- Humana (Boston, MA)
- …Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation… more
- Baylor Scott & White Health (Boston, MA)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification...and abstracting function. Strong knowledge of anatomy, physiology, and medical terminology. Demonstrated competency of the use of computer… more
- Children's Hospital Boston (Boston, MA)
- 78009BRJob Posting Title:Billing Compliance Auditor II (Hybrid)Department:NeurologyAutoReqId:78009BRStatus:Full-TimeStandard Hours per Week:40 Job Posting ... Operations, Legal Services, Support ServicesJob Posting Description:The Billing Compliance Auditor II is responsible for: + Following established protocols,… more
- Elevance Health (Woburn, MA)
- …committees representing functional area. **Minimum Requirements:** Requires either a BA/BS degree, medical coding certification and a minimum of 3 years ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Provider Auditor Senior conducts on-site reviews… more
- CIBC (Boston, MA)
- …visit CIBC.com (https://www.cibc.com/en/about-cibc.html) **JOB PURPOSE** The IT Senior Auditor is responsible for conducting risk-focused audits; advising business ... audit reports, and ongoing legal entity reports to key stakeholders. The IT Senior Auditor works with business units to assess the adequacy of controls and develop… more
- CIBC (Boston, MA)
- …learn more about CIBC, please visit CIBC.com (https://www.cibc.com/en/about-cibc.html) The Senior Auditor II (Model Risk) will primarily be responsible for executing ... range of benefits and programs to meet our employee's needs; including Medical , Dental, Vision, Health Savings Account, Life Insurance, Disability, and Other… more
- Commonwealth Care Alliance (Boston, MA)
- …Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to have):** + Masters ... public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance, Payment Integrity and Analytics + Direct and… more
- CVS Health (Boston, MA)
- … Coding Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk ... Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard… more
- Brockton Hospital (Brockton, MA)
- …requirements and identified issues. + Supports internal and external audits of HCPCS, CPT coding , DRG coding , and medical record reviews, using proven ... is Southeastern Massachusetts' premier local provider of quality, personalized medical services. We are comprised of the award-winning not-for-profit Signature… more
- Astellas Pharma (Westborough, MA)
- …countries around the world. We are committed to turning innovative science into medical solutions that bring value and hope to patients and their families. Keeping ... our focus on addressing unmet medical needs and conducting our business with ethics and...Audit program for the organization, serving as an assistant auditor to help ensure all aspects of the GMP… more
- Astellas Pharma (Westborough, MA)
- …countries around the world. We are committed to turning innovative science into medical solutions that bring value and hope to patients and their families. Keeping ... our focus on addressing unmet medical needs and conducting our business with ethics and...Audit program for the organization, serving as an assistant auditor to help ensure all aspects of the GMP… more
- Astellas Pharma (Westborough, MA)
- …countries around the world. We are committed to turning innovative science into medical solutions that bring value and hope to patients and their families. Keeping ... our focus on addressing unmet medical needs and conducting our business with ethics and...**Preferred:** + Specialized knowledge of industry-related niche topics: bar coding , cell culture, auditing techniques, QC methods, HEPA filtration… more