NewDenial RN DRG Appeal Writer2 / HIM Coding Hartford HealthCare Corp.Denial RN DRG Appeal Writer2 / HIM CodingPleasant Valley, CTThe level 2 Denial Specialist Appeal Writer reviews and analyzes Diagnostic Related Grouper (DRG) downgrades, preparing detailed, evidence-based appeal letters to defend assigned DRGs and optimize reimbursement. · Provide ongoing education to HHC Institute leaders, providers, coding and CDI teams on DRG validation, documentation best practices, payer guidelines and best practices to minimize future denials.
NewHospice Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCare Hartford HealthCare at HomeHospice Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCareStafford Springs, CTThe QAPI Specialist compiles trends and reports quality data in patient care, safety, risk management, infection control, outcomes and customer satisfaction and performs and uses audit results to lead development of Performance Improvement Plans. The Quality Assurance & Performance Improvement (“QAPI”) Specialist is an individual that will be assisting with agency efforts toward the process of improving clinical documentation and outcomes by taking a systematic, comprehensive, and data-drive approach to maintaining and improving safety and quality.
NewQuality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCare Hartford HealthCare at HomeQuality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCareEllington, CTThe QAPI Specialist compiles trends and reports quality data in patient care, safety, risk management, infection control, outcomes and customer satisfaction and performs and uses audit results to lead development of Performance Improvement Plans. The Quality Assurance & Performance Improvement (“QAPI”) Specialist is an individual that will be assisting with agency efforts toward the process of improving clinical documentation and outcomes by taking a systematic, comprehensive, and data-drive approach to maintaining and improving safety and quality.
Inpatient Coding Auditor Huron Consulting GroupInpatient Coding AuditorMassachusetts, MARemote$38.46–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes (ICD-PCS), MS-DRG, APR DRG, POA, SOI & ROM assignments.
NewClinic Billing & Scheduling Coordinator Northeast Center for Youth and Families Inc.Clinic Billing & Scheduling CoordinatorEasthampton, MAThe Clinic Billing & Scheduling Coordinator will assist in tracking and obtaining client payments owed, and this position will handle processing all referrals, schedule appointments, and verify current insurance for clients. Northeast Center for Youth & Families, Inc. (NCYF) is made up of a team of devoted and highly skilled professionals and paraprofessionals who provide quality care to the individuals we serve.
Senior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu LtdSenior Consultant, Health Insurance - Risk Regulatory & ComplianceHartford, CTThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)CT$43,888–$102,081 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
NewClinic Billing & Scheduling Coordinator Northeast Center for Youth and Families IncClinic Billing & Scheduling CoordinatorEasthampton, MAThe Clinic Billing & Scheduling Coordinator will assist in tracking and obtaining client payments owed, and this position will handle processing all referrals, schedule appointments, and verify current insurance for clients. Northeast Center for Youth & Families, Inc. (NCYF) is made up of a team of devoted and highly skilled professionals and paraprofessionals who provide quality care to the individuals we serve.
NewClinic Billing & Scheduling Coordinator Northeast Center for Youth & Families, Inc. (NCYF)Clinic Billing & Scheduling CoordinatorEasthampton, MAFull timeThe Clinic Billing & Scheduling Coordinator will assist in tracking and obtaining client payments owed, and this position will handle processing all referrals, schedule appointments, and verify current insurance for clients. Northeast Center for Youth & Families, Inc. (NCYF) is made up of a team of devoted and highly skilled professionals and paraprofessionals who provide quality care to the individuals we serve.
Quality Improvement Specialist II Baystate HealthQuality Improvement Specialist IISpringfield, MA$66,081–$75,982 / yearActively pursues effective and efficient operations of their respective areasin accordance withHealth New England’s Values, its Code ofConductand the Associate Handbook, while ensuring the adequacy, adherence to and effectiveness of day-to-day business controls to meet obligations with respect to operational, compliance, and conduct. + Usingmedical record and clinical qualityexpertise, performs HEDIS clinical abstraction in both directelectronic medical record (EMR) and physical medical records to auditprovider compliance with HEDIStechnical specifications.
Practice Manager - Ludlow, MA ConvenientMDPractice Manager - Ludlow, MALudlow, Massachusetts$73,000–$95,000 / yearWhile this position is currently assigned to oversee a single clinic, all Practice Managers at ConvenientMD are expected to support surrounding clinics during team member PTO, leaves, and other coverage needs, with the potential to transition into permanent dual-site management. As a Practice Manager at our Ludlow, MA urgent care clinic, you will play a pivotal role in the day-to-day operational efficiency of the clinic while contributing to its long-term strategic goals.
Medical Assistant (MA) - Endocrinology Hartford HealthCare CorpMedical Assistant (MA) - EndocrinologyTorrington, CTMay perform basic therapeutic measures under direction of nursing staff or provider; assist in reinforcing patient education; report lab results to patients and follow through with any physician instructions to patients for follow up or change in medication; or call prescriptions into appropriate pharmacy as ordered by providers. vital signs, EKG's, blood glucose monitoring, etc.); provides instructions to patients on how to properly collect sterile specimens; and collects and prepares specimens and paperwork for outside reference lab.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistCT$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
Clinical Patient Navigator (Part-Time) Healogics IncClinical Patient Navigator (Part-Time)Athol, MA$19.69–$24.20 / hourLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
\n \n Outpatient Registration Representative | Bloomfield | PRN\n \n Radiology Partners Inc\n \n Outpatient Registration Representative | Bloomfield | PRN\n \nBloomfield, CT$18–$24 / hourPosition Summary: Responsible for timely and effective scheduling of patients for multiple offices and modalities Demonstrate an understanding of modalities offered at site location and hours of operations Modalities include Mammography, Bone Density, Fluoroscopy, Ultrasound, MRI, CT, and Nuclear Medicine Direct patient and referring physician contact and accountable for always representing the practice in a pleasant and professional manner Working in a call center environment DESIRED PROFESSIONAL SKILLS AND EXPERIENCE: Experience with scheduling and/or medical billing application preferred Excellent dictation, communication skills, and telephone manner Good understanding of ICD coding preferred Knowledge of medical insurance preferred FOR MORE INFORMATION:Learn more about this opportunity here:Link to Job Description here. WHY JOIN US:Competitive compensation and comprehensive total rewardsOpportunities for professional development True work-life balance in an outpatient setting: flexible scheduling with several shift optionsA fun, team-first culture at Jefferson Radiology collaborative, supportive, and grounded in safety and trust Community presence: 10 imaging centers and 6 hospital affiliations Leading the pack in the development of AI tools and technology resources Radiology Partners has been Certified Great Place to Work for five consecutive years, reflecting the experiences of team members across our practices nationwide.
Payment Posting Specialist Behavioral Health NetworkPayment Posting SpecialistSpringfield, MassachusettsSupportive Team Culture – Join a collaborative workplace guided by our HEART values: Humanity, Empowerment, Accountability, Respect, and Teamwork. Since 1938, BHN has delivered high-quality, culturally responsive behavioral health care, building deep roots in Western Massachusetts while expanding our impact in communities throughout the state.
NewSenior Manager, Clinical Product Quality - Medical Device/Complaint Handling & Cardiovascular RN Edwards Lifesciences CorpSenior Manager, Clinical Product Quality - Medical Device/Complaint Handling & Cardiovascular RNWashington, MARemote$145,000–$205,000 / yearAs a Senior Manager, Clinical Product Quality, you will be a member of Complaint Handling and Post Market Surveillance/Risk Management team to provide clinical guidance/clinical expert knowledge to Quality, Engineering and other cross functional teams to understand the nature of complaints and possible health risks. How you will make an impact: Provides medical/clinical guidance to complaint investigators and engineers related to event interpretation, event investigation, proper coding, required regulatory reporting (Medical Device Reports, Medical Device Vigilance, etc.), and complaint closure.
Outpatient Business Office Manager, 40hrs, Sign on Bonus! MiraVistaOutpatient Business Office Manager, 40hrs, Sign on Bonus!Holyoke, MA$75,000–$85,000 / yearThe Outpatient Billing Office Manager is responsible for the daily management and oversight of all outpatient billing, collections, accounts receivable, and revenue cycle activities for behavioral health and substance use disorder (SUD) services. Manage all outpatient revenue cycle operations including billing, claims submission, payment posting, collections, denials, and accounts receivable follow-up.
Care Management Associate, Engagement Hub CVS Health CorpCare Management Associate, Engagement HubCT$18.50–$31.72 / hourStrong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members' needs and create behavioral change.
Senior Forward Deployed Engineer, ServiceNow Deloitte Touche Tohmatsu LtdSenior Forward Deployed Engineer, ServiceNowHartford, CT$155,600–$306,800 / yearDemonstrated use of Claude Code to accelerate delivery, including agentic multi-file workstreams, CLAUDE.md project memory, MCP server integrations, and parallel subagents for concurrent work such as feature development, test generation, and security review. At Deloitte, Forward Deployed Engineers (FDE) don't just build AI solutions, they help clients turn AI ambition into enterprise-scale impact, pairing leading class engineering with pod-based delivery and vertical expertise.