- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Degree Required Experience (must have): + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding … more
- Humana (Boston, MA)
- …caring community and help us put health first** The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 for the Financial Recovery ... and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding ...of medical claims knowledge and/or claims processing experience within the healthcare industry.… more
- LogixHealth (Bedford, MA)
- …with MS Excel and Outlook required; Microsoft Teams experience is a plus + Medical office background, Coding experience and/or certification is a plus Specific ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- LogixHealth (Bedford, MA)
- …School Diploma or equivalent combination of education and experience required + Certified in Medical Coding or currently actively pursuing a Medical ... Excel and MS Word required. + Prior experiences in medical /clinical setting required + 2 or more years in...management services, offering a complete range of solutions, including coding and claims management and the latest… more
- LogixHealth (Bedford, MA)
- …ien ce: Priorex pe r ie nce an dpro fi c ie ncywith MS Exc el and medical background r eq uired Coding experience and/or certification is a plus. Spe cificJ ob ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- LogixHealth (Bedford, MA)
- …Diploma or equivalent combination of education and experience required 2. Baseline knowledge of medical coding or currently in a certification program is a plus ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- Elevance Health (Boston, MA)
- … processing. + Responsible for monitoring Medicare changes as they relate to claims payment and methodologies, benefits and coding and billing. + Develop ... **Anticipated End Date:** 2024-09-09 **Position Title:** Rating/ Claims System Senior Advisor **Job Description:** **Rating/ Claims...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- LogixHealth (Bedford, MA)
- …Excel, and Outlook Preferred: + One to two years related experience + Healthcare industry knowledge + Medical billing experience Benefits at LogixHealth: We ... revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting… more
- Commonwealth Care Alliance (Boston, MA)
- …commercial coding rules/ regulatory requirements + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ... + Develops and maintains corporate reimbursement policies, and works collaboratively with the Claims Coding Analyst to ensure consistency with the Plan's … more
- LogixHealth (Bedford, MA)
- …revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting ... Signing Bonus Location: On-Site in Bedford, MA This Role: As a Senior Healthcare Contract Negotiator at LogixHealth, you will work closely with the Contract Manager… more
- Commonwealth Care Alliance (Boston, MA)
- … experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , ... public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance, Payment Integrity and Analytics + Direct and… more
- Sutherland Global Services (Boston, MA)
- Have you kept up with the changes in medical coding , physician practices, and the healthcare industry in general? Are you proficient with ICD-10, CPT and ... and we've contracted with some of the country's largest healthcare systems and physician practices to help support their...coding for multi-specialty practices + Thorough knowledge of medical terminology and medical abbreviations and the… more
- Fresenius Medical Center (Waltham, MA)
- …MEDICAL CODER FOCUS** **:** + Must have 2+ years of "Denials" experience within medical healthcare coding + Requires strong Excel skills + Requires ... Required. **EXPERIENCE AND REQUIRED SKILLS:** + Requires 2+ years' related Denials Medical Coding experience + Great computer skills with demonstrated… more
- Atrius Health (Chelmsford, MA)
- …Bachelor's degree (or equivalent education, training or experience) required. o Certification in medical coding is preferred including CCS, CCS-P, CPC or other ... of complex medical necessity and billing policy related to denied claims for all payers. In accordance with department policies and procedures responsible for… more
- LogixHealth (Bedford, MA)
- …revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting ... Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and coders to provide cutting edge solutions that will… more
- Point32Health (Canton, MA)
- …Preferred: 8-10 years of related work experience **Skill Requirements** + Knowledge of medical billing and coding , healthcare regulations, and industry ... crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies,...claims submitted. + Stay up to date with healthcare regulations and industry standards to ensure that all… more
- WellSense (Boston, MA)
- …Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our ... Competitive salaries . Excellent benefits **Key** **Functions/Responsibilities:** + Understand the claims encounter data requirements in detail to ensure claims … more
- LogixHealth (Bedford, MA)
- …Preferred: + One to two years related experience + Experience with document management, medical records, or a coding background + Electronic medical record ... collaborative environment and will bring your expertise to process medical records that have been reviewed by Coders and...management services, offering a complete range of solutions, including coding and claims management and the latest… more
- LogixHealth (Bedford, MA)
- …prior word processing, spreadsheet, and internet software experience Preferred: + Prior medical Billing/ Coding experience preferred + One or more years related ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- Humana (Boston, MA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more