- Humana (Boston, MA)
- …and appropriateness of procedure codes based on services rendered + Review medical documentation for clinical indicators to ensure specific procedures meet ... our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct… more
- Humana (Boston, MA)
- …and receives guidance where needed. Follows established guidelines/procedures. + Review medical documentation for clinical indicators to ensure procedures meet ... our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct… more
- Tufts Medicine (Burlington, MA)
- …inpatient and outpatient diagnoses and procedures. 5. Correlates information supporting clinical documentation not limited to Pathology, Radiology and/or other ... **Professional Coding Auditor and Educator - Remote** **Job Profile** **Summary**...focuses on support of daily business activities (eg, technical, clinical , non- clinical ) operating in a "hands on"… more
- WelbeHealth (Boston, MA)
- … and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams ... on best practices to promote compliance. **Essential Job Duties:** + Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants + Conduct pre-visit chart preparations and post-visit chart reviews + Oversee… more
- Baystate Health (Springfield, MA)
- …all business functions related to processing patient information, managing documentation , organizing patient medical record and facilitating smooth unit operations. ... to unit and also as a business partner to the department and clinical staff. Orients patients and families to the unit, answering routine questions. Observes… more
- Baystate Health (Westfield, MA)
- …all business functions related to processing patient information, managing documentation , organizing patient medical record and facilitating smooth unit operations. ... 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
- Baystate Health (Springfield, MA)
- …all business functions related to processing patient information, managing documentation , organizing patient medical record and facilitating smooth unit operations. ... 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
- Baystate Health (Springfield, MA)
- …all business functions related to processing patient information, managing documentation , organizing patient medical record and facilitating smooth unit operations. ... 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
- Datavant (Boston, MA)
- …audits. + Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation . + Communicate effectively with co-workers, ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...assess proper coding or identify the need for additional documentation . Scrutinizes all HCPCS and CPT codes influencing APC… more
- Astellas Pharma (Westborough, MA)
- …range of disease indications, ranging from macular degeneration (currently in clinical trials) and other ocular indications to vascular and autoimmune disease. ... Cell Therapy Manufacturing facility in Westborough, MA as products move through clinical trials and commercialization. The Validation Manager will be a leader and… more