- Intermountain Health (Boston, MA)
- …This position is at an intermediate level of complexity and ensures compliance with coding guidelines, documentation requirements, and reimbursement policies, as ... codes for diagnoses and procedures. + Ensures accuracy and completeness of coding and documentation and resolve any discrepancies or errors. + Utilizes appropriate… more
- 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
- 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. + Audits ... **Job Description:** The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture,...consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). This… 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 ... or any state in the US (except Hawaii).** The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms,… more
- Oracle (Boston, MA)
- …of Healthcare coding systems (SnomedCT, ICD 9/10/11) and Health care compliance standards (eg HIPAA). + Background in a clinical documentation role (medical ... a focus on excellence. As a Senior Clinical Documentation Analyst you will: Analyze clinical workflows across a myriad...of experience as a medical scribe, clinical documentation, medical billing or auditing, with a focus on analyzing and… 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
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …created by Analysts or Process Owners. . Ensure payer-specific terminology, coding , clinical requirements, and compliance factors are captured accurately. ... and change managers to identify process gaps, improvement opportunities, compliance requirements, risks, and operational inefficiencies. By ensuring that all… more