• Inpatient Coding Validator III

    Beth Israel Lahey Health (Charlestown, MA)
    …joint department education bi-monthly.** **Responsible for coding all types of inpatient medical records with efficiency and accuracy.** **Responsible ... job, you're making a difference in people's lives.** An Inpatient Coding Validator III is responsible for...Guidelines for Coding and Reporting** **Knowledge of medical records content and management** **Working knowledge… more
    Beth Israel Lahey Health (03/11/25)
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  • Inpatient Coding Specialist

    Brockton Hospital (Brockton, MA)
    … using ICD-10- CM/PCS coding classification systems. Completes DRG assignments on inpatient records . Ensures ethical and accurate coding in accordance ... in the lives and health of our patients. Under the general direction of the Coding Compliance Manager the Inpatient Coding Specialist, is responsible for … more
    Brockton Hospital (03/04/25)
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  • DRG Coding Auditor

    Elevance Health (Woburn, MA)
    …PulsePoint locations. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims ... its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate...Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient more
    Elevance Health (03/14/25)
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  • Inpatient Coder III

    Beth Israel Lahey Health (Charlestown, MA)
    …for Coding and Reporting, AHA Coding Clinic Advice when coding inpatient records , and facility specific guidelines.** **Sequences the assigned ... Computer skills + Minimum 3 years of ICD-10-CM, ICD-10-PCS Inpatient coding assignment, required + Minimum 1...for Coding and Reporting + Knowledge of medical records content and management + Working… more
    Beth Israel Lahey Health (02/07/25)
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  • Coding Auditor Educator

    Highmark Health (Boston, MA)
    …:** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to ... arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical more
    Highmark Health (02/07/25)
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  • Outpatient Coding Specialist

    Brockton Hospital (West Bridgewater, MA)
    …in cultures, values, beliefs and ages, utilizing interpreters when needed. + Analyzes medical information from medical records . Accurately codes diagnostic ... and abstracts diagnoses and/or surgical procedures outpatient services, and/or emergency room records using ICD 10 CMand CPT 4 coding classification systems.… more
    Brockton Hospital (03/04/25)
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  • Medical Coder

    State of Massachusetts (Quincy, MA)
    …The Medical Coder will we responsible for providing clinical coding expertise, assuring that the ICD-10 CM/PCS (10thedition of International Classification of ... Diseases Clinical Modification/Procedure Coding System) code set, and other coding ...internal and external reporting, research, and regulatory compliance. Codes inpatient and outpatient conditions and procedures as documented in… more
    State of Massachusetts (02/19/25)
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  • Coder II (Cath Lab)

    Baylor Scott & White Health (Boston, MA)
    …experience. **ESSENTIAL FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, ... or more types of outpatient, Profee, or low acuity inpatient coding . The Coder 2 may code...abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of… more
    Baylor Scott & White Health (01/31/25)
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  • Consultant, Ethics & Compliance (Audit)

    Cardinal Health (Boston, MA)
    …adequacy of documentation and coding related to physician or hospital ( inpatient and outpatient) billing and/or medical necessity reviews. + Evaluates the ... insufficiencies. + Facilitates assigning of ICD-9 and ICD-10 codes by analyzing patient medical records . + Maintains a functional knowledge of enterprise EMRs,… more
    Cardinal Health (03/18/25)
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  • Senior Director, Middle Revenue

    Tufts Medicine (Burlington, MA)
    …to identify problems. 12. Ensures quality and quantity of documentation in medical records for UR. 13. Attends treatment staff meetings. Responsibilities ... Professional Group (TMPG) . Tufts Medicine Integrated Network (TMIN) . Tufts Medical Center . Lowell General Hospital . MelroseWakefield Hospital, Lawrence Memorial… more
    Tufts Medicine (03/17/25)
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  • Medical Director - Care Plus - Florida

    Humana (Boston, MA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (03/18/25)
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  • Medical Director - Medicaid N. Central

    Humana (Boston, MA)
    …possible participation in care management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will ... caring community and help us put health first** The Medical Director relies on medical background and...to complex clinical scenarios, review of all submitted clinical records , prioritization of daily work, communication of decisions to… more
    Humana (03/11/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Boston, MA)
    **JOB SUMMARY** Accountable for reviewing member records to accurately maximize risk scoring in keeping with Baylor Scott and White Health risk adjustment strategies ... health record documentation to code and abstracts diagnoses and/or procedures for inpatient , outpatient, and clinic cases + Conducts focused HCC reviews on providers… more
    Baylor Scott & White Health (03/13/25)
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  • Physician Medical Director - LTSS

    Humana (Boston, MA)
    …and help us put health first** The Long-term services and supports (LTSS) Medical Director's primary responsibility is the review of medical authorizations to ... necessity of a given service, level of care, or medical item/supply. The Medical Director's work assignments...to complex clinical scenarios, review of all submitted clinical records , prioritization of daily work, communication of decisions to… more
    Humana (01/25/25)
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  • Office Support Specialist I - On Grounds Program

    State of Massachusetts (Taunton, MA)
    …Knowledge of the terminology, coding , symbols and standards abbreviations used in medical records work. * Ability to gather information by examining ... policies and procedures by determining the proper filing of medical records folders. . Responds to requests...of the Taunton/Attleboro Site that transitions clients from an inpatient setting to a more independent community living setting.… more
    State of Massachusetts (03/15/25)
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  • Manager ROI Audit Research

    Beth Israel Lahey Health (Burlington, MA)
    …Assures record availability, and discusses issues with outside auditors and the inpatient coding manager/CDI. Prepares appeals on appropriate cases to ensure ... intermediaries. Works with management from PFS, internal audit, Case Management, Coding /CDI, and any other clinical and administrative departments to resolve billing… more
    Beth Israel Lahey Health (02/14/25)
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  • HVAC Refrigeration Mechanic I

    State of Massachusetts (Chelsea, MA)
    …of the methods and techniques of pipe threading. Familiarity with the terminology, coding , symbols, and standard abbreviations used in HVAC systems is crucial, along ... Veterans' Home in Chelsea is a Joint Commission accredited inpatient veterans' facility owned and operated by the Commonwealth...veterans 24 hours per day, 7 days per week. Medical , nursing and clinical supports are given to those… more
    State of Massachusetts (02/22/25)
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  • HVAC Refrigeration Mechanic II

    State of Massachusetts (Boston, MA)
    …maintenance, and repair of HVAC and electrical systems. * Utilize terminology, coding , symbols, and abbreviations in HVAC installations. * Apply methods and ... the heart of Boston's Jamaica Plain neighborhood, the Shattuck Hospital includes 248 inpatient beds including 95 Psychiatric beds and 29 Correctional Health beds. In… more
    State of Massachusetts (02/20/25)
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