- Intermountain Health (Boston, MA)
- **Job Description:** The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and ... range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals,… more
- Children's Hospital Boston (Boston, MA)
- 80544BRJob Posting Title: Coding AnalystDepartment:Finance-Patient Financial ServicesAutoReqId:80544BRStatus:Full-TimeStandard Hours per Week:40 Job Posting ... Category:ClinicalJob Posting Description:Conducts comprehensive ICD-10 diagnosis and CPT coding for designated departments via Work Queues. Functions as an internal… more
- Intermountain Health (Boston, MA)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and ... serves as a subject matter expert for all ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for the system. They audit… more
- Commonwealth Care Alliance (Boston, MA)
- …of 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 configuration requirements for Optum CES and Zelis edits. This role will ensure that… more
- Evolent (Providence, RI)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Scope Analyst , Scope Management** The Specialty Scope Management team is made up of analysts, ... who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. As a member of… more
- Wellington (Boston, MA)
- …perspectives with those of our clients. **About the Role** The Guideline Monitoring Analyst ("The Analyst ") will be part of the Investment Implementation team ... Infrastructure Design, InvesTech Operations, and Technology teams. **Responsibilities** + The Analyst will focus on providing support to investment teams, to ensure… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Strategy, the Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst is responsible for completing invoice and reconciliation claim audits ... for the programs. The Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst would also be responsible for payment & reimbursement policy support… more
- TEKsystems (Boston, MA)
- Description The A/R Analyst position is responsible for the accuracy of data collection, reporting, and translation of data needed to support the Patient Accounting ... namely A/R Management, Patient Accounting Data Transactions, and Research Billing. The analyst role is focused on daily charge entry and resolving charge capture… more
- Bank of America (Boston, MA)
- Fraud Analytics and Innovation Lead Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; Chandler, Arizona; ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Fraud-Analytics-and-Innovation-Lead- Analyst \_25028063) **Job Description:** At Bank of America, we are… more
- Lyric (Providence, RI)
- …support are not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal role in advancing our products and services ... analyze large-scale healthcare claims and clinical datasets. By leveraging advanced coding , analytic reporting, and predictive modeling, the Clinical Data Analyst… 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
- CIBC (Boston, MA)
- …please visit CIBC.com (https://www.cibc.com/en/about-cibc.html) **What You'll Be Doing** The Sr. Analyst , Fund Administration will be responsible for the review of ... internal and external audits, and support the fund's annual tax responsibilities. The analyst will resolve any issues and identify and implement controls. The … more
- CIBC (Boston, MA)
- …visit CIBC.com (https://www.cibc.com/en/about-cibc.html) **What You'll Be Doing** The Sr. Analyst , Fund Administration will be responsible for the overseeing the ... for our outsourcing partners, external board, and internal parties at CIBC. The analyst will resolve any issues and identify and implement controls. The analyst… more
- Ally (Boston, MA)
- …is Detroit Hybrid preferred, however remote option possible The Senior Actuarial Analyst is responsible for developing and supporting a robust pricing framework at ... Ally Insurance. The Senior Actuarial Analyst will be expected to independently lead new projects...technical skills. Programming and automation skills a must. R coding language preferred. Detroit office with a hybrid work… more
- Point32Health (Canton, MA)
- …to our members, partners, colleagues and communities. **Job Summary** The Sr Provider Audit Analyst is responsible for review of claims for accuracy of coding , ... impact to Point32Health as well as to its entire provider community. Coding Certification (CPC, CCS or equivalent); Maintenance of credential status. **Job… more
- Evolent (Providence, RI)
- …Stay for the culture. **What You'll Be Doing:** **Clinical Rules Management, Analyst ** Seeking a detail-oriented **Clinical Rules Management, Analyst ** who will ... critical thinker with excellent interpersonal skills + Knowledge of ICD-10 and CPT coding assignments for billing in an outpatient or physician office setting +… more
- Prime Therapeutics (Providence, RI)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides ... sets of pharmacy, claims, medical, and/or financial data + Intermediate SAS or SQL coding skills + Previous experience in a client facing or consultative role +… more
- Evolent (Providence, RI)
- …Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst ... in SQL - Required + 1-2 years performing analyses in one or more coding language (SAS, R, Python) - Required + 1-2 years performing data visualization (Tableau,… more
- Citizens (Boston, MA)
- Description As the Investment Portfolio Analyst , you will assist in management of the Institutional Investment Portfolio, Institutional Hedging Portfolio and MSR ... TBAs, and/or futures + Progress towards the Chartered Financial Analyst (CFA) or Financial Risk Manager (FRM) designation +...Risk Manager (FRM) designation + Python, SQL, and/or Matlab coding experience Hours & Work Schedule + Hours per… more
- US Bank (Boston, MA)
- …excel at-all from Day One. **Job Description** Summary The Customer Remediation Data Analyst in Consumer & Business Banking Risk will participate in projects that ... analysis to ensure compliance with the bank's Customer Remediation Policy. The analyst should have experience and a thorough understanding of bank systems/products,… more