- CVS Health (Boston, MA)
- …Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding , and reimbursement expertise ... well as directing case management when necessary. The Medical Director will act as a business and clinical... Director will act as a business and clinical liaison to network providers and facilities if needed,… more
- Huron Consulting Group (MA)
- …now and create your future. Baystate Health is seeking a dynamic and strategic Coding Director to lead and advance our Health Information Management (HIM) ... and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient...to ongoing Revenue Cycle success. The HMS HIM & Coding Director leads the Baystate HIM &… more
- Intermountain Health (Boston, MA)
- …may offer a sign-on and/or a relocation bonus when applicable. As the Senior Director of Hospital Coding , you will: + Cultivate exceptional relationships and ... **Job Description:** The Senior Director of HIM (Health Information Management) holds a...integrated health system, including vendor-supported services. The leader ensures coding practices are accurate, compliant with regulations, and standardized… more
- Tufts Medicine (Burlington, MA)
- …strategy and oversight. The Director will partner with the Senior Director , Clinical Revenue Cycle to strategically plan, organize, implement, and evaluate ... Management (UM), Case Management, Quality and Physician advisors and leaders. The Director oversees the manager and clinical documentation specialists (CDSs) in… more
- Tufts Medicine (Burlington, MA)
- …MA **Job Overview** This role oversees the functions and personnel in the Clinical Documentation Integrity (CDI), Coding , HIM Operations, and Utilization Review ... Patient Financial Services (PFS), and Revenue Integrity providing direction on clinical documentation and coding -related guideline compliance, best practice… more
- Lumeris (MA)
- …its people and empowers you to make an impact. **Position:** Medical Director , Clinical Informatics and Content Standards **Position Summary:** The Medical ... Director , Clinical Informatics & Content Standards will...responsible AI use. **Job Description:** **Key Responsibilities:** + Oversee clinical NLP extraction, coding , and mapping for… more
- Aveanna Healthcare (Worcester, MA)
- Home Health RN Clinical Director 15K Sign On Bonus ApplyRefer a FriendBack Job Details Requisition #: 207179 Location: Worcester, MA 01606 Category: Nursing ... plan and $15k Sign-On Bonus ** Position Overview TheClinical Director Home Healthis a qualified professional responsible for the...members of the health care team by leading the clinical program with excellence. Essential Job Functions + Complies… more
- Datavant (Boston, MA)
- …to deliver complex healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, ... experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the… more
- Humana (Boston, MA)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- East Boston Neighborhood Health Center (East Boston, MA)
- …10 Gove Street - Taylor Building Position Summary: Position Summary: The Medical Director of Psychiatry and the Behavioral Health Urgent Care (BHUC) Department is ... responsible for the clinical operations and the clinical development of...Due to the wide scope of practice, the medical director will need to be an experienced psychiatrist. This… more