• Risk Coder

    Brockton Hospital (West Bridgewater, MA)
    …Summary: Under the general supervision of the Ambulatory Coding Manager, and the Senior Risk Coder , the primary function of this position is to ensure accurate ... problem solving and performance monitoring for associates. Works with Senior Risk Coder and Team members to perform Retrospective audits for identified open… more
    Brockton Hospital (07/03/24)
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  • Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Boston, MA)
    …and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified ... will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act… more
    Highmark Health (06/28/24)
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  • Senior Coding Educator

    Humana (Boston, MA)
    …Live in EST or CST states **Preferred Qualifications** + Bachelor's degree + Certified Risk Coder (CRC) + Experience interacting with healthcare providers + CPC- ... Coding Educator is responsible for creating and executing the risk adjustment strategy for each provider groups. + Analyzes...more years of experience as a CPC (Certified Professional Coder ) certification through AHIMA or AAPC + Medical record… more
    Humana (07/19/24)
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  • Sr Risk Adjustment Specialist

    Atrius Health (Newton, MA)
    …of a State-approved program/school for Physician Assistants (PA). Certification as professional coder (CPC, CCS-P, CCS, CPC-H, CRC- risk , AAPC) preferred with the ... record reviews to ensure that all documented chronic disease (HCC or other risk model) diagnoses are captured allowing the opportunity for optimal health risk more
    Atrius Health (05/10/24)
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  • Risk Adjustment Specialist - Per Diem

    Atrius Health (Newton, MA)
    …of a State-approved program/school for Physician Assistants (PA). Certification as professional coder (CPC, CCS-P, CCS, CPC-H, CRC- risk , AAPC) preferred with the ... disease (HCC) diagnoses are captured allowing the opportunity for optimal health risk scores. Reviews clinical data from EpicCare and outside claims to ensure… more
    Atrius Health (06/19/24)
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  • Analyst - Compliance Center of Excellence

    CVS Health (Cumberland, RI)
    …Coram, Healthspire and other lines of business. Support will consist of documenting risk topic walkthroughs and test plans with the compliance lead reviewer and ... related to medical coding & billing and certification (Professional Coder CPC). + 1+ year of experience or college...related to compliance, auditing, regulatory reporting, quality assurance, or risk assessments OR 1+ years of experience or college… more
    CVS Health (07/04/24)
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  • Sr Software Engineer - Surgical Robotics

    Medtronic (Boston, MA)
    …Design and implementation of safety critical software - this includes aspects of risk analyses, Failure Modes and Effects Analysis, Redundancy , Coding Standards and ... analysis, debugging, and source control (git preferred) + Familiarity with Simulink Coder and an in-depth understanding of code generation + Knowledge of mathematics… more
    Medtronic (05/17/24)
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  • Sr Software Engineer - Surgical Robotics

    Medtronic (Boston, MA)
    …+ Analyze the software for failure modes and develop solutions that mitigate risk . + Contribute updates to your team's software documentation and architecture. + ... developing software in Simulink, including experience with Stateflow and Simulink Coder + Experience using common software development tools on Linux, including… more
    Medtronic (05/11/24)
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