- Humana (Boston, MA)
- …us put health first** This role will complete quality reviews on the coding processes within the Claims Cost Management organization, focusing on the review types ... of APC, E&M, SCR, and the Outpatient Coding Team. The Quality Assurance Professional 2 audits the...Do you have a solid background in medical auditing, coding , and medical record review? If you answered **YES**… more
- Sevita (Boston, MA)
- …and experience a career well lived. Summary The Senior Clinical Compliance Auditor is responsible for developing, auditing plans, and collaborating with Operations ... audit plan while testing compliance with all pertinent billing and coding requirements; internal policies and procedures; and external accreditation standards;… 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
- Beth Israel Lahey Health (Charlestown, MA)
- …to support Medicare, Medicaid, and other regulatory filings, supporting financial and government auditor data requests, and serving as a liaison to the System & ... for Medicare and Medicaid Services (CMS), Commercial, and all other payers coding , billing, and compliance requirements. * Extensive knowledge of patient finanicial… more