- Datavant (Boston, MA)
- …realize our bold vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and ... Observation and I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts...SDS, ED, Observation and I&I** + 5+ years of outpatient facility coding experience and/or auditing + CCS (preferred),… more
- Beth Israel Lahey Health (Charlestown, MA)
- …or other qualified health care provider services. Coding of inpatient and outpatient Evaluation and Management by assigning the appropriate CPT, ICD-10-CM and HCPCs ... 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 (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
- 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
- Highmark Health (Boston, MA)
- … Outpatient ): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials ( Outpatient ): Certified Professional Coder ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and… more
- Elevance Health (Woburn, MA)
- …principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical guidelines, ... and industry knowledge to substantiate conclusions. + Utilizes audit tools and auditing workflow systems and reference information to make audit determinations… more
- Baylor Scott & White Health (Boston, MA)
- …include professional fee surgical procedures, day surgery, emergency department, outpatient visits, observation, or inpatient records. Reviews records to validate ... 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