• Medical Coding Specialist

    LogixHealth (Bedford, MA)
    …ED pro /facility coder production, other specialties and consistently meet LogixHealth coding industry standards + Monitor and track use of operational production ... of new and established client production opportunities for the coding staff + Assign work to staff and ensure...required. Preferred: + Prior Emergency Department specific, or related, coding background with a familiarity of different types of… more
    LogixHealth (05/05/25)
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  • Inpatient Coding Specialist (Coder…

    Tufts Medicine (Burlington, MA)
    …**Minimum Qualifications:** 1. High school diploma or equivalent. 2. Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health ... coding system, DRG, APG, , Government and Commercial payor policies, Coding Clinic, disease processes, medical terminology, anatomy and physiology. 7.… more
    Tufts Medicine (07/22/25)
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  • Coding Quality & Operations…

    Boston College (Chestnut Hill, MA)
    …of $1.4 billion, and an endowment in excess of $3.5 billion. **Job Description** The Coding Quality & Operations Specialist will serve an essential role for the ... remission for Spouses and Children who meet eligibility requirements + Generous Medical , Dental, and Vision Insurance + Low-Cost Life Insurance + Eligibility for… more
    Boston College (07/02/25)
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  • DRG Coding Auditor

    Elevance Health (Woburn, MA)
    …certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. + Requires ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for… more
    Elevance Health (07/22/25)
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  • Coding Auditor Educator

    Highmark Health (Boston, MA)
    …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
    Highmark Health (05/09/25)
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  • Coding Validator 3

    Beth Israel Lahey Health (Charlestown, MA)
    …and partners with CDI for joint department education bi-monthly. + Responsible for coding all types of inpatient medical records with efficiency and accuracy. ... Improvement Specialist (CDIS) and clinical staff to evaluate inpatient coding and CDIS assignment; offers recommendations to redesign these processes in order… more
    Beth Israel Lahey Health (07/12/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance, Payment Integrity and Analytics + Direct and ... Medical Association (AMA) guidelines, etc.) + Advanced experience of medical terminology and medical coding (CPT, HCPCS, Modifiers) along with the… more
    Commonwealth Care Alliance (05/28/25)
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  • Sr. Claims Specialist , Medical…

    Sedgwick (Boston, MA)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** : To analyze complex or ... technically difficult medical malpractice claims; to provide resolution of highly complex...+ Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to… more
    Sedgwick (06/21/25)
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  • CDQI Nurse Specialist - Full Time - Remote

    Datavant (Boston, MA)
    …healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in elevating the impact of ... our medical record documentation. You will conduct daily evaluations and...secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the… more
    Datavant (07/26/25)
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  • Cash Application Specialist

    Beth Israel Lahey Health (Burlington, MA)
    …processing electronic and manual charge and cash revenue transactions into the electronic medical record. The Single Billing Office Cash Specialist provides a ... sensitive standards The primary role of the SBO Cash Specialist is to act as a liaison to our...behavioral expectations of the department and Lahey Hospital and Medical Center. Maintain courteous and effective interactions with colleagues… more
    Beth Israel Lahey Health (07/19/25)
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