line(s). **Revenue Integrity Analyst I** Schedule: Monday - Friday from 8 AM - 5 PM (with… more
- Intermountain Health (Boston, MA)
- **Job Description:** The RCO Rev Integrity Chargemaster Analyst II independently handles EPIC build, maintenance, and implementation of charge codes, fee schedules, ... and mentor teammates, provide education and guidance to revenue cycle and clinical teams, and assists with testing and validation. Supports and collaborates with… more
- Intermountain Health (Boston, MA)
- …the patient's account within Intermountain's policies and procedures. **Revenue Integrity Analyst II** 1.Analyze data, develop reports, review trends, and recommend ... site teams, external business partners/vendors, compliance, legal counsel, health information management , and designated areas in the response process. 5. Assists… more
- Children's Hospital Boston (Boston, MA)
- 80517BRJob Posting Title:IT EPIC ANALYST II (Hybrid)Department:Information Services- Clinical ApplicationsAutoReqId:80517BRStatus:Full-TimeStandard Hours per ... capabilities. + Performs moderately complex Epic build tasks-such as modifying rules , creating templates, and applying custom logic-while adhering to established… more
- Cardinal Health (Boston, MA)
- … team to onboard new practices including Assessment Call and giving direction to Clinical Analyst owning account * Once the Rheum team grows, manage the ... training and oversite of all new Clinical Analyst Team members (working with HR,...Specialty Network requirements of the Provider Solutions, Customer Success, management , and HR Handbook rules * Assist… more
- Commonwealth Care Alliance (Boston, MA)
- …Integrity and Analytics + Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, and evaluating/analyzing claim outcome ... Term **Position Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst … more
- CenterWell (Boston, MA)
- …Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. This individual will ... Medicare, population health, Accountable Care Organizations (ACOs), medical group management / practice management , health plans /...necessary / required actions initiated by CMS * Oversee rules and regulations of ACO programs as outlined in… more