Application Builder, Ring Software Product Builders Amazon.com Services LLCApplication Builder, Ring Software Product BuildersNorth Reading, MAUse AI to deliver features efficiently - this can include creating features, unit tests, generate code, documents, tickets, resolve defects, optimize code, and much more. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information.
CDI Validation Specialist Compunnel, Inc.CDI Validation SpecialistBoston, Massachusetts$63 / hourTemporaryFull timeThis role ensures efficiency, accuracy, and quality of documentation, supports education and training for CDI Specialists, and collaborates with coding and validation managers to improve documentation practices that directly impact key performance indicators. Job Summary We are seeking an experienced CDI Validation Specialist (CDI Team Lead) to oversee, evaluate, and analyze Clinical Documentation Integrity (CDI) functions.
FS Java Angular v16+ AWS API Kforce Inc.FS Java Angular v16+ AWS APIBoston, MA$64–$74Use of formal methods (traditional structured or Agile/iterative) for delivering new or enhanced applications, identify and communicating systems development processes and developing work you're doing associated with the respective phases of the lifecycle. 4+ years of proven experience with server-side development with Java, Spring, Spring Boot, Camel, JMS, Apache Kafka, and Persistence frameworks (JPA/Hibernate).
Inpatient Coding Quality Specialist Mass General BrighamInpatient Coding Quality SpecialistSomerville, MassachusettsEnsure coding practices align with official coding conventions, guidelines, and regulatory requirements set forth by organizations such as the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other relevant bodies. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Inpatient Coding Quality Specialist Brigham and Women's HospitalInpatient Coding Quality SpecialistSomerville, MA$30.60–$44.51 / hourEnsure coding practices align with official coding conventions, guidelines, and regulatory requirements set forth by organizations such as the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other relevant bodies. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Outpatient Technical Advisor, Coding Brigham and Women's HospitalOutpatient Technical Advisor, CodingSomerville, MA$63,648–$90,750.40 / yearThe Technical Advisor advises on external/internal coding reviews and audits, new coding/billing regulations impacts, coding and billing interlinking billing issues, coding education and workflow training for outpatient coding, claim edits and denials related to ambulatory surgery coding/charging. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Outpatient Technical Advisor, Coding Mass General BrighamOutpatient Technical Advisor, CodingSomerville, MassachusettsThe Technical Advisor advises on external/internal coding reviews and audits, new coding/billing regulations impacts, coding and billing interlinking billing issues, coding education and workflow training for outpatient coding, claim edits and denials related to ambulatory surgery coding/charging. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Coding Education Specialist, Remote Brigham and Women's HospitalCoding Education Specialist, RemoteSomerville, MARemote$63,648–$90,750.40 / yearThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. This role ensures that coding professionals have the knowledge and skills required to accurately assign medical codes, maintain compliance with coding guidelines, and contribute to the revenue cycle management process.
Coding Education Specialist, Remote Mass General BrighamCoding Education Specialist, RemoteSomerville, MassachusettsRemoteThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. This role ensures that coding professionals have the knowledge and skills required to accurately assign medical codes, maintain compliance with coding guidelines, and contribute to the revenue cycle management process.
Inpatient Coding Quality & Education Specialist Brigham and Women's HospitalInpatient Coding Quality & Education SpecialistSomerville, MA$63,648–$92,570.40 / yearThe specialist partners closely with Coding Operations, Coding Quality, Clinical Documentation Integrity (CDI), Revenue Integrity, Quality, and other operational teams to identify trends, develop educational strategies, improve coding workflows, and support quality reporting methodologies including Vizient, Elixhauser, mortality, severity of illness (SOI), risk of mortality (ROM), expected length of stay, and other coding-sensitive measures. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities.
Inpatient Coding Quality & Education Specialist Mass General BrighamInpatient Coding Quality & Education SpecialistSomerville, MassachusettsThe specialist partners closely with Coding Operations, Coding Quality, Clinical Documentation Integrity (CDI), Revenue Integrity, Quality, and other operational teams to identify trends, develop educational strategies, improve coding workflows, and support quality reporting methodologies including Vizient, Elixhauser, mortality, severity of illness (SOI), risk of mortality (ROM), expected length of stay, and other coding-sensitive measures. Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities.
