• Special Investigation Unit Manager Clinical…

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

    CVS Health (Boston, MA)
    …more personal, convenient and affordable. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with ... to testify **Required Qualifications** - AAPC Coding certification - Certified Professional Coder (CPC) - 3+ years of experience in medical coding or documentation… more
    CVS Health (12/21/24)
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  • Coder III

    Beth Israel Lahey Health (Charlestown, MA)
    …general supervision of the IP Coding Manager and IP Coding Supervisor, the IP Coder the review of inpatient record and accurate, timely, and compliant assignment of ... the correct MS-DRG, APR DRG, SOI assignment. The IP coder will work closely with the Coding leadership, IP...coding guidelines and its publication Coding Clinic. The IP coder is also responsible for meeting or exceeding quality… more
    Beth Israel Lahey Health (12/10/24)
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  • Senior Coder

    Beth Israel Lahey Health (Boston, MA)
    …just taking a job, you're making a difference in people's lives.** The Senior Coder opportunity will be working with Beth Israel Deaconess Medical Center in Boston, ... + High School diploma or GED required. + Certificate 1 Certified Professional Coder required., or Certificate 2 Certified Coding Specialist required. + 3-5 years… more
    Beth Israel Lahey Health (12/20/24)
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  • Certified Professional Coder

    Beth Israel Lahey Health (Charlestown, MA)
    …judgment within the scope of their professional practice, the Certified Professional Coder performs a variety of tasks associated with coding physician and other ... recognized Coding Certificate. Licensure, Certification, Registration: CPC (Certified Professional Coder through American Academy of Professional Coders) or CCS-P… more
    Beth Israel Lahey Health (12/10/24)
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  • HIM Coder

    Lawrence General Hospital (Methuen, MA)
    …resource for day-to-day coding operations. Reviews daily control reports, workload, coder assignments and coverage. Assists in reconciling coding and billing edits ... or other issues hat preclude timely billing. Responds to delays with outstanding queries, status changes, uncoded or incomplete charts. Assists with cross-training, denials management, appeals, and education plans. Makes recommendations and immediately reports… more
    Lawrence General Hospital (12/21/24)
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  • Certified Medical Coder - MA Only Remote

    Atrius Health (Newton, MA)
    …**Job:** **Other Allied Health* **Organization:** **Finance* **Title:** *Certified Medical Coder - MA Only Remote* **Location:** *Newton MA - Riverside* **Requisition ... Atrius Health's 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius… more
    Atrius Health (11/19/24)
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  • Coding Auditor I - Education Program

    Baylor Scott & White Health (Boston, MA)
    …Specialist (CCS) Certified Coding Specialist Physician-based (CCS-P) Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Certified Inpatient ... Coder (CIC) Certified Interventional Radiology Cardiovascular Coder (CIRCC) **BENEFITS** Our competitive benefits package includes the...(CCS) Cert Coding Spec Physician Bas (CCS-P) Cert Inpatient Coder (CIC) Cert Interv Radiology CV Coder more
    Baylor Scott & White Health (12/18/24)
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  • Senior Administrative Lead, Coding

    LogixHealth (Bedford, MA)
    …reviews/revisions + De v el o ps /p r ep ar es Coding Policy for coder production team and client version + Initiates CRM workflow for coding policy additions and or ... grid, and Client Facility Grids + Tracking of audit results / coder booklets + Maintains and updates Coder education E/M manual + Creation of coder quality… more
    LogixHealth (11/05/24)
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  • Coding Specialist

    LogixHealth (Bedford, MA)
    …+ Assist in the development and implementation of ED pro /facility coder production, other specialties and consistently meet LogixHealth coding industry standards + ... coders at the same time + Ability to assess/evaluate skills for many aspects of coder education + Ability to multi-task and remain calm in a stressful fast paced… more
    LogixHealth (11/05/24)
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  • Nurse Audit Senior - Carelon Payment Integrity

