• Inpatient Audit Specialist

    Datavant (Boston, MA)
    …and life experiences to realize our bold vision for healthcare. As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and ... Level 1 facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work,...Academic/Trauma Level 1 facility. + 5+ years of facility inpatient coding experience and/or auditing. + CCS (preferred), RHIA… more
    Datavant (07/29/25)
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  • Coding Auditor Educator- Inpatient

    Highmark Health (Boston, MA)
    …:** Allegheny Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials._** **GENERAL ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and… more
    Highmark Health (09/20/25)
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  • Quality & Patient Safety Specialist

    Beth Israel Lahey Health (Cambridge, MA)
    …the Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported quality data by leading the ... optimizing performance on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of safety by specifically focusing on… more
    Beth Israel Lahey Health (08/08/25)
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  • Clinical Appeals Specialist

    Dana-Farber Cancer Institute (Brookline, MA)
    …supervision of the Director of Patient Financial Services, the Clinical Appeals Specialist performs advanced level work related to clinical denial management. The ... a comprehensive review of relevant clinical documentation. The Clinical Appeals Specialist will write compelling arguments based on clinical documentation and payer… more
    Dana-Farber Cancer Institute (09/05/25)
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  • Recovery Specialist Supervisor (Women's…

    Veterans Inc. (Worcester, MA)
    …Substance Abuse Treatment program, which is open to veterans. The Recovery Specialist Supervisor is responsible for the day-to-day oversight and supervision of the ... reports (including narratives and data reports) as needed. Maintains and monitors audit ready client files and documentation as required. + Attends and participates… more
    Veterans Inc. (09/30/25)
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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 5 ... medical-expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
    Elevance Health (10/03/25)
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  • Supervisor, Coding

    Baylor Scott & White Health (Boston, MA)
    …procedures, day surgery, emergency department, outpatient visits, observation, or inpatient records. Reviews records to validate diagnoses, procedures, modifiers, ... This is apart from those by the BSWH HIM Audit team. All coding must use official guidelines from...position requires one of the following: + Certified Coding Specialist (CCS), or + Certified Coding Specialist -Physician… more
    Baylor Scott & White Health (09/10/25)
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  • Certified Outpatient Coder 3

    Beth Israel Lahey Health (Charlestown, MA)
    …of physician or other qualified health care provider services. Coding of inpatient and outpatient Evaluation and Management by assigning the appropriate CPT, ... accuracy standards must be met according to guidelines set by manager.** **Prospective audit of charges entered by providers as well as provide feedback to… more
    Beth Israel Lahey Health (07/18/25)
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