- CenterWell (Boston, MA)
- …be the ambassador for value-based, senior care model in the primary care network. The Associate Director , Clinical Coding Education (RN) will develop, ... addition to managing a team of role-based trainers and training facilitators. The Associate Director , Clinical Coding Education (RN) role will report to… more
- Conviva (Boston, MA)
- …Clinical Excellence team under the CenterWell Primary Care Organization. This role reports to Associate Director of coding education and has a dotted line ... reporting to divisional clinical educators. Clinical Coding Educator...(collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and… more
- Sanofi Group (Cambridge, MA)
- The Clinical Research Director (CRD) is noted as the **primary clinical expert for programs** . The role requires a well-organized, strategic and ... key functional reps + Take on as necessary the Associate CRD role: + Provide medical expertise to the...review and finalize WSIs, study protocols and reports + Clinical Scientists, Medical review team and Coding … more
- Humana (Boston, MA)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Boston, MA)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Beth Israel Lahey Health (Boston, MA)
- …disputes, listens attentively to patient concerns, works with coders requesting coding documentation review to determine correct code(s) selection, provides patient ... of payer prior authorization forms, faxing completed PA forms and all necessary clinical documentation to the payer for review, records prior authorization #, when… more