• 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) ... 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
    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...integrated health system, including vendor-supported services. The leader ensures coding practices are accurate, compliant with regulations, and standardized… more
    Intermountain Health (08/08/25)
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  • Medical Director - Commercial…

    CVS Health (Boston, MA)
    …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise ... have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical more
    CVS Health (08/08/25)
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  • Coding Validator 3

    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 ... correct APC assignment and other imbursement impacting elements. The Coding Validator III works closely with the Director...support coding accuracy and consistency.** Responsible for coding all types of outpatient medical records… more
    Beth Israel Lahey Health (07/12/25)
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  • Special Investigation Unit (SIU) Coding

    CVS Health (Boston, MA)
    …coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical , behavioral, ... coding and appropriate documentation during the review of medical records. This role requires a strong focus on...contact for the team in the absence of the director , ensuring continuity of operations and support. + Develop… more
    CVS Health (08/08/25)
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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 appeals processes,… 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) ... 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
    East Boston Neighborhood Health Center (07/02/25)
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  • Medical Director - South Central

    Humana (Boston, MA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (07/11/25)
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  • Medical Policy Director

    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 ... services specific to the population serviced by CCA. The Medical Policy Director is an independent contributor...analysis + Power point, excel and word proficiency + Medical Billing and Coding Certification EEO is… more
    Commonwealth Care Alliance (05/31/25)
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  • Director Clinical Documentation Integrity

    Tufts Medicine (Burlington, MA)
    …Overview** The position is responsible for CDI program strategy and oversight. The Director will partner with the Senior Director , Clinical Revenue Cycle to ... in cooperation with multiple revenue cycle and hospital departments, such as Coding , Utilization Management (UM), Case Management, Quality and Physician advisors and… more
    Tufts Medicine (07/04/25)
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