    Elevance Health (Woburn, MA)
    …and reimbursement policies highly desired. + Certification as a Professional Coder highly preferred. + Knowledge of auditing, accounting, and control principles ... health care fraud audit/investigation experience preferred. + Certification as a Professional Coder preferred. For candidates working in person or remotely in the… more
    Elevance Health (12/21/24)
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  • Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Boston, MA)
    …billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding ... Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel,… more
    Highmark Health (12/20/24)
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  • Healthcare Medical Claims Coding Sr. Analyst

    Commonwealth Care Alliance (Boston, MA)
    …willing to get certified within 1 year of employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical ... Auditor (CPMA) **Desired Education (nice to have):** + Masters Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding… more
    Commonwealth Care Alliance (11/26/24)
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  • Senior Quality Applications Manager

    LogixHealth (Bedford, MA)
    …billing, and revenue integrity, in all areas including client audits and concerns, coder audits, billing trends, etc. + Ensure cooperative team environment by: + ... Effectively communicating with staff about department and company initiatives + Adjusting procedures as necessary to create process efficiencies + Resolving issues among staff + Encouraging constructive feedback from staff and between team members + Uphold… more
    LogixHealth (12/14/24)
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  • Process Improvement Director-HEDIS

    Elevance Health (Woburn, MA)
    …Six Sigma Black Belt certification preferred. + Certified Professional Coder (CPC) and or professional coding experience preferred. + ... Medicare/Medicaid/Commercial/Exchange line of business experience. + Travels to worksite and other locations as necessary. For candidates working in person or remotely in the below locations, the salary* range for this specific position is $102,600 to… more
    Elevance Health (12/21/24)
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  • Nurse and CPC - Clinical Fraud Investigator II…

    Elevance Health (Woburn, MA)
    …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 ... minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced… more
    Elevance Health (10/01/24)
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  • Autonomous Vehicle Software Engineer

    Aurora Flight Sciences Corporation (Cambridge, MA)
    …- Payload Control. - Model-Based Design and/or Model-Based Test. - Mathworks Simulink/Stateflow Auto- Coder Toolchain. - CMMI (level 3 or higher). - DO-178B. - C/C++, ... Qt, or Java. - Human Machine (HMI) Interactions. - Programming C/C++ Low Level Algorithms. - Microcontrollers and Embedded Processors. Physical Requirements Salary Range (Annualized USD) + Minimum Range: $62,000.00 to $110,000.00 + Maximum Range: $75,000.00 to… more
    Aurora Flight Sciences Corporation (12/14/24)
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  • Lead Clinical Documentation Integrity Specialist

    Spaulding Rehabilitation (Cambridge, MA)
    …and throughout hospitalization to: a) evaluate documentation that supports the coder 's assignment of the reason for admission and/or etiologic diagnosis, principal ... diagnosis, and comorbidities and complications that support the CMG/DRG/PDPM. This does not include a review of the impairment group code assignment for the IRF. b) document, review details for trending purposes. * Conducts concurrent follow up reviews of… more
    Spaulding Rehabilitation (12/03/24)
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  • CDI Specialist I - Risk Adjustment

    Baylor Scott & White Health (Boston, MA)
    …Specialist Outpatient (CCDS-O) Certified Documentation Improvement Practitioner (CDIP) Cert Professional Coder (CPC) 4 years of nursing Acute Care, Quality, or Case ... Management or 4 years of inpatient coding. Knowledge of ICD-10, Complications/Comorbid Conditions and how each determines the final Diagnosis Related Group, Severity of Illness, and Risk of Mortality Able to determine complete, accurate and timely… more
    Baylor Scott & White Health (12/20/24)
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  • Revenue Integrity Specialist

    Children's Hospital Boston (Boston, MA)
    …experience within a hospital or healthcare billing setting + Certified Professional Coder + Knowledgeable in revenue cycle operations + Familiar with insurance ... company processes and procedures + Ability to work with key stakeholders to optimize revenue cycle operations + Ability to train new staff with limited insurance knowledge on medical insurance + System proficiency with Epic, Powerchart, QCC, 3rd party… more
    Children's Hospital Boston (12/17/24)
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