- LogixHealth (Bedford, MA)
- …ED pro /facility coder production, other specialties and consistently meet LogixHealth coding industry standards + Monitor and track use of operational production ... of new and established client production opportunities for the coding staff + Assign work to staff and ensure...required. Preferred: + Prior Emergency Department specific, or related, coding background with a familiarity of different types of… more
- Beth Israel Lahey Health (Burlington, MA)
- …CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... or Local Medical Review Policies (LMRP's) to ensure compliance with coding guidelines. 2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins,… 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
- Baylor Scott & White Health (Boston, MA)
- …Information Administrator (RHIA) + Registered Health Information Technologist (RHIT) + Certified Coding Specialist (CCS) + Certified Coding Specialist ... OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of...the coding certifications as listed: + Cert Coding Specialist (CCS) + Cert Coding… more
- Elevance Health (Woburn, MA)
- …certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. + Requires ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for… more
- Highmark Health (Boston, MA)
- …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** The Manager of Coding & Clinical Documentation oversees a highly trained Clinical Documentation Specialist ... providers and clinical partners to ensure an accurate, complete, and compliant medical record. The Manager leads regional CDI initiatives, ensuring consistency in… more
- Datavant (Boston, MA)
- …1 facility. SMART software experience preferred. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related… more
- Commonwealth Care Alliance (Boston, MA)
- …public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance, Payment Integrity and Analytics + Direct and ... Medical Association (AMA) guidelines, etc.) + Advanced experience of medical terminology and medical coding (CPT, HCPCS, Modifiers) along with the… more
- Datavant (Boston, MA)
- … practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding , billing, utilization ... and manage denials throughout the entire revenue cycle, including registration, eligibility, coding , billing, and medical necessity. + Analyze denial trends and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …data, and drive improvement toward quality physician documentation within the body of the medical record. The CDI Specialist RN works under the direction of the ... Manager of CDI and collaborates with coding , clinicians, medical staff, and physician advisors to improve documentation and the importance of complete and… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …+ High degree of confidentiality. + Working knowledge of industry-standard medical coding conventions. + Dependable, self-starter, and deadline driven. ... based on alphabetical splits. Responsibilities of the Patient Accounting Billing Specialist include regular and consistent billing for all payers and follow-up… more
- Tufts Medicine (Burlington, MA)
- …Professional Group (TMPG) . Tufts Medicine Integrated Network (TMIN) . Tufts Medical Center . Lowell General Hospital . MelroseWakefield Hospital, Lawrence Memorial ... is responsible for concurrent and retrospect review and analysis of the medical record to improve overall quality and completeness of clinical documentation. The… more
- Beth Israel Lahey Health (Burlington, MA)
- …processing electronic and manual charge and cash revenue transactions into the electronic medical record. The Single Billing Office Cash Specialist provides a ... sensitive standards The primary role of the SBO Cash Specialist is to act as a liaison to our...ability to utilize various electronic, web based and manual coding resources 2. Ability to perform transactions in a… more
- Health Plans, Inc. (Westborough, MA)
- …Proficient in Microsoft Office, including Word, Excel, Outlook and PowerPoint. + Knowledge of Medical Claim Coding and/or Claim Billing helpful. Why choose us? + ... to provide exceptional service. What you'll do The Provider Pricing Specialist is responsible for managing provider database information, provider association with… more
- Brockton Hospital (West Bridgewater, MA)
- …health care setting requiring knowledge of insurance coverage, reimbursement, and/or medical terminology and coding . Experience providing customer service, while ... is Southeastern Massachusetts' premier local provider of quality, personalized medical services. We are comprised of the award-winning not-for-profit Signature… more
- Amazon (North Reading, MA)
- …is growing and looking for a highly motivated security risk & compliance specialist to join our team and drive regulatory compliance requirements for our products. ... and models, cryptography, and operations security - 1+ years of technical specialist , design and architecture experience, or AWS Professional level certification -… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …to manage multiple tasks/projects simultaneously SKILLS/ABILITIES: + Proficiency level understanding of Medical Billing, ICD and CPT coding preferred. + Strong ... Patient Accounts All Locations: 151 Orleans Street Position Summary: Revenue Cycle Specialist performs a wide spectrum of billing functions to minimize accounts… more
- East Boston Neighborhood Health Center (Revere, MA)
- …written communication skills. + Proficiency in PC software (ie database) + Knowledge of medical terminology, CPT-4 and ICD-9/10 coding helpful + Ability to solve ... direct supervision of the Patient Financial Services Director, the Payment Poster/EDI Specialist is responsible for the accurate and timely processing and posting of… more
- Beth Israel Lahey Health (Burlington, MA)
- …people's lives.** We are seeking a proactive and patient-centered In-Clinic Medication Access Specialist to join our Neurology care team at the Lahey Neuro Clinic, ... programs. 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for clinic administered or… more