• Medical Records Inpatient

    Children's Hospital Boston (Boston, MA)
    76785BRJob Posting Title: Medical Records Inpatient Coding Specialist (Remote)Department:Finance-Patient Financial ... required for reimbursement and maintenance of patient database. The Medical Records Coding Specialist will...is required. + Four years of acute care hospital-based inpatient coding experience is required + Current… more
    Children's Hospital Boston (03/21/25)
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  • Coding Auditor Educator

    Highmark Health (Providence, RI)
    …:** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to ... arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical more
    Highmark Health (02/07/25)
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  • Outpatient Coding Specialist

    Brockton Hospital (West Bridgewater, MA)
    …in cultures, values, beliefs and ages, utilizing interpreters when needed. + Analyzes medical information from medical records . Accurately codes diagnostic ... and abstracts diagnoses and/or surgical procedures outpatient services, and/or emergency room records using ICD 10 CMand CPT 4 coding classification systems.… more
    Brockton Hospital (03/04/25)
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  • Coder II (Cath Lab)

    Baylor Scott & White Health (Providence, RI)
    …experience. **ESSENTIAL FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, ... or more types of outpatient, Profee, or low acuity inpatient coding . The Coder 2 may code...abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of… more
    Baylor Scott & White Health (01/31/25)
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  • Consultant, Ethics & Compliance (Audit)

    Cardinal Health (Providence, RI)
    …adequacy of documentation and coding related to physician or hospital ( inpatient and outpatient) billing and/or medical necessity reviews. + Evaluates the ... insufficiencies. + Facilitates assigning of ICD-9 and ICD-10 codes by analyzing patient medical records . + Maintains a functional knowledge of enterprise EMRs,… more
    Cardinal Health (03/18/25)
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  • Medical Director - Care Plus - Florida

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (03/18/25)
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  • Medical Director - Medicaid N. Central

    Humana (Providence, RI)
    …possible participation in care management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will ... caring community and help us put health first** The Medical Director relies on medical background and...to complex clinical scenarios, review of all submitted clinical records , prioritization of daily work, communication of decisions to… more
    Humana (03/11/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Providence, RI)
    **JOB SUMMARY** Accountable for reviewing member records to accurately maximize risk scoring in keeping with Baylor Scott and White Health risk adjustment strategies ... health record documentation to code and abstracts diagnoses and/or procedures for inpatient , outpatient, and clinic cases + Conducts focused HCC reviews on providers… more
    Baylor Scott & White Health (03/13/25)
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  • Physician Medical Director - LTSS

    Humana (Providence, RI)
    …and help us put health first** The Long-term services and supports (LTSS) Medical Director's primary responsibility is the review of medical authorizations to ... necessity of a given service, level of care, or medical item/supply. The Medical Director's work assignments...to complex clinical scenarios, review of all submitted clinical records , prioritization of daily work, communication of decisions to… more
    Humana (01/25/25)
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  • CDS Trainee - LMC

    Prime Healthcare (Woonsocket, RI)
    …is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the clinical documentation ... Overview At Landmark Medical Center, our dedicated team of professionals is...of patient care. Other responsibilities include conducting documentation for inpatient admission criteria, initial and extended-stay concurrent reviews on… more
    Prime Healthcare (03/20/25)
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  • Office Support Specialist I - On Grounds Program

    State of Massachusetts (Taunton, MA)
    …Knowledge of the terminology, coding , symbols and standards abbreviations used in medical records work. * Ability to gather information by examining ... policies and procedures by determining the proper filing of medical records folders. . Responds to requests...of the Taunton/Attleboro Site that transitions clients from an inpatient setting to a more independent community living setting.… more
    State of Massachusetts (03/15/25)
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  • HVAC Refrigeration Mechanic II

    State of Massachusetts (Boston, MA)
    …maintenance, and repair of HVAC and electrical systems. * Utilize terminology, coding , symbols, and abbreviations in HVAC installations. * Apply methods and ... the heart of Boston's Jamaica Plain neighborhood, the Shattuck Hospital includes 248 inpatient beds including 95 Psychiatric beds and 29 Correctional Health beds. In… more
    State of Massachusetts (02/20/25)
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