- Humana (Boston, MA)
- …part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ... guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation and independent… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to determine appropriate ... procedural terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- WelbeHealth (Boston, MA)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... **Essential Job Duties:** + Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual...programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with Coding … more
- Datavant (Boston, MA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. +… more
- Datavant (Boston, MA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and… more
- Commonwealth Care Alliance (Boston, MA)
- …the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing ... and clinical coding and reimbursement edits and necessary coding ...+ Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to have):** + Masters… more
- Coinbase (Boston, MA)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more
- Astellas Pharma (Westborough, MA)
- …etc. **Preferred:** + Specialized knowledge of industry-related niche topics: bar coding , cell culture, auditing techniques, QC methods, HEPA filtration science, ... considerations. + ASQ certifications (eg, certified quality engineer, quality auditor , quality professional, etc.) + Experience with an electronic document… more