• Senior Billing Compliance Reviewer

    Dana-Farber Cancer Institute (Brookline, MA)
    …of Billing Compliance, the Senior Billing Compliance Reviewer ensures the integrity , accuracy, and regulatory compliance of Dana-Farber Cancer Institute's hospital ... to physicians, Advanced Practice Providers (APPs), nursing/infusion teams, coding, and revenue cycle staff on documentation, coding, and billing requirements; update… more
    Dana-Farber Cancer Institute (12/04/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …Zelis, Lyric or other editing tools + Extensive knowledge and experience in Healthcare Revenue Integrity , Payment Integrity , and Analytics + 5+ years of ... logic, related Medicare/Medicaid policies for review/approval through the Payment Integrity governance process. **Supervision Exercised:** + No, this position does… more
    Commonwealth Care Alliance (11/25/25)
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  • Division Chief, Financial Investigations

    State of Massachusetts (MA)
    …staff perform these reviews as part of suitability evaluations for financial integrity , financial stability, and financial background. Under the direction of the ... other gaming regulatory agencies characterized by a high level of acceptance, integrity , cooperation, and mutual regard . Recognize and promptly escalate potentially… more
    State of Massachusetts (12/06/25)
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  • Billing Compliance Reviewer

    Dana-Farber Cancer Institute (Brookline, MA)
    …clinical and administrative leadership. + Partner with clinical providers, coding/HIM, revenue integrity , pharmacy, nursing, research billing, and practice ... actions to mitigate compliance risk. The role evaluates the accuracy and integrity of hospital and professional billing practices to ensure compliance with federal… more
    Dana-Farber Cancer Institute (12/04/25)
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