• Home Health RN Clinical Director 15K Sign…

    Aveanna Healthcare (Worcester, MA)
    …the total Plan of Care with the appropriate resources based on ICD coding , PPS guidelines and input from billing /financial department, including insurance ... Home Health RN Clinical Director 15K Sign On Bonus ApplyRefer a FriendBack...to federal, state, and local laws, accreditation, company standards, compliance , and reimbursable client care services. This position requires… more
    Aveanna Healthcare (08/12/25)
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  • Revenue Integrity Senior Analyst - HMFP

    Beth Israel Lahey Health (Woburn, MA)
    …maintenance activities. * Review changes in CPT, HCPCS, and wRVUs for accuracy, compliance with applicable coding and billing guidelines, and optimization ... you're making a difference in people's lives.** Under the direction of the Director , Revenue Integrity and Coding at Harvard Medical Faculty Physicians (HMFP)… more
    Beth Israel Lahey Health (07/04/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …under the direction of the Sr. Director , TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... large claims data sets to provide analysis and reports on existing provider billing patterns as compared to industry standard coding regulations, and make… more
    Commonwealth Care Alliance (05/28/25)
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  • Manager Utilization Management

    Beth Israel Lahey Health (Burlington, MA)
    …as Denials & Appeals, Patient Access, Authorization Management & review, HIM, Coding & Billing . Close collaboration with the Physician Advisors, Collaborates ... utilization management experience desirable. **Key Relationships:** **Position Purpose/Activities** Executive Director HIM, Coding & UR: Receives direction… more
    Beth Israel Lahey Health (06/06/25)
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  • Practice Manager

    Beth Israel Lahey Health (Amesbury, MA)
    …record systems . Strong overall computer skills . Knowledge of third party billing and coding requirements, Superior ability to communicate with all levels ... in people's lives.** Position Summary: Reporting to and in collaboration with the Director of Site Operations, the Primary Care Practice Manager is responsible for… more
    Beth Israel Lahey Health (06/18/25)
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  • Manager, Special Investigation

    CVS Health (Boston, MA)
    …States: **Texas, Ohio, New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of ... prosecution of health care fraud to recover lost funds. Responsible for compliance with state and federal regulations mandating the reporting of corporate… more
    CVS Health (08/01/25)
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  • Data Reporting Analyst

    Robert Half Technology (Lexington, MA)
    …Healthcare Data Analysts and QA engineers under the direction of the Director of Data Management. Collaborate with various client-facing teams and both ... Ensure modules in the product meet the functional requirements, system compliance , and interface specifications through ongoing performance monitoring of team… more
    Robert Half Technology (08/11/25)
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  • Manager/MR Operations

    Beth Israel Lahey Health (Burlington, MA)
    …and taking corrective action to realign section performance with budget plan. + Compliance : Designs and implements processes to maintain compliance with all ... with administrative leadership and Radiology Information Services to improve billing and collections processes. Meets regularly with Patient Financial Services… more
    Beth Israel Lahey Health (08/09/25)
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