Scratch & Intro to Coding Teaching Opportunities Concorde EducationScratch & Intro to Coding Teaching OpportunitiesBoston, Massachusetts$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.
Billing & Certified Coding Specialist I (Remote) Lahey Hospital and Medical CenterBilling & Certified Coding Specialist I (Remote)MARemote$25–$34 / hourReviews and corrects all claims/charge denials and edits that are communicated via Epic, Explanation of Benefits (EOB), direct correspondence from the insurance carrier or others and uses information learned to educate PFS and office staff to reduce future denials and edits of the same nature. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare''s yearly fee schedule, Medicare Website, and specialty newsletters.
Coding & Compliance Manager, Surgery Lahey Hospital and Medical CenterCoding & Compliance Manager, SurgeryBoston, MA$92,955–$125,091 / yearMay perform additional job duties as time permits, such as: developing and presenting performance metric reports with a review of findings with Attending Physicians, Directors, Managers and Chiefs; service on committees; maintains relationship with third party billing companies to ensure continuous excellence in services; fosters relationships with affiliates related to coding and compliance. Monitors, proposes, and minimizes billing and coding operational inefficiencies by reviewing accuracy and production levels and communicating data analysis on audit trends, scrubber data, government audit requests, denials/appeals as well as developing and implementing corrective action plans for setting performance targets.
Coding Specialist, Pain Management Mass General BrighamCoding Specialist, Pain ManagementSomerville, MassachusettsProvides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Coding Specialist, Pain Management Brigham and Women's HospitalCoding Specialist, Pain ManagementSomerville, MA$25.50–$36.49 / hourProvides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Inpatient Coding Specialist, Remote Mass General BrighamInpatient Coding Specialist, RemoteSomerville, MassachusettsRemoteThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. The Inpatient Coding Specialist is responsible for the accurate and timely assignment of ICD-10-CM/PCS codes and DRGs for inpatient encounters in compliance with federal regulations, payer guidelines, and organizational policies.
Inpatient Coding Specialist Brigham and Women's HospitalInpatient Coding SpecialistSomerville, MA$25.50–$36.49 / hourThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.
Coding Specialist, Pathology Mass General BrighamCoding Specialist, PathologySomerville, MassachusettsThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.
Coding Specialist II, Anesthesia Mass General BrighamCoding Specialist II, AnesthesiaSomerville, MassachusettsThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.
Coding Specialist II, Anesthesia Brigham and Women's HospitalCoding Specialist II, AnesthesiaSomerville, MA$22.22–$31.71 / hourThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.
Coding Specialist, Pathology Brigham and Women's HospitalCoding Specialist, PathologySomerville, MA$22.22–$31.71 / hourThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.
NewCoding and Compliance Auditor South Shore HealthCoding and Compliance AuditorBoston, 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.
Medical Coding Educator & Auditor StratAcuity Staffing Partners IncMedical Coding Educator & AuditorMARemote$65,000–$75,000 / yearIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. This highly visible role supports more than 400 physicians across multiple specialties and requires a unique blend of advanced coding expertise, audit experience, and the ability to confidently educate and present to both small groups and large physician audiences.
Professional Production Coder - Professional Coding Services - Full Time SolutionHealthProfessional Production Coder - Professional Coding Services - Full TimeManchester, New HampshireThe Professional Production Coder collaborates with providers and coding leadership to resolve coding discrepancies, contribute to quality improvement efforts, and uphold organizational goals related to revenue cycle performance and compliance. The Professional Production Coder is responsible for accurately assigning CPT, HCPCS, and ICD-10 codes to professional services in accordance with current coding guidelines, payer requirements, and regulatory requirements.
Professional Production Coder - Elliot Professional Coding Services - Full Time - Remote US SolutionHealthProfessional Production Coder - Elliot Professional Coding Services - Full Time - Remote USManchester, New HampshireRemoteThe Professional Production Coder collaborates with providers and coding leadership to resolve coding discrepancies, contribute to quality improvement efforts, and uphold organizational goals related to revenue cycle performance and compliance. The Professional Production Coder is responsible for accurately assigning CPT, HCPCS, and ICD-10 codes to professional services in accordance with current coding guidelines, payer requirements, and regulatory requirements.
