• Clinical Documentation Specialist (Risk Adjustment…

    Commonwealth Care Alliance (Boston, MA)
    …equivalent experience + Possession of Certified Coding Specialist designation (CCS, CCS-P, CCA from AHIMA) or Certified Professional Coder (CPC), and Certified ... 011260 CCA -Revenue Cycle Management **_This position is available to...of Medicare Risk Adjustment Documentation with Certified Risk Adjustment Coder (CRC) certification or in process of obtaining this… more
    Commonwealth Care Alliance (06/07/25)
    - Related Jobs

  • Sr Analyst, Scope Management

    Evolent (Boston, MA)
    …+ Registered Health Information Technician (RHIT) + Certified Hematology and Oncology Coder (CHONC) + Certified Coding Associate ( CCA ) + Certified Professional ... Coder (CPC) + Certified Coding Specialist (CCS) **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and… more
    Evolent (07/18/25)
    - Related Jobs

  • Medical Policy Program Manager

    Commonwealth Care Alliance (Boston, MA)
    011200 CCA -Central Clin Ops Leadership **Position Summary:** The Medical Policy Program Manager is primarily responsible to research, analyze, develop, and ... assigned by management + Demonstrate knowledge and understanding of the laws, regulations, CCA 's contracts and policies that pertain to CCA 's business and… more
    Commonwealth Care Alliance (05/31/25)
    - Related Jobs

  • Manager, Medical Policy

    Commonwealth Care Alliance (Boston, MA)
    011200 CCA -Central Clin Ops Leadership **Position Summary:** The Manager, Medical Policy reports to the Director of UM, and manages the personnel and work of the ... assigned by management + Demonstrate knowledge and understanding of the laws, regulations, CCA 's contracts and policies that pertain to CCA 's business and… more
    Commonwealth Care Alliance (05/31/25)
    - Related Jobs

  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    011250 CCA -Claims Hiring for One Year Term **Position Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare ... willing to get certified within 1 year of employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical… more
    Commonwealth Care Alliance (05/28/25)
    - Related Jobs

  • Medicare/Medicaid Claims Reimbursement Specialist

    Commonwealth Care Alliance (Boston, MA)
    011250 CCA -Claims Job Description **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical ... degree in Health Administration, Finance, or related field preferred. + Certified Professional Coder (CPC) - AAPC + Certified Claims Professional (CCP) + Other AHIMA… more
    Commonwealth Care Alliance (05/31/25)
    - Related Jobs