NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorRI$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Coding Specialist III UMass Memorial Health Care IncCoding Specialist IIIWorcester, MA$25.83–$38.36 / 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. Requires good interpersonal and communications skills and maintains a professional manner when working with team members, management and other staff members.
Coding Specialist III UMass Memorial HealthCoding Specialist IIIWorcester, 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. Requires good interpersonal and communications skills and maintains a professional manner when working with team members, management and other staff members.
NewScratch & 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, 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. 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.
Medical Billing Code Auditor- Healthcare Internal Audit - Hybrid work schedule Fallon HealthMedical Billing Code Auditor- Healthcare Internal Audit - Hybrid work scheduleWorcester, MAThe 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.
NewMedical 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.
Coding Instructor Home Helpers of South ShoreCoding InstructorBelmont, MA, MAAs 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. An ideal candidate for this position will be someone who has completed or currently pursuing undergraduate/graduate in Computer Science or similar STEM related fields.
Coding Instructor Code NinjasCoding InstructorHopkinton, MassachusettsWe 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.
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.
General Practice Care - Associate Veterinarian - Norwich , {State_Code UsvtaGeneral Practice Care - Associate Veterinarian - Norwich , {State_CodeNorwich, ConnecticutAn 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.
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.
Administrative Assistant-Medical Billing Providence Comprehensive Treatment CenterAdministrative Assistant-Medical BillingProvidence, Rhode Island$19.66–$22.61 / hourFull timeProvidence 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. Familiarity with MAT Protocols and Guidelines: The billing specialist should understand how Medication-Assisted Treatment works, including services like opioid substitution therapy (e.g., methadone, buprenorphine) and how these treatments are billed differently from other medical services.
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.
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.
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.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)RI$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, MA$33,000–$47,000Conducts 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.
Emergency Department Physician Essential Healthcare Solutions LLCEmergency Department PhysicianHampton, MA$255–$370 / hourCoastal Virginia: beaches, low cost of living, military-friendly community, easy access to Norfolk, Virginia Beach, Williamsburg, and the Outer Banks. EHS is pursuing a contract to provide board-certified or board-eligible Emergency Medicine physician coverage at the Hampton VA Medical Center in Hampton, Virginia.
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.
Outpatient Services Rep RIH Rhode Island HospitalOutpatient Services RepRhode 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.
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.
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.
Outpatient Services Rep Brown University HealthOutpatient Services RepProvidence, 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.
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:
Certified Professional Coder, Full Time Days, 40 Hours, Central Business Office Day Kimball Healthcare IncCertified Professional Coder, Full Time Days, 40 Hours, Central Business OfficeCTCertified 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.
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).
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. As needed, provides customer assistance to patients with limited-English proficiency (LEP) through use of second language skills (non-English) to explain basic information regarding clinic policies and procedures, billing procedures and to assist in completing registration and related forms.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorMA$70,000–$90,000 / yearOur 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. This compensation range is specific to the remote role and 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.
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.
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.
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.
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.
NewSoftware 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.
Accounts Receivable Specialist I, Physician Billing. UMass Memorial HealthAccounts Receivable Specialist I, Physician Billing.Worcester, MassachusettsPrevious 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.
NewRevenue 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.
NewOutpatient Coder II UMass Memorial Health Care IncOutpatient Coder IIWorcester, MAAdheres to the coding and billing regulations established by the American Hospital Association (AHA), American Medical Association (AMA), and Centers for Medicare and Medicaid Services (CMS). 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.
Gastroenterologist - Reliant Medical Group - Auburn UnitedHealth Group IncGastroenterologist - Reliant Medical Group - AuburnAuburn, MABe part of a best-in-class employee experience that enables you to practice at the top of your license We believe that better care for clinicians equates to better care for patients We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations Practice medicine autonomously in an ambulatory setting partnering with primary care with a sustainable and thriving national health care organization. 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.
Radiology Technologist - Float UnitedHealth Group IncRadiology Technologist - FloatAuburn, MAClinical › 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. › Ireland & UK › India › Philippines › Culture of Belonging› Employee Benefits› Blog. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Accounts Receivable Specialist I, Physician Billing. UMass Memorial Health Care IncAccounts Receivable Specialist I, Physician Billing.Worcester, MA$19.74–$26.96 / hourExperience/Skills: Required: Previous 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.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusProvidence, RIRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
NewInpatient Certified Coder Care New England Health SystemInpatient Certified CoderWarwick, RICare 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. Assigns diagnosis and procedure codes from all documentation including procedure notes, operative notes, consultation notes in the medical record using ICD-10-CM & ICD-10 PCS coding classification systems and independently quality checks own work.
NewCertified Inpatient Coder Care New England Health SystemCertified Inpatient CoderWarwick, RICare 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. Assigns diagnosis and procedure codes from all documentation including procedure notes, operative notes, consultation notes in the medical record using ICD-10-CM & ICD-10 PCS coding classification systems and independently quality checks own work.
Senior Manager - Software Engineering and AI LumerisSenior Manager - Software Engineering and AIMassachusettsRemoteMust-have hands-on experience building and deploying production-grade AI systems, including direct, personal experience writing and iterating on prompts running in live production environments, not solely internal or experimental use. Reporting to the VP of Engineering, you'll combine hands-on technical leadership — reviewing code, writing and iterating on prompts, and guiding architecture decisions — with day-to-day leadership of a growing team of software and prompt engineers.
NewReimbursement Manager, Finance, Putnam, CT Day Kimball Healthcare IncReimbursement Manager, Finance, Putnam, CTCTToday, our team of more than 1,100 employees, including more than 300 physicians, surgeons, and specialists, delivers a full continuum of healthcare services, including primary care, specialty care, homecare, hospice, and hospital services. Position Summary Under the direction of the Director of Finance, the Reimbursement Manager is responsible for collecting, analyzing, and reporting healthcare financial and operational data to ensure accurate reimbursement, regulatory compliance, and informed financial decision-making.
NewSenior Manager, Corporate Compliance - Risk Adjustment CVS Health CorpSenior Manager, Corporate Compliance - Risk AdjustmentWoonsocket, RI$75,400–$165,954 / yearThis position serves as a key compliance leader and subject matter expert, partnering with Risk Adjustment Operations, Coding, Provider Education, Clinical Documentation Improvement (CDI), Internal Audit, Legal, and Government Affairs teams to ensure organizational adherence to CMS requirements. As a Senior Manager, Medicare Compliance - Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk Adjustment, Hierarchical Condition Categories (HCCs), encounter data submission, documentation and coding compliance, and related regulatory requirements.
Lead Provider Payment Integrity Analyst Blue Cross & Blue Shield of Rhode IslandLead Provider Payment Integrity AnalystProvidence, Rhode IslandTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.