• 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 (12/03/24)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Boston, MA)
    …Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) ... identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong leadership and team management ability Excellent… more
    CVS Health (12/25/24)
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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 (12/20/24)
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  • CDI Specialist I - Risk Adjustment

    Baylor Scott & White Health (Boston, MA)
    …and their role in the final Diagnosis Related Group, Severity of Illness, and Risk of Mortality. **SALARY - WORK MODEL** 100% Remote The pay range for this ... conditions or procedures to support the appropriate severity of illness (SOI), expected risk of mortality (ROM) and complexity of care of the patient through… more
    Baylor Scott & White Health (12/20/24)
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  • Nurse and CPC - Clinical Fraud Investigator II…

    Elevance Health (Woburn, MA)
    …of mutual concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. **Minimum Requirements:** + ... an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including… more
    Elevance Health (10/01/24)
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