• Hierarchical Condition Category (HCC)…

    Highmark Health (Boston, MA)
    Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) ... None **Substitutions** + None **Preferred** + Associate degree in medical billing / coding , health insurance, healthcare or related field preferred. **EXPERIENCE**… more
    Highmark Health (09/26/24)
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  • Inpatient Coding Specialist - Fully…

    Tufts Medicine (Burlington, MA)
    …assigned. **Job Description** **Minimum Qualifications:** 1. High school diploma or equivalent. 2. Certified Coding Specialist (CCS), Certified Inpatient ... reports with leadership to identify discrepancies. 5. Reviews audit lists regarding coding / billing changes, as well as denial reports. 6. Identifies and… more
    Tufts Medicine (09/21/24)
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  • Support Specialist , Risk Adjustment…

    Evolent Health (Boston, MA)
    …the mission. Stay for the culture. **What You'll Be Doing:** The **Risk Adjustment HCC Coding Support Specialist ** at Evolent will be an intricate part of the ... You Will Be Doing:** As a Risk Adjustment HCC Coding Support Specialist , you will perform a...Required** + 2+ years in a Risk Adjustment HCC coding role as a Certified Risk Adjustment… more
    Evolent Health (09/25/24)
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  • Revenue Integrity Specialist

    Children's Hospital Boston (Boston, MA)
    …integrity and charge capture policies and procedures. + Coordinates new Attending and Fellow billing and coding training. + Act as the single point of contact ... Diploma / GED + 5 years of experience within a hospital or healthcare billing setting + Certified Professional Coder + Knowledgeable in revenue cycle operations… more
    Children's Hospital Boston (08/22/24)
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  • Pharmacy Operations Specialist

    Commonwealth Care Alliance (Boston, MA)
    …with Medicare Parts B and D and/or Medicaid Plans preferred. + 3 years' coding , billing , auditing of healthcare claims, or investigative experience (for a + ... This Role is Important to Us:** The Pharmacy Operations Specialist is responsible for supporting the operational functions of...Level I position) or 5 years' coding , billing , and auditing of healthcare claims,… more
    Commonwealth Care Alliance (08/31/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Manchester, NH)
    …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified more
    Elevance Health (09/17/24)
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