Professional Coding Manager Lahey Hospital and Medical CenterProfessional Coding ManagerMA$83,637–$112,570 / yearWorks with staff to ensure compliance of, and proper coding technique as defined by CMS regulations, Local Medicare Review Policies (LMRPs), Local Carrier Determinations (LCDs), the AMA, any applicable BILH compliance policies, and/or any relevant accrediting organizations. Attends management meetings, interacts with other managers to resolve problems, and conducts regular staff meetings to ensure consistent communication of the Coding department as well as BILH policies, expectations, and goals.
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.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Boston, MAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Manager Professional Billing Coding Operations - Remote Boston Medical CenterManager Professional Billing Coding Operations - RemoteMARemote$78,000–$113,000 / yearThe hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers. Provides training to healthcare professionals, coders, and Revenue Cycle staff in ICD, CPT, HCPCS Level II coding guidelines, proper documentation guidelines and other information related to coding.
Inpatient Coding Specialist (Coder III) - Fully Remote Lowell General HospitalInpatient Coding Specialist (Coder III) - Fully RemoteBurlington, MARemote$31.92–$39.90 / hourPerforms job junctions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, colleagues and community. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment.
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, MassachusettsWe 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.
STEM & Coding Teaching Opportunities Concorde EducationSTEM & Coding Teaching OpportunitiesCambridge, MA$50–$100 / hourPreferred qualifications include: • At least 60 college credits, where required by the applicable assignment or site; • Experience with coding, programming, computer science, or related technology subjects; • Experience teaching, tutoring, coaching, mentoring, or leading activities with school-age students; • Strong communication, organization, and classroom facilitation skills; • Availability to provide services for the accepted assignment schedule and communicate schedule issues as soon as reasonably practicable; and. Payment for completed services is generally made by direct deposit on the fifteenth day of the month following the month in which services were completed, unless otherwise stated in the accepted assignment terms or required by applicable law.
No-Code Business Analyst Creatio EMEA LTDNo-Code Business AnalystBoston, MAVersion Control: Utilize Git/SVN for version control, ensuring seamless collaboration, code integrity, and efficient management of application changesRequired Skills & Competencies:Proven experience in conducting business analysis and research tasks, including market research, competitor analysis, and gathering business requirements to shape product features. Web Services Integration: Create web services for system integration using no-code tools, including designing RESTful APIs and SOAP interfaces to enable seamless data exchange, ensuring adherence to security protocols, and providing documentation for developers and third-party systems.
Oasis, Coding and Quality Documentation Specialist Emerson HospitalOasis, Coding and Quality Documentation SpecialistConcord, MA$36.75–$47.82 / hourThis role focuses on data integrity, workflow efficiency, and the precise application of coding guidelines to support the agency"s financial and regulatory health. Home Care Clinical Specialist-OASIS (HCS-O), or Certification of OASIS Specialist-Clinical (COS-C) required.
NewSenior/Principal Code Consultant RimkusSenior/Principal Code ConsultantBoston, MAEmployee is frequently required to stand, walk on slope roofs, sit, climb ladders, work from stationary and moveable scaffolding (aka swing stages), bend, climb inside attics and crawl under homes and tunnels, balance, stoop, kneel, crouch, talk, hear, and drive a motor vehicle to job sites. Consulting services include; but are not limited too; providing code analysis and interpretation via email, phone call, and in-person or remote meetings; drafting memos to address code issues; meeting with local officials and fire departments on the client’s behalf; and supporting the in-house engineering and design teams.
General Practice Care - Medical Director - Windham , {State_Code UsvtaGeneral Practice Care - Medical Director - Windham , {State_CodeWindham, New HampshireAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Medical Director to provide leadership, oversee 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 leadership role, overseeing medical operations and working collaboratively with the practice manager.
NewRemote AI Systems Engineer & Code Trainer DataAnnotationRemote AI Systems Engineer & Code TrainerBoston, MARemoteIdeal candidates are fluent in English, proficient in various programming languages, and have strong writing skills. You will design coding problems, write high-quality code, and evaluate AI-generated content.
