- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Degree Required Experience (must have): + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding … more
- Humana (Boston, MA)
- …**Where you Come In** Humana is looking for an experienced medical coding auditor to (suggest: review inpatient hospital claims for proper reimbursement) ... community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from...payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments.… more
- LogixHealth (Bedford, MA)
- …with MS Excel and Outlook required; Microsoft Teams experience is a plus + Medical office background, Coding experience and/or certification is a plus Specific ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- LogixHealth (Bedford, MA)
- …to enable individuals with disabilities to perform the duties. Required: + Prior medical coding or billing experience; coding certification + Proficiency ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- LogixHealth (Bedford, MA)
- …ien ce: Priorex pe r ie nce an dpro fi c ie ncywith MS Exc el and medical background r eq uired Coding experience and/or certification is a plus. Spe cificJ ob ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- LogixHealth (Bedford, MA)
- …Diploma or equivalent combination of education and experience required 2. Baseline knowledge of medical coding or currently in a certification program is a plus ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- Sedgwick (Boston, MA)
- …maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to ... to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and… more
- LogixHealth (Bedford, MA)
- …Excel, and Outlook Preferred: + One to two years related experience + Healthcare industry knowledge + Medical billing experience Benefits at LogixHealth: We ... revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …companies and healthcare professionals to resolve issues resulting from denied claims . + Adhere to coding policies and procedures consistent with the ... School degree required. + Associate's Degree or Certificate in Medical Coding /CPC required. + Knowledge of ...+ Knowledge of CMS rules and regulations and current coding resources + Knowledge of Healthcare Common… more
- Commonwealth Care Alliance (Boston, MA)
- …commercial coding rules/ regulatory requirements + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ... + Develops and maintains corporate reimbursement policies, and works collaboratively with the Claims Coding Analyst to ensure consistency with the Plan's … more
- LogixHealth (Bedford, MA)
- …revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting ... Signing Bonus Location: On-Site in Bedford, MA This Role: As a Senior Healthcare Contract Negotiator at LogixHealth, you will work closely with the Contract Manager… more
- Commonwealth Care Alliance (Boston, MA)
- … experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , ... public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance, Payment Integrity and Analytics + Direct and… more
- Sutherland Global Services (Boston, MA)
- …others, answering questions and resolving problems? Do you have any experience in the healthcare / medical field or are you interested in pursuing a career in the ... and distraction-free dedicated workspace **Duties & Responsibilities;** + Assist providers with claims and claims investigations + Status Inquiries + Denial… more
- LogixHealth (Bedford, MA)
- …revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting ... teams to provide cutting edge solutions that will directly improve the healthcare industry. Specifically, this position manages employees who handle and process EDI… 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 ... and we've contracted with some of the country's largest healthcare systems and physician practices to help support their...coding for multi-specialty practices + Thorough knowledge of medical terminology and medical abbreviations and the… more
- Atrius Health (Chelmsford, MA)
- …Bachelor's degree (or equivalent education, training or experience) required. o Certification in medical coding is preferred including CCS, CCS-P, CPC or other ... of complex medical necessity and billing policy related to denied claims for all payers. In accordance with department policies and procedures responsible for… more
- LogixHealth (Bedford, MA)
- …revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting ... Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and coders to provide cutting edge solutions that will… more
- Point32Health (Canton, MA)
- …Preferred: 8-10 years of related work experience **Skill Requirements** + Knowledge of medical billing and coding , healthcare regulations, and industry ... crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies,...claims submitted. + Stay up to date with healthcare regulations and industry standards to ensure that all… more
- WellSense (Boston, MA)
- …Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our ... Competitive salaries . Excellent benefits **Key** **Functions/Responsibilities:** + Understand the claims encounter data requirements in detail to ensure claims … more
- LogixHealth (Bedford, MA)
- …Preferred: + One to two years related experience + Experience with document management, medical records, or a coding background + Electronic medical record ... collaborative environment and will bring your expertise to process medical records that have been reviewed by Coders and...management services, offering a complete range of solutions, including coding and claims management and the latest… more