• Inpatient DRG Quality Auditor

    Humana (Boston, MA)
    …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital...focus on DRG audits. You will also drive process improvement initiatives and develop educational materials. This is a… more
    Humana (07/25/25)
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  • DRG Coding Auditor

    Elevance Health (Woburn, MA)
    …as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops high quality , high value concept and or process improvement and efficiency ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ _This...Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical… more
    Elevance Health (07/22/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Boston, MA)
    …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to… more
    Datavant (08/01/25)
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  • Compliance Auditor -Per Diem-Day Shift

    Baystate Health (Springfield, MA)
    …work is administrative. **Job Responsibilities:** **1)** Performs detailed reviews of clinical documentation for provider services using MDAudit based on determined ... carrier guidelines. Reviews billing documentation to identify areas where appropriate improvement to billing or documentation would enable more accurate billing.… more
    Baystate Health (06/23/25)
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  • Human Research Quality Manager, School…

    Boston University (Boston, MA)
    …Research Protection Program in identifying and developing educational priorities and quality improvement initiatives. As applicable, this individual will be ... Research Protection Program in identifying and developing educational priorities and quality improvement initiatives. As applicable, this individual will be… more
    Boston University (07/09/25)
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  • Operations Associate Cardiac Monitor Tech, Part…

    Baystate Health (Springfield, MA)
    **Baystate Health, a nationally recognized leader in healthcare quality and safety, is looking for a Part Time Operations Associate/Cardiac Monitor Technician to ... Springfield, MA **THE ADVANTAGES OF WORKING WITH BAYSTATE!** + Excellent Compensation High- quality , low-cost medical, dental and vision insurance + Generous PTO - up… more
    Baystate Health (07/30/25)
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  • Operations Associate, Full Time Days, No Weekends

    Baystate Health (Springfield, MA)
    **Baystate Health, a nationally recognized leader in healthcare quality and safety, is looking for a Full Time Operations Associate to join our team in Springfield, ... Springfield, MA **THE ADVANTAGES OF WORKING WITH BAYSTATE!** + Excellent Compensation High- quality , low-cost medical, dental and vision insurance + Generous PTO - up… more
    Baystate Health (08/02/25)
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  • Auditing & Compliance Director - Software as…

    Wolters Kluwer (Waltham, MA)
    …consistent practices across the company. You will report to the VP, Clinical Content Management **RESPONSIBILITIES** ** Quality Management and Compliance** + ... approved locations on the posting). **OVERVIEW** You will be the global product quality lead in support of a broad portfolio of on-market medical devices including… more
    Wolters Kluwer (06/11/25)
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