- Elevance Health (Woburn, MA)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
- Datavant (Boston, MA)
- …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in… 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
- Datavant (Boston, MA)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of… more
- CVS Health (Boston, MA)
- …purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and ... conditions + Diagnosis codes must be appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal… more
- Baystate Health (Springfield, MA)
- …work is administrative. **Job Responsibilities:** **1)** Performs detailed reviews of clinical documentation for provider services using MDAudit based on determined ... coding; applicable use of all carrier guidelines and review of clinical documentation. **5)** Receives and screens incoming correspondence, reports, memos, etc.,… 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 ... procedural terminology and medical codes (eg, ICD-10-CM, PCS) to patient records. This position works assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.… 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
- Sanofi Group (Framingham, MA)
- …possible. Ready to get started? **Main Responsibilities:** + Acts as a lead auditor or co- auditor , in accordance with Sanofi processes. + Facilitates ... on pharma/biotech. + At least five years relevant experience as Quality Auditor . + Direct experience preparing for and supporting Regulatory Inspections from… more
- Baystate Health (Springfield, MA)
- …visitors to unit and also as a business partner to the department and clinical staff. Orients patients and families to the unit, answering routine questions. Able to ... also as a business partner to the department and clinical staff. Orients patients and families to the unit,...C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples, and Kronos access if… more