- Humana (Boston, MA)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... established guidelines/procedures. **Where you come in** The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and manipulates… more
- Highmark Health (Boston, MA)
- …and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, ... Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or… more
- Baystate Health (Springfield, MA)
- …the work is administrative. **Job Responsibilities:** **1)** Performs detailed reviews of clinical documentation for provider services using MDAudit based on ... to ensure it meets the AMA and CMS (Medicare) guidelines for the services billed, reviewing and validating billed charges and performing benchmark reporting to… more
- Humana (Boston, MA)
- …us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate ... our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make...achieve their best health - delivering the care and service they need, when they need it. These efforts… more
- Boston University (Boston, MA)
- …or monitor/ auditor is needed. + Experience with conduct of clinical research either with pharmaceutical/device clinical trials and or observational ... or monitor/ auditor is needed. + Experience with conduct of clinical research either with pharmaceutical/device clinical trials and or observational… more
- Baystate Health (Springfield, MA)
- …retirement company match & annual company contribution increase based on years of service + Free money coach advice from a certified professional + Wellbeing ... + HS Diploma/GED + 1-2 years experience in customer service (healthcare setting preferred) + Medical administrative experience strongly...also as a business partner to the department and clinical staff. Orients patients and families to the unit,… more
- Baystate Health (Springfield, MA)
- …retirement company match & annual company contribution increase based on years of service + Free money coach advice from a certified professional + Wellbeing ... experience strongly preferred + 1-2 years' experience in customer service (healthcare setting preferred) + Ability to work rotating...also as a business partner to the department and clinical staff. Orients patients and families to the unit,… more
- Commonwealth Care Alliance (Boston, MA)
- …Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration requirements ... Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding configuration… more
- Wolters Kluwer (Waltham, MA)
- …action (CAPA)plans, with oversight of complaint trending, post-market surveillance, clinical evaluation, design control, and risk management activities. You will ... also work cross functionally within the business teams in Legal, Regulatory, Clinical , Marketing, and Product Development and within the broader Wolters Kluwer… more