- Intermountain Health (Boston, MA)
- **Job Description:** The goal of the Clinical Documentation Specialist- Auditor is to improve the accuracy of the overall clinical picture and the ... of the complexity and severity of illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …and medical records to assure all services and charges are supported by clinical documentation . Assures appropriate application of BCBSMA guidelines, policy and ... with the Plans' provider agreements and the National Healthcare guidelines. The Professional Auditor helps improve clinical outcomes and quality of care, to… more
- CenterWell (Boston, MA)
- …of our caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The **Medical Coding Auditor ** work assignments are varied and frequently require interpretation and independent… more
- Robert Half Accountemps (Boston, MA)
- …your RN skills in a fresh environment + Apply your attention to detail, clinical decision-making, and documentation expertise to ensure quality and compliance in ... administration, or corporate healthcare roles. Requirements Featured Opportunity: RN Auditor / Clinical Reviewer + Work for a Fortune 500 healthcare organization… more
- Highmark Health (Boston, MA)
- …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding… 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
- Datavant (Boston, MA)
- …adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and ... 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… more
- Baystate Health (Springfield, MA)
- …the work is administrative. **Job Responsibilities:** **1)** Performs detailed reviews of clinical documentation for provider services using MDAudit based on ... Radiology coding; applicable use of all carrier guidelines and review of clinical documentation . **5)** Receives and screens incoming correspondence, reports,… more
- CVS Health (Boston, MA)
- …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... + 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)
- …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
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