• 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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