• Special Investigation Unit Manager Clinical…

    CVS Health (Providence, RI)
    …identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong leadership and team management ability Excellent ... Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) Licensed… more
    CVS Health (12/25/24)
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  • Certified Professional Coder , Special…

    CVS Health (Providence, RI)
    …more personal, convenient and affordable. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with ... to testify **Required Qualifications** - AAPC Coding certification - Certified Professional Coder (CPC) - 3+ years of experience in medical coding or documentation… more
    CVS Health (12/21/24)
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  • Senior Coder

    Beth Israel Lahey Health (Boston, MA)
    …just taking a job, you're making a difference in people's lives.** The Senior Coder opportunity will be working with Beth Israel Deaconess Medical Center in Boston, ... + High School diploma or GED required. + Certificate 1 Certified Professional Coder required., or Certificate 2 Certified Coding Specialist required. + 3-5 years… more
    Beth Israel Lahey Health (12/20/24)
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  • Certified Medical Coder - MA Only Remote

    Atrius Health (Newton, MA)
    …**Job:** **Other Allied Health* **Organization:** **Finance* **Title:** *Certified Medical Coder - MA Only Remote* **Location:** *Newton MA - Riverside* **Requisition ... Atrius Health's 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius… more
    Atrius Health (11/19/24)
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  • Coder , Inpatient

    Charter Care Health Partners (Providence, RI)
    …is required. Experience: Three years of experience as a hospital coder . Basic computer knowledge. Meditech experience helpful, 3M experience preferred. Extensive ... knowledge and experience in coding and abstracting clinical information from inpatient medical records. Must be a self-starter and have the ability to work in a deadline oriented environment. Working knowledge of computerized abstracting systems and automated… more
    Charter Care Health Partners (12/31/24)
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  • HIM Coder

    Lawrence General Hospital (Methuen, MA)
    …resource for day-to-day coding operations. Reviews daily control reports, workload, coder assignments and coverage. Assists in reconciling coding and billing edits ... or other issues hat preclude timely billing. Responds to delays with outstanding queries, status changes, uncoded or incomplete charts. Assists with cross-training, denials management, appeals, and education plans. Makes recommendations and immediately reports… more
    Lawrence General Hospital (12/21/24)
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  • Coding Auditor I - Education Program

    Baylor Scott & White Health (Providence, RI)
    …Specialist (CCS) Certified Coding Specialist Physician-based (CCS-P) Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Certified Inpatient ... Coder (CIC) Certified Interventional Radiology Cardiovascular Coder (CIRCC) **BENEFITS** Our competitive benefits package includes the...(CCS) Cert Coding Spec Physician Bas (CCS-P) Cert Inpatient Coder (CIC) Cert Interv Radiology CV Coder more
    Baylor Scott & White Health (12/18/24)
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  • Senior Administrative Lead, Coding

    LogixHealth (Bedford, MA)
    …reviews/revisions + De v el o ps /p r ep ar es Coding Policy for coder production team and client version + Initiates CRM workflow for coding policy additions and or ... grid, and Client Facility Grids + Tracking of audit results / coder booklets + Maintains and updates Coder education E/M manual + Creation of coder quality… more
    LogixHealth (11/05/24)
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  • Fraud Waste and Abuse (FWA) Audit Manager

    Fallon Health (Worcester, MA)
    …updates to various business partners. + Work closely with other clinical and coder teams as well as Medical Directors, as needed. + Make recommendations for ... and/or health insurance, a plus. **License/Certifications:** + Certified Professional Coder (CPC) designation or similar. + Additional certification applicable to… more
    Fallon Health (11/09/24)
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  • Radiation Oncology Coding Specialist

    Insight Global (Woonsocket, RI)
    …setting -Proficiency with Microsoft Office applications, particularly Excel -Certified Medical Coder Radiation Oncology Certified Coder (ROCC) Certified Medical ... Billing and Coding Specialist null We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes… more
    Insight Global (12/24/24)
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  • Coding Specialist