Experienced Medical Billing Coordinator - Part Time Evolve Chiropractic & WellnessExperienced Medical Billing Coordinator - Part TimeBoston, MAWe are looking for someone with knowledge of PIP insurance billing, verifications, authorizations, obtaining referrals, and collecting money. Evolve is looking for an experienced Medical Billing Coordinator to join our dynamic team!
Medical Billing Specialist Mi Familia & Summit Home Health and HospiceMedical Billing SpecialistNashua, NHRemote$58,000–$74,000The Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services.
NewMedical Coder II Lynn Community Health CenterMedical Coder IILynn, MAReviews medical records prospectively to ensure that the care of the patient is recorded in language that payers can interpret which accurately and completely depicts acuity of the patient and resources expended. Experience with computer systems required, including EMR, web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
Billing Compliance Reviewer Dana-Farber Cancer Institute IncBilling Compliance ReviewerBROOKLINE, MARemote$84,000–$91,300 / yearPartner with clinical providers, coding/HIM, revenue integrity, pharmacy, nursing, research billing, and practice operations to remediate findings, implement internal controls, and monitor corrective actions; track effectiveness of remediation through defined metrics. Reporting to the Director of Billing Compliance, the Billing Compliance Reviewer plans and executes risk-based audits, analyzes documentation and coding for medical necessity and regulatory adherence, and recommends corrective actions to mitigate compliance risk.
Director Billing Compliance Dana-Farber Cancer Institute IncDirector Billing ComplianceBROOKLINE, MARemote$154,200–$170,800 / yearResponsibilities include leading routine monitoring, assessing for and identifying areas of risk assessments, conducting investigations, responding to audits, providing consultation/guidance, and sharing program findings with providers and leadership. Reporting to the VP, Chief Compliance Officer with a dotted line reporting relationship to the VP, Revenue Performance Management, the Director of Billing Compliance is a strategic leader and subject matter expert responsible for ensuring the integrity, accuracy, and compliance of billing practices across the organization.
Medical Coder II/III CodaMetrixMedical Coder II/IIIBoston, MassachusettsThis role requires a proven ability to communicate highly complex coding issues and solutions to a wide range of stakeholders, alongside an unwavering commitment to continuous learning, quality, and innovation in medical coding practices. They will play a pivotal role in improving the quality and efficiency of coding operations by collaborating closely with cross-functional teams, including Machine Learning, Product, and Customer Implementations.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorMA$50,000–$60,000 / 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.
Clinical Audit Response Specialist Dana-Farber Cancer Institute IncClinical Audit Response SpecialistBOSTON, MARemoteReporting to the Director of Patient Financial Services, the Revenue Protection Specialist is responsible for managing and responding to external audits from government and commercial insurance companies, as well as interpreting evolving payer policies to safeguard the Institutes revenue. The Revenue Protection Specialist will utilize their clinical expertise and knowledge of billing practices to address audit findings, interpret payer policies, prepare detailed responses, and implement corrective actions to enhance compliance and revenue integrity.
Denial Specialist 1-Professional Billing Lahey Hospital and Medical CenterDenial Specialist 1-Professional BillingMA$22.05–$29.68 / hourActual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. The PFS Denial Specialist I role is vital to ensure that hospital denied accounts are thoroughly reviewed for any opportunity to correct, refile and or appeal claims for re-processing and reimbursement.
Inpatient DRG Reviewer Zelis Healthcare, Inc.Inpatient DRG ReviewerBoston, MA$79,000–$99,750 / yearRN or LVN required • Inpatient Coding Certification required (CCS, CIC) within 4 - 6 months of hire date • 1 -3 years reviewing and or auditing ICD-10 CM, MS-DRG and APPR-DRG claims preferred • Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs • Experience performing readmission reviews, including evaluating relatedness, preventability, and compliance with readmission policies • Understanding of hospital coding and billing rules • Clinical skills to evaluate appropriate Medical Record Coding • Experience conducting root cause analysis and identifying solutions • Strong organization skills with attention to detail • Outstanding verbal and written communication skills. • Using the revised codes, regroup the claim using provided software to determine the 'new DRG' • Where the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review • Document all aspects of audits including uploading all provider communications, clinical rationale, and/or financial research • Identify new DRG coding concepts to expand the DRG product.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistMA$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.