NewMental Health - $50-55 per hour DGE Psychological ServicesMental Health - $50-55 per hourPawtucket, RIRemote$53–$55 / hourWe are seeking a dedicated and compassionate mental health professional to join our team as a Licensed Mental Health Counselor (LMHC), Licensed Master Social Worker (LMSW), Licensed Professional Counselor (LPC), or Psychologist with the necessary license or permit to practice. This position offers an exciting opportunity to make a meaningful impact through direct support, clinical counseling, and innovative therapeutic interventions in various settings such as outpatient clinics, inpatient facilities, or telehealth platforms.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorMA$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.
Technical Product Owner - AI Coding Platforms Boston Scientific CorpTechnical Product Owner - AI Coding PlatformsMarlborough, MAServe as the primary product interface with external AI partners, including vendors such as OpenAI, Anthropic and other strategic providers, to manage joint roadmaps, influence feature direction, resolve enterprise adoption barriers and accelerate the rollout of AI coding capabilities at Boston Scientific. This role will own the portfolio of AI coding capabilities that support engineers, data scientists, researchers and technical teams in using AI assistants, coding agents, large language model-powered developer tools and workflow automation safely and effectively within enterprise guardrails.
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, 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.
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 Instructor Home HelpersCoding InstructorActon, 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.
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.
NewCoding Manager, 40hrs Hybrid TaraVistaCoding Manager, 40hrs HybridDevens, MA$83,000–$103,000 / yearThe Coding Manager oversees coding staff productivity and quality, develops departmental policies and procedures, coordinates coding education, partners with Clinical Documentation Improvement (CDI), Revenue Cycle, and Finance, and ensures compliance with AHIMA, AAPC, CMS, and other regulatory requirements. The position ensures accurate, compliant, and timely assignment of ICD-10-CM, ICD-10-PCS, and CPT codes for inpatient hospital and professional services.
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.
NewCertified 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, 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.
Medical Billing Specialist PHYSICIAN MANAGEMENT RESOURCES LLCMedical Billing SpecialistNeedham, MAIn this role, you will be responsible for supporting clients in their day-to-billing operations including reviewing, coding, and processing medical claims and well providing a high-level approach to creating workflow processes, analyzing and sharing RCM results. The successful candidate will possess the following: End to end knowledge of the revenue cycle: charge capture, coding, billing, follow up, denials, and payment posting including a strong understanding of payer rules, contracts, and reimbursement methodologies.
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.
Senior Medical Coder UnitedHealth Group IncSenior Medical CoderChelmsford, MA$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. Primary Responsibilities: 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.
Urgent Care Center Medical Assistant/Coordinator Emerson HospitalUrgent Care Center Medical Assistant/CoordinatorLittleton, MA$18–$26 / hourUrgent Care Center Medical Assistant