NewRN Clinical Documentation Specialist - Referrals Ensemble Health PartnersRN Clinical Documentation Specialist - ReferralsPutnam, CT$80,000Educates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record. Works collaboratively with co-works and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and/or denials.
Coding Compliance Analyst UnitedHealth Group IncCoding Compliance AnalystWorcester, MARemote$23.89–$42.69 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Conducts random and scheduled internal audits of physician billing and medical records documentation to ensure: Correct Coding (CPT, ICD-10, HCPCS, Modifiers), Accurate Data Entry, Accurate Charge Preparation/Processing, Compliance with governmental and third-party billing regulations.
Scratch & Intro to Coding Teaching Opportunities Concorde EducationScratch & Intro to Coding Teaching OpportunitiesProvidence, Rhode Island$50–$100 / hourSome programs provide established lesson plans and project guides, while others allow instructors flexibility to incorporate age-appropriate coding activities and creative projects that align with assignment objectives and school expectations. Assignment offers remain contingent upon factors including program availability, instructor qualifications, school partner approval, scheduling compatibility, successful completion of any legally required background review or clearance process, and final written assignment confirmation.
Coding Specialist II, Professional Billing UMass Memorial Health Care IncCoding Specialist II, Professional BillingWorcester, MA$23.81–$35.08 / hourExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Individual Departments, (Emergency Medicine, Trauma Center, Endoscopy Suite, PBCBO, HIM, etc.) will have unique procedures, processes and/or focus, so responsibilities and tasks can differ depending on departmental needs.
Coding Specialist II, Professional Billing UMass Memorial HealthCoding Specialist II, Professional BillingWorcester, Massachusetts$23.81–$35.08 / hourThree years of medical abstraction and coding experience or related work experience.• 2. Knowledge of ICD-CM (current edition) and CPT, HCPCS coding systems, 3rd party payer requirements and federal/state guidelines and regulations pertaining to coding and billing practices.• Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve.
Medical Billing Code Auditor- Healthcare Internal Audit - Hybrid work schedule Fallon HealthMedical Billing Code Auditor- Healthcare Internal Audit - Hybrid work scheduleWorcester, MassachusettsThe SIU Code Auditor will conduct coding audits of medical records provided by providers to check for missing documentation and other medical documentation for E&M, DME, medical, home health services, and may include some behavioral health care services to identify potential over-payments and suspected fraud waste and abuse. Reporting, education, and regulatory support: Assist with claim denial reporting, respond to regulatory agency complaints, support required fraud reporting to state and federal agencies, and recommend to members, providers, or employee education based on findings.
Medical Billing Code Auditor Healthcare Internal Audit Hybrid work schedule Fallon Community Health Plan IncMedical Billing Code Auditor Healthcare Internal Audit Hybrid work scheduleWorcester, MABrief summary of purpose: The SIU Code Auditor will conduct coding audits of medical records provided by providers to check for missing documentation and other medical documentation for E&M, DME, medical, home health services, and may include some behavioral health care services to identify potential over-payments and suspected fraud waste and abuse. Reporting, education, and regulatory support: Assist with claim denial reporting, respond to regulatory agency complaints, support required fraud reporting to state and federal agencies, and recommend to members, providers, or employee education based on findings.
Coding Specialist Outpatient Telecommute-Surgical Coder Brown University HealthCoding Specialist Outpatient Telecommute-Surgical CoderRI$24.29–$40.07 / hourMonitors and resolves rejected accounts on the Claims Edit Report and e Clinical Works error reports by established timeframe researching coding conflicts including chargemaster, medical necessity and various other coding and billing issues. Reviews the outpatient clinical documentation of extract data and assign appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics.
Ambulatory Coding Auditor/Educator Signature HealthcareAmbulatory Coding Auditor/EducatorWest Bridgewater, MARequires some travel to meet with and educate providers in hospital or clinic locations Education/Experience/Licenses/Technical/Other: Education: Associate Degree required; BA Preferred Experience (Type Length): 5 or more years in Ambulatory or Hospital Outpatient. The Ambulatory Coding Auditor/Educator is an internal resource to clinicians by providing training, consultation, audit and coordinated feedback on their medical service documentation and coding to ensure that Signature Healthcare receives appropriate reimbursement and conforms to applicable guidelines and regulations.
