• Outpatient Coder FT -Same Day…

    Datavant (Boston, MA)
    …realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate ... shape the future of healthcare from your own workspace! * Preferred: OP Coder who specializes in SDS, OBS, with solid interventional cardiology (cath lab) charging… more
    Datavant (04/29/25)
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  • OP Coder Project Specialist

    Beth Israel Lahey Health (Charlestown, MA)
    …just taking a job, you're making a difference in people's lives.** The OP Coder Project Specialist will review outpatient records and accurate, timely, and ... modifiers to ensure the correct APC assignment. The OP Coder Project Specialist will work closely with the Coding...coding guidelines and its publication Coding Clinic. The OP Coder Project Specialist is also responsible for meeting or… more
    Beth Israel Lahey Health (05/13/25)
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  • Coding Auditor Educator

    Highmark Health (Boston, MA)
    …Coding Specialist (CCS) + AAPC Credentials ( Outpatient ): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional ... With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff education… more
    Highmark Health (05/09/25)
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  • Payment Integrity: Reimbursement Policy Quality…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …working with claims editing software and payment integrity programs + Certified Professional Coder (CPC) and certified outpatient coder (COC) preferred, ... experience with CPT/HCPCS & ICD10 coding, Correct Coding guidelines. + Experience with MS Access, Cognos Power BI database program and excel + Proficiency in working with and analyzing claims data + Strong written and verbal communication skills + Strong… more
    Blue Cross Blue Shield of Massachusetts (05/11/25)
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  • Investigator

    Highmark Health (Boston, MA)
    …**Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited ... Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and financial aspects of the health insurance… more
    Highmark Health (05/08/25)
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  • IPA Coding Associate Director

    CenterWell (Boston, MA)
    …to identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations by identifying business partner needs and ... operational leaders to identify operational issues that impact clinician and coder performance. + Facilitate meetings with key partners, including Clinical,… more
    CenterWell (04/24/25)
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  • DRG Coding Auditor

    Elevance Health (Woburn, MA)
    …where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient , and HACs. + Suggests and develops high quality, high value concept ... and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and… more
    Elevance Health (05/29/25)
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