    LogixHealth (Bedford, MA)
    …+ Assist in the development and implementation of ED pro /facility coder production, other specialties and consistently meet LogixHealth coding industry standards + ... coders at the same time + Ability to assess/evaluate skills for many aspects of coder education + Ability to multi-task and remain calm in a stressful fast paced… more
    LogixHealth (11/05/24)
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  • Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Providence, RI)
    …billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding ... Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel,… more
    Highmark Health (12/20/24)
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  • Healthcare Medical Claims Coding Sr. Analyst

    Commonwealth Care Alliance (Boston, MA)
    …willing to get certified within 1 year of employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical ... Auditor (CPMA) **Desired Education (nice to have):** + Masters Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding… more
    Commonwealth Care Alliance (11/26/24)
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  • Clinical Document Improvement Specialist

    Fallon Health (Worcester, MA)
    …Specialist (CCS), Certified Risk Adjustment Coding (CRC) or Certified Professional Coder (CPC) required. * RN Licensure preferred **Experience:** * Strong ... organizational skills in multiple settings, as well as the ability to exercise judgement and initiative * Strong written, verbal and presentation skills * Possess Critical Thinking skills * Competent in MS Office * Proven/demonstrated knowledge in the… more
    Fallon Health (12/26/24)
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  • Nurse and CPC - Clinical Fraud Investigator II…

    Elevance Health (Smithfield, RI)
    …an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including ... minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced… more
    Elevance Health (12/31/24)
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  • Process Improvement Director-HEDIS

    Elevance Health (Smithfield, RI)
    …Six Sigma Black Belt certification preferred. + Certified Professional Coder (CPC) and or professional coding experience preferred. + ... Medicare/Medicaid/Commercial/Exchange line of business experience. + Travels to worksite and other locations as necessary. For candidates working in person or remotely in the below locations, the salary* range for this specific position is $102,600 to… more
    Elevance Health (12/21/24)
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  • Senior Quality Applications Manager

    LogixHealth (Bedford, MA)
    …billing, and revenue integrity, in all areas including client audits and concerns, coder audits, billing trends, etc. + Ensure cooperative team environment by: + ... Effectively communicating with staff about department and company initiatives + Adjusting procedures as necessary to create process efficiencies + Resolving issues among staff + Encouraging constructive feedback from staff and between team members + Uphold… more
    LogixHealth (12/14/24)
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  • Supervisor Coding

    Highmark Health (Providence, RI)
    …in lieu of Associate's degree + 3 years experience as a production coder related to the coding team being supervised which includes assigning ICD-10-CM codes, ... ICD-10-PCS codes (inpatient), CPT/HCPCS codes. + Excellent organizational and project management skills + 1 year in a leadership type role or a similar role in oversight of staff and/or processes + AHIMA or AAPC coding certification related to the coding team… more
    Highmark Health (12/04/24)
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  • Software Engineering Manager, Product…

    Meta (Providence, RI)
    …Manager, Product Infrastructure Responsibilities: 1. Be both highly technical, hands-on coder and an effective people manager 2. Communicate across functions and ... drive engineering initiatives 3. Participate in technical design 4. Be a subject matter expert in the infrastructure domain 5. Define and influence product strategy **Minimum Qualifications:** Minimum Qualifications: 6. Demonstrated experience recruiting and… more
    Meta (10/25/24)
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  • Revenue Integrity Specialist

    Children's Hospital Boston (Boston, MA)
    …experience within a hospital or healthcare billing setting + Certified Professional Coder + Knowledgeable in revenue cycle operations + Familiar with insurance ... company processes and procedures + Ability to work with key stakeholders to optimize revenue cycle operations + Ability to train new staff with limited insurance knowledge on medical insurance + System proficiency with Epic, Powerchart, QCC, 3rd party… more
    Children's Hospital Boston (12/17/24)
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