• Revenue Integrity Senior Analyst - HMFP

    Beth Israel Lahey Health (Woburn, MA)
    …the Beth Israel Deaconess Medical Center (BIDMC), the Revenue Integrity Senior Analyst contributes to Revenue Integrity and Coding oversight at the enterprise, which ... CPT, HCPCS, and wRVUs for accuracy, compliance with applicable coding and billing guidelines, and optimization of reimbursement. * Support departments with analyzing… more
    Beth Israel Lahey Health (07/04/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical ... sets to provide analysis and reports on existing provider billing patterns as compared to industry standard coding regulations,...within 1 year of employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC)… more
    Commonwealth Care Alliance (05/28/25)
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  • Medicare/Medicaid Claims Reimbursement Specialist

    Commonwealth Care Alliance (Boston, MA)
    …to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements ... issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare,… more
    Commonwealth Care Alliance (05/31/25)
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