- Beth Israel Lahey Health (Woburn, MA)
- …maintenance activities. * Review changes in CPT, HCPCS, and wRVUs for accuracy, compliance with applicable coding and billing guidelines, and optimization ... at the Beth Israel Deaconess Medical Center (BIDMC), the Revenue Integrity Senior Analyst contributes to Revenue Integrity and Coding oversight at the… more
- Tufts Medicine (Burlington, MA)
- …creation and pricing, understanding charge capture methodologies available in Epic, charge compliance with intent of service and correct coding , charge ... reconciliation workflows and training, periodic regulatory and coding changes and updates, charge capture and ...provided to patients. 3. Educates key stakeholders on charge compliance , correct coding , and intent of service… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …of research activity in an academic medical center + Knowledge of billing compliance and Medicare regulations/policy, applicable federal, state, and local ... with the ocassional time onsite as needed.** The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent… more
- Intermountain Health (Boston, MA)
- …and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits including end ... **Job Description:** The RCO Rev Integrity Chargemaster Analyst II independently handles EPIC build, maintenance, and implementation of charge codes, fee schedules,… more
- Intermountain Health (Boston, MA)
- **Job Description:** This position is responsible for billing , follow-up, and resolving issues that delay or prevent payment of the patient's account within ... the RI leadership team. Proactively seeks out positive or negative trends in charge/ coding capture and editing processes to facilitate the sharing of best practice… more
- Robert Half Technology (Lexington, MA)
- Description Data Analyst Manager (2) Roles & Responsibilities Oversee an offshore team of Healthcare Data Analysts and QA engineers under the direction of the ... Ensure modules in the product meet the functional requirements, system compliance , and interface specifications through ongoing performance monitoring of team… more
- Commonwealth Care Alliance (Boston, MA)
- …Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims ... large claims data sets to provide analysis and reports on existing provider billing patterns as compared to industry standard coding regulations, and make… more
- Baystate Health (Springfield, MA)
- …appropriate reimbursement. **4)** Initiates insurance reimbursement inquiries to appropriate compliance analyst for additional appeal opportunities, denial ... Initiates charge corrections as needed, based on eligibility updates, Coding Department instructions or Reimbursement Inquiry resolutions. **6)** Accurately records… more