NewCoding and Compliance Auditor South Shore HealthCoding and Compliance AuditorBrockton, MAThe Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. Support all departments of the Health System with coding guidance: Pertaining to compliance training / education as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional, surgical and Home Health divisions of the Health System to ensure accuracy and support program objectives.
Coding & Compliance Auditor South Shore Health Systems IncCoding & Compliance AuditorWeymouth, MA$73,000–$104,400 / yearResponsibilities if Required: Education if Required: License/Registration/Certification Requirements: Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician Based - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Medical Auditor (CPMA) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator - American Health Information Management Association (AHIMA). The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders.
Coding And Compliance Auditor South Shore HealthCoding And Compliance AuditorWeymouth, MA$73,000–$104,400 / yearResponsibilities if Required: Education if Required: License/Registration/Certification Requirements: Certified Coding Associate- American Health Information Management Association (AHIMA), Certified Coding Specialist- American Health Information Management Association (AHIMA), Certified Coding Specialist- Physician Based- American Health Information Management Association (AHIMA), Certified Professional Coder (CPC)- American Academy of Professional Coders (AAPC), Certified Professional Medical Auditor (CPMA)- American Academy of Professional Coders (AAPC), Registered Health Information Administrator- American Health Information Management Association (AHIMA). The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders.
Lead Coding Instructor Code NinjasLead Coding InstructorCanto, MassachusettsWe are looking for a Lead Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Growth Opportunities: Code Ninjas is a rapidly growing organization, and strong team members have opportunities for career progression into leadership and management roles within the center.
Coding Instructor Home HelpersCoding InstructorAarlington, Massachusetts$22–$25 / hourWe recognize our direct care staff as our greatest asset and offer: competitive compensation, initial & ongoing training, flexible hours, and a FRIENDLY & SUPPORTIVE WORK ATMOSPHERE. As part of our school outreach program, we offer classes in all surrounding public school districts of Acton, Westford, Concord, Lexington, Arlington, Bedford, Burlington and Belmont areas.
NewCoding Instructor Code NinjasCoding InstructorHopkinton, Massachusetts$16–$18 / hourWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Plumbing, Mechanical, and Energy Code Inspector (Closed) City of East ProvidencePlumbing, Mechanical, and Energy Code Inspector (Closed)East Providence, RISummary: Under the general supervision of the Building Official, the Plumbing Mechanical and Energy Code Inspector performs technical work inspecting plumbing and mechanical installations for conformity with BOCA Basic Plumbing Code, BOCA Basic Mechanical Code, State regulations, and City Ordinances. • Knowledge of warm air heating, ventilating, and air conditioning systems, steam and hot water heating systems, boiler and pressure vessel maintenance and inspection, mechanical, refrigeration, gas, liquid, and solid fuel piping and equipment, and air pollution control equipment.
General Practice Care - Lead Veterinarian - Swansea , {State_Code UsvtaGeneral Practice Care - Lead Veterinarian - Swansea , {State_CodeSwansea, MassachusettsAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Lead Veterinarian to provide clinical leadership, oversee day-to-day medical operations, and ensure superior patient and client care to members of its community. This hospital is open to considering experienced veterinarians who are prepared to take on a senior clinical leadership role, overseeing team performance and working collaboratively with the practice manager and medical director.
Emergency Care - Associate Veterinarian - Swansea , {State_Code UsvtaEmergency Care - Associate Veterinarian - Swansea , {State_CodeSwansea, MassachusettsAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. This hospital is open to considering veterinarians who are experienced, as well as new graduates who are looking to begin their career in emergency medicine.
General Practice Care - Associate Veterinarian - Swansea , {State_Code UsvtaGeneral Practice Care - Associate Veterinarian - Swansea , {State_CodeSwansea, MassachusettsAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. of rewards and benefits that our partners may offer, but the specific details surrounding each hospital’s total rewards package will be provided by the hiring manager during each interview process.
General Practice Care - Associate Veterinarian - North Kingstown , {State_Code UsvtaGeneral Practice Care - Associate Veterinarian - North Kingstown , {State_CodeNorth Kingstown, Rhode IslandAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. of rewards and benefits that our partners may offer, but the specific details surrounding each hospital’s total rewards package will be provided by the hiring manager during each interview process.
