- CVS Health (Boston, MA)
- …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise ... Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight...will focus primarily on review appeal cases for denied medical services . This includes First Level Appeals… 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 deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical...to ongoing Revenue Cycle success. The HMS HIM & Coding Director leads the Baystate HIM &… more
- Intermountain Health (Boston, MA)
- …and financial success across the integrated health system, including vendor-supported services . The leader ensures coding practices are accurate, compliant ... for you and your family. Our generous package includes medical , dental, and vision coverage. But health is more...and/or a relocation bonus when applicable. As the Senior Director of Hospital Coding , you will: +… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a job, you're making a difference in people's lives.** Under general supervision of the Director of Coding and Validation, the Coding Validator III is ... modifiers to assure the correct APC assignment and other imbursement impacting elements. The Coding Validator III works closely with the Director of Coding … more
- Humana (Boston, MA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Boston, MA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs within a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- LogixHealth (Bedford, MA)
- …GA, MA, MI, MO, NC, NH, OH, OK, TN, TX, WI, WV This Role: The Director of Client Services is the contact for assigned LogixHealth clients after an implementation ... has been completed. The Director will be responsible for ensuring client satisfaction, serving...social events. About LogixHealth: At LogixHealth we provide expert coding and billing services that allow physicians… more
- 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) ... care. Due to the wide scope of practice, the medical director will need to be an...of grant writing and reporting + Works closely with coding and billing departments to assure proper coding… more
- Beth Israel Lahey Health (Burlington, MA)
- …with Medical Leadership, and reports directly to the Executive Director . **Job Description:** **Essential Duties & Responsibilities** including but not limited ... workflows to ensure best practices are followed in patient care, documentation, coding , and medical record maintenance. 4. Collaborate with clinical teams… more
- Commonwealth Care Alliance (Boston, MA)
- 011200 CCA-Central Clin Ops Leadership **Position Summary:** Reporting to the Sr. Medical Director of Utilization Management (UM) and Policy, the Medical ... medical , behavioral health, and social determinants of health services specific to the population serviced by CCA. The... specific to the population serviced by CCA. The Medical Policy Director is an independent contributor… more