- Beth Israel Lahey Health (Burlington, MA)
- …CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... services. Reviews provider documentation in order to determine appropriate coding and initiate corrected claims and appeals ....appropriate coding and initiate corrected claims and appeals . Duties include hands on coding , documentation… more
- Baystate Health (Springfield, MA)
- …Initiates charge corrections as needed, based on findings from Reimbursement Issues and Appeals and or Coding . **6)** Accurately records and files all third ... the direction of the Receivables Supervisor and Lead; identifies denials/ appeals , makes appropriate system changes, completes balance adjustments, initiates… more
- Datavant (Boston, MA)
- … practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding , billing, utilization ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… more
- Beth Israel Lahey Health (Newburyport, MA)
- …Director of Health Information Management, the Health Information Management Audit Specialist handles various audit requests for the release of confidential patient ... mailing, in collaboration with other hospital departments. Organizes the follow-up appeals documentation post-audit and coordinates the submission of the Physician… more
- Health Plans, Inc. (Westborough, MA)
- …to provide exceptional service. What you'll do The Provider Pricing Specialist is responsible for managing provider database information, provider association with ... and set up of online customer portals. The Provider Specialist assists with research to settle claim pricing questions,...contract pricing on paid claim in response to provider appeals and inquiries. + Provide information and customer service… more
- Tufts Medicine (Melrose, MA)
- …the delivery of support services or activities, typically under supervision. A specialist level role that requires very advanced knowledge of operational procedures ... with the Medical Records Department to ensure proper documentation and coding . 5. Oversees processes for analyzing benefit requirements and obtaining authorizations… more