Administrative Assistant-Medical Billing Acadia Healthcare Co IncAdministrative Assistant-Medical BillingProvidence, RI$19.66–$22.61 / hourOur Team: Providence Comprehensive Treatment Center (CTC), located in Providence, RI, is part of Acadia Healthcare''s Comprehensive Treatment Centers-the nation''s leader in medication-assisted treatment (MAT) for individuals seeking recovery from Opioid Use Disorder. Your Job as an Administrative Support/Medical Biller: The Administrative Support/Medical Biller role will perform routine administrative functions such as preparing correspondence and reports, scheduling appointments, organizing and maintaining paper and electronic files, or providing information to patients or visitors.
NewMedical Billing Specialist (GSD) ConnectAmerica LLCMedical Billing Specialist (GSD)RIThe purpose of the Medical Billing Specialist role is to: Support our life-saving Lifeline products by using your medical billing and collecting experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers. With the easy-to-use personal emergency response, remote patient monitoring and medication management systems, Connect America/Lifeline processes more than 250,000 emergency signals and data transmissions each month and has protected more than 1 million lives.
Billing Specialist RIH Rhode Island HospitalBilling SpecialistRhode IslandMust use and have knowledge of courteous telephone technique and good customer service skills.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inThe interpersonal skills to exchange factual information with patients and outside agencies with cultural sensitivity and professionalism.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inEXPERIENCE:p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inTwo years’ related experience coding and billing using dental billing software and demonstrated expertise and accuracy of code assignment. Training in CDT coding, anatomy, physiology, and dental terminology.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inExperience with Dental software, preferably Dentrix.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inDemonstrated knowledge of PC skills using the windows operating system environment and accompanying software packages.
Medical Physician Coder Boston Children's HospitalMedical Physician CoderWestwood, MA$26.62–$42.59 / hourKnowledge of medical terminology, anatomy and physiology, pathophysiology, ICD-9/10-CM and CPT-4 or ASA classification systems, and regulatory agency requirements related to primary or non-surgical services. Establishes and maintains working relationships with Physicians to resolve specific case issues, as well as general questions and or principles.
Sr Billing Specialist Brown University HealthSr Billing SpecialistProvidence, RI$22.04–$36.37 / hourMust use and have knowledge of courteous telephone technique and good customer service skills.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inThe interpersonal skills to exchange factual information with patients and outside agencies with cultural sensitivity and professionalism.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inEXPERIENCE:p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inTwo years' related experience coding and billing using dental billing software and demonstrated expertise and accuracy of code assignment. Training in CDT coding, anatomy, physiology, and dental terminology.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inExperience with Dental software, preferably Dentrix.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inDemonstrated knowledge of PC skills using the windows operating system environment and accompanying software packages.
NewMedical Biller Roessel JoyMedical BillerBraintree, MAMinimum of 2 years of experience in healthcare revenue cycle, medical billing, authorizations, or denial management. Support process improvement initiatives aimed at reducing denials and increasing collections.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)MA$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Coder - Per Diem Westborough Behavioral Healthcare HospitalCoder - Per DiemWestborough, MAConducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bill are satisfied in a timely manner. Westborough Behavioral Healthcare Hospital (WBHH) provides psychiatric stabilization diagnosis treatments for Children, Special Needs, and Adult populations in both inpatient and outpatient settings.
Medical Billing Specialist Medical Billing Specialists, Inc.Medical Billing SpecialistNorwood, MAFull timeIt is essential to follow the constantly changing policies of various insurance payers in order to proactively anticipate operational and workflow-related changes that the billing operation must adhere to in order to avoid unnecessary denials and loss of provider reimbursement. The company is a reputable third-party medical billing firm providing comprehensive billing and consulting services to clients across a wide range of provider specialties.
Clin Charge Capture Spec UMass Memorial HealthClin Charge Capture SpecWorcester, MassachusettsExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.
OSR RIH Rhode Island HospitalOSRRhode IslandBrown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. Evaluates file prior to schedule visit and follows up with other Hospital departments to obtain missing dataPrints reports using both the online scheduling and billing systems.
Clin Charge Capture Spec UMass Memorial Health Care IncClin Charge Capture SpecWorcester, MA$20.94–$29.27 / hourExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.
Certified Professional Coder, Full Time Days, 40 Hours, Central Business Office Day Kimball Healthcare IncCertified Professional Coder, Full Time Days, 40 Hours, Central Business OfficePutnam, CTCertified Professional Coder Job Summary Under the general supervision of the Director of Professional Revenue Cycle, the Certified Professional Coder performs all phases of abstracting, diagnosis coding, charge capture and posting through record analysis. Conduct quarterly chart audits; in collaboration with the Director of Professional Fee Revenue Cycle, provide one-on-one or small group education to clinical staff on audit results while maintaining professionalism.
Outpatient Service Rep - Per Diem Brown University HealthOutpatient Service Rep - Per DiemProvidence, RI$21.90–$22.91 / hour14pxfont-size: 14pxfont-size: 14pxfont-size: 14pxDemonstrated knowledge of PC skills using the windows operating system environment and accompanying software packages.font-size: 14pxfont-size: 14pxfont-size: 14pxfont-size: 14pxMust have knowledge of medical billing routines for physician office practice.font-size: 14pxfont-size: 14pxfont-size: 14pxfont-size: 14pxMust also have knowledge of medical terminology, diagnosis codes, and procedure codes.font-size: 14pxfont-size: 14pxfont-size: 14pxfont-size: 14pxMust use and have knowledge of courteous telephone technique and good customer service skills.font-size: 14pxfont-size: 14pxfont-size: 14pxfont-size: 14pxEXPERIENCE:font-size: 14pxfont-size: 14pxSix months experience coding and billing using online billing system.font-size: 14pxfont-size: 14pxfont-size: 14pxfont-size: 14pxWORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:font-size: 14pxfont-size: 14pxWalking, sitting, standing throughout the day in clinic setting.font-size:
OSR Brown University HealthOSRProvidence, RI$21.90–$22.91 / hourBrown University Health employees are expected to successfully role model the organization''s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. Evaluates file prior to schedule visit and follows up with other Hospital departments to obtain missing dataPrints reports using both the online scheduling and billing systems.
Diagnostic Imaging Registrar South Shore HealthDiagnostic Imaging RegistrarWeymouth, MA3. Greets and receives patients, escorts patients to specific areas, assists patients into wheelchair and pushes wheelchair patients to designated hospital departments. Makes all necessary changes to an exam in the event of a missed or inaccurate entry, makes all necessary changes to the exam information in all computer systems to effect proper flow of correlated.
Payment Integrity Program Development Manager Devoted Health ServicesPayment Integrity Program Development ManagerMassachusettsRemoteThat’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. (Note: We provide modern AI tools to generate and edit SQL scripts; you do not need to be a software expert, but you must possess the ability to read, interpret, and understand data scripts to validate results and analyze proof-of-concept datasets).
Diagnostic Imaging Registrar South Shore Health Systems IncDiagnostic Imaging RegistrarWeymouth, MA$17.42–$23.45 / hour3. Greets and receives patients, escorts patients to specific areas, assists patients into wheelchair and pushes wheelchair patients to designated hospital departments. Makes all necessary changes to an exam in the event of a missed or inaccurate entry, makes all necessary changes to the exam information in all computer systems to effect proper flow of correlated.
Outpatient Services Rep LEP RIH Rhode Island HospitalOutpatient Services Rep LEPRhode IslandUses non-English language skills and oral communications to provide high level of culturally appropriate customer service to those patients and families who have limited English proficiency, explaining clinic procedures, obtaining demographic and financial information in order to complete registration and related forms and records. Prepares and maintains related reports using both the online scheduling and billing systemsMay respond to telephone callsnquiries by rotating into a centralized setting (i.e., a call room).Performs all duties in accordance with the Hospital’s mission, the defined role of ambulatory care and defined administrative/clerical rules, procedures and policies.
Revenue Integrity Specialist Top Prospect Group LLCRevenue Integrity SpecialistGreater Boston, MARevenue Integrity Specialist (Professional Billing) Position Overview Serves as a Charge Generation Tracker (CGT) and regulatory resource to ensure compliance with coding and billing guidelines. Acts as a primary resource for providers and staff, supporting revenue integrity, charge capture, and coding accuracy.
IS Application Analyst - Epic Resolute Hospital Billing South Shore HealthIS Application Analyst - Epic Resolute Hospital BillingWeymouth, MARemoteReporting to the Access & Revenue IS Manager, the successful candidate will develop workflows, system configurations, change documentation, and train staff on Epic Epic Resolute Hospital Billing application functionality. South Shore Hospital, Southeastern Massachusetts's leading provider of emergency, acute, and outpatient care, is seeking an experienced Epic Resolute Hospital Billing Analyst to join our IS team.
Physician Assistant Cardiology TMH The Miriam HospitalPhysician Assistant CardiologyRhode IslandDelivers high-quality, cost-effective care incorporating guideline-directed medical therapy (GDMT) in a timely, efficient, and equitable manner to facilitate optimal care outcomes for a patient population with chronic cardiac diseases. The ambulatory advanced practice provider (APP) is responsible for providing patient- and family-centered care that is consistently high-quality and cost effective to ensure optimal care outcomes for patients with cardiac diseases.
Specialty Navigator II UnitedHealth Group IncSpecialty Navigator IINorwood, MAWorks in collaboration with the person designated as the Practices Benefits Coordinator to maintain cost control ensure that services provided are within benefit plan guidelines and that necessary policies and procedures are followed when dealing with non-preferred providersvendors. Clinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.
Outpatient Services Rep LEP Brown University HealthOutpatient Services Rep LEPProvidence, RI$22.35–$23.37 / hourUses non-English language skills and oral communications to provide high level of culturally appropriate customer service to those patients and families who have limited English proficiency, explaining clinic procedures, obtaining demographic and financial information in order to complete registration and related forms and records. Prepares and maintains related reports using both the online scheduling and billing systemsMay respond to telephone callsnquiries by rotating into a centralized setting (i.e., a call room).Performs all duties in accordance with the Hospital's mission, the defined role of ambulatory care and defined administrative/clerical rules, procedures and policies.
NewAmbulance Billing & Revenue Cycle Specialist EPOCH HEALTHCARE LLCAmbulance Billing & Revenue Cycle SpecialistNorwood, MAFull timehandle claims submission, payment posting, denials management, and collections for Medicare. • Enter BLS/ALS level-of-service codes, mileage, diagnosis codes (ICD-10), and procedure codes.
Physician Assistant Cardiology Brown University HealthPhysician Assistant CardiologyProvidence, RI$127,504–$161,782.40 / yearPRINCIPAL DUTIES AND RESPONSIBILITIIES: Delivers high-quality, cost-effective care incorporating guideline-directed medical therapy (GDMT) in a timely, efficient, and equitable manner to facilitate optimal care outcomes for a patient population with chronic cardiac diseases. SUMMARY: The ambulatory advanced practice provider (APP) is responsible for providing patient- and family-centered care that is consistently high-quality and cost effective to ensure optimal care outcomes for patients with cardiac diseases.
Software Engineer (Salesforce) (US REMOTE) Motorola Solutions IncSoftware Engineer (Salesforce) (US REMOTE)RIRemote$100,000–$110,000 / yearRequired Skills & Qualifications: Salesforce Certifications (preferred): Salesforce Certified Application Architect, Salesforce Certified Advanced Developer, Salesforce Revenue Cloud Consultant, Salesforce CPQ Specialist, or equivalent. Integration & Maintenance: Design and develop integrations between Salesforce and other enterprise systems (ERP, marketing automation, etc.) using tools like MuleSoft, REST/SOAP APIs, and middleware platforms.
Revenue Integrity Specialist Care New England Health SystemRevenue Integrity SpecialistWarwick, Rhode IslandFull timeAbout Us: Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation’s top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. This role focuses on proactive review and resolution of missing or incorrect charges through daily monitoring of Epic Revenue Guardian reports and charge-related work queues, reconciliation of charges against clinical documentation, and collaboration with operational, clinical, and coding teams to ensure compliance with federal, state, and third-party payor guidelines.
Senior Medical Coder UnitedHealth Group IncSenior Medical CoderWorcester, MARemote$24–$43 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and other charges for physicians and other providers of professional billing.
Accounts Receivable Specialist I, Physician Billing. UMass Memorial HealthAccounts Receivable Specialist I, Physician Billing.Worcester, Massachusetts$19.74–$26.96 / hourPrevious Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement.• Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve.