- Beth Israel Lahey Health (Burlington, MA)
- …AAPC), CPC-A ( Certified Professional Coder - Apprentice through AAPC), or CCS-P ( Certified Coding Specialist Physician Based through AHIMA) Experience: 2 ... coding needs for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent… more
- CVS Health (Boston, MA)
- …+ Adept at problem solving and decision making skills + Certified Billing and Coding Specialist (CBCS) preferred. + Experience working within ... Collaborates with revenue cycle management teams to optimize the coding process and ensure proper documentation for billing... coding process and ensure proper documentation for billing and reimbursement. + Provides training and education to… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Bring your true colors to blue. The position serves as a Prepayment Review Coding Specialist within the Fraud Investigation & Prevention Unit ("FIP"). The ... position will be a dedicated coding specialist reviewing medical records to identify...data analysts to identify fraud and abuse by utilizing coding expertise to analyze patterns in billing … more
- Elevance Health (Woburn, MA)
- …and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified ... /payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. + Knowledge… more
- Commonwealth Care Alliance (Boston, MA)
- …large claims data sets to provide analysis and reports on existing provider billing patterns as compared to industry standard coding regulations, and make ... the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …verbal communication skills + Knowledge of CPT/HCPCS & ICD10 coding , Correct Coding Initiatives and CMS 1500 billing + Strong critical thinking & ... industry experience + Strong understanding of healthcare reimbursement methodologies + Certified Professional Coder (CPC) and certified outpatient coder (COC)… more
- Tufts Medicine (Lowell, MA)
- …diploma or equivalent. 2. Completion of medical coding certificate program. 3. Certified Coding Specialist (CCS), Certified Professional Coder (CPC), ... leadership to identify reimbursement changes/discrepancies. 6. Reviews audit lists regarding coding / billing changes, as well as denial reports. 7. Identifies… more