- CODAMETRIX (Boston, MA)
- …care. Overview Reporting to the Senior Manager, Medical Coding & Audit, as a Medical Coder II /III, this role will be a key member of the team responsible ... for ensuring that CodaMetrix meets-and exceeds-our customers' coding quality expectations. You will leverage your strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and… more
- Intermountain Health (Boston, MA)
- …Academy of Professional Coders (AAPC) with coding certification of Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Inpatient ... Coder (CIC) or Certified Coding Associate through AHIMA (CCA) required Preferred Associate Degree in Health Information or in a Healthcare related field Minimum of three years coding experience in a hospital or acute care setting is required, using both ICD… more
- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** Hospital Outpatient Coder II assigns applicable Present on Admission (POA), Hospital Acquired ... from DRG Validator and adjusts accordingly for optimization of account **Additional Level II Responsibilities** 1. Codes high dollars and long lengths of stay. 2.… more
- Elevance Health (Woburn, MA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II ** is responsible for identifying issues and/or entities that may… more
- Intermountain Health (Boston, MA)
- …hire. Plus one of the following certifications: Current certification as a coder through AAPC or American Health Information Management Association (AHIMA), or ... Healthcare Finance Management Association (HFMA). Three (3) years of direct related experience in revenue cycle operations in an acute and medical office. Preferred Bachelors Degree is preferred Proficiency in EPIC is preferred Prior educator, preceptor,… more
- Highmark Health (Boston, MA)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures… more
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