• Medical Director - Medicare Appeals

    CVS Health (Boston, MA)
    …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding , and reimbursement expertise as ... / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight...directing case management when necessary. The Medical Director will act as a business and clinical more
    CVS Health (08/08/25)
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  • Director - Health System Coding

    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) ... 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
    Huron Consulting Group (07/18/25)
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  • Senior Director Hospital Coding

    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...with diverse stakeholders including across revenue cycle, executive leaders, clinical teams, medical staff and DTS. +… more
    Intermountain Health (08/08/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Boston, MA)
    …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be ... coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and...healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder)… more
    Evolent (08/14/25)
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  • Medical Director , Clinical

    Lumeris (MA)
    …that values 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
    Lumeris (07/29/25)
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  • Director Clinical Documentation…

    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 (07/04/25)
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  • Senior Director Clinical Revenue

    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
    Tufts Medicine (07/04/25)
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  • Home Health RN Clinical Director 15K…

    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
    Aveanna Healthcare (08/12/25)
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  • Medical Director - Florida

    Humana (Boston, MA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and… more
    Humana (07/29/25)
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  • Medical Director of Behavioral…

    East Boston Neighborhood Health Center (East Boston, MA)
    …Locations: 10 Gove Street - Taylor Building Position Summary: Position Summary: The Medical Director of Psychiatry and the Behavioral Health Urgent Care (BHUC) ... responsible for the clinical operations and the clinical development of medical staff in both...care. Due to the wide scope of practice, the medical director will need to be an… more
    East Boston Neighborhood Health Center (07/02/25)
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