- Tufts Medicine (Burlington, MA)
- …Overview** The position is responsible for CDI program strategy and oversight. The Director will partner with the Senior Director , Clinical Revenue Cycle to ... (UM), Case Management, Quality and Physician advisors and leaders. The Director oversees the manager and clinical documentation specialists (CDSs) in planning,… more
- Commonwealth Care Alliance (Boston, MA)
- …and fee schedule issues. + Collaborate closely with Provider Relations, Contracting, Payment Integrity , Appeals & Grievances, and Configuration teams to validate ... DRG , APC, RBRVS). + Support provider appeal reviews and internal payment integrity investigations by providing reimbursement validation. + Escalate systemic… more