- 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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …the Fraud Investigation & Prevention Unit ("FIP"). The position will be a dedicated coding specialist reviewing medical records to identify instances of ... services rendered are billed accurately to BCBSMA. During such reviews, the coding specialist requests medical records and other documents to substantiate… more
- 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 - 3 ... or Local Medical Review Policies (LMRPs) to ensure compliance with coding guidelines. 2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins,… 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
- CVS Health (Boston, MA)
- …**Required Qualifications** + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician). + CRC (Certified Risk Adjustment Coder) must ... required + Minimum of 2 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing **Preferred… 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
- Intermountain Health (Boston, MA)
- …experience + Required credential: CPC Certified Professional Coder (CPC) or Certified Coding Specialist Physician (CCS-P) + Preferred related specialty coding ... **Job Description:** Accurately evaluate and resolve coding edits in assigned Epic WQs and review...Edit, and Follow-up work queues in Epic. + Review medical record documentation and assign appropriate CPT, HCPCS, ICD-10,… 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 (Burlington, 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
- Tufts Medicine (Burlington, MA)
- **Job Title:** Clinical Documentation Specialist III **Location:** 100% Remote **Certification and experience required for this role** **About Tufts Medicine:** ... Professional Group (TMPG) . Tufts Medicine Integrated Network (TMIN) . Tufts Medical Center . Lowell General Hospital . MelroseWakefield Hospital, Lawrence Memorial… 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
- 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
- East Boston Neighborhood Health Center (Revere, MA)
- …All Locations: 300 Ocean Avenue - Revere Position Summary: The Accounts Payable (AP) Specialist is responsible for the daily functions involved in the day to day ... for approval and returned in a timely manner. * Coding , auditing, checking, and entering all invoices and payment...any part of the application process because of a medical condition or disability, please send an e-mail to… 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
- Robert Half Accountemps (Bedford, MA)
- Description We are looking for an experienced Accounts Payable Specialist to join our team on a long-term contract basis. This role is based in Bedford, ... invoices accurately and ensure timely payments. * Review and verify account coding for invoices to maintain proper financial records. * Handle Automated Clearing… more