- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** **Position Summary:** The FWA Investigator Coder Sr. Associate is an integral part of the Fraud, Waste & Abuse (FWA) Special ... departments related to review processes and results. Sr Associate, FWA Investigator Coder utilizes claim analysis, document review, coding knowledge and applies FWA… more
- Tufts Medicine (Burlington, MA)
- …the guidance of the VP of Quality, Compliance and Risk, the Home Health Coder -QA Specialist provides guidance to other members of the clinical team on overall ... quality and completeness of clinical documentation. + The Home Health Coder -QA Specialist is responsible for assigning ICD 10 diagnoses codes to ensure accuracy and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …key role in our expansive BILH System Services Revenue Cycle Department. As a Medical Coder you will utilize your accredited certified coding experience and ... you're making a difference in people's lives.** The BILH Coder position is available with a fully remote...and sequences principal, secondary, and procedure based on provider medical record information to ensure accurate DRG assignment and… more
- Children's Hospital Boston (Boston, MA)
- …be considered a qualified candidate, you must be a seasoned and strong surgical coder with understanding of CCI edits and guidelines along with all the surgical ... and global periods and with experience writing appeals and NOC letters. Surgical coder candidates should have the skillset to work independently on their assigned… more
- Children's Hospital Boston (Boston, MA)
- …Hours per Week:40 Job Posting Category:FinanceJob Posting Description: The Physician Medical Coder will be responsible for: + Performs complex ... and CPT review and validation or ASA coding for assigned primary or medical departments. + Establishes and maintains working relationships with Physicians in order… 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 HCPCS ... ask about our new Global Flexible Vacation Policy!) + Medical , dental, and vision benefits, EAP - and 401K...religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected… more
- Beth Israel Lahey Health (Woburn, MA)
- …a job, you're making a difference in people's lives.** Based in Winchester, the Inpatient Coder III has a remote /hybrid work arrangement (2 days on site and 3 ... days remote ). This position is responsible for the assignment of...**Essential Responsibilities:** + Reviews the complete electronic and paper medical record of discharged patients. Assigns ICD-10-CM diagnosis and… more
- Tufts Medicine (Burlington, MA)
- …and validations of Medicare, Medicaid, Commercial HCCs and DxCG's through medical record reviews. Reviews provider documentation for ICD-10-CM codes to verify ... documentation as it pertains to coding and risk adjustment guidelines. Reviews medical records to determine if diagnostic codes (ICD-10-CM) as well as Current… more
- Commonwealth Care Alliance (Boston, MA)
- …employment -- + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education ... direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective… more
- Highmark Health (Boston, MA)
- …including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and ... identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently...**What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company… more
- Elevance Health (Woburn, MA)
- …Payment Integrity line of business** _Location: This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles from our ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Nurse Audit Lead** is responsible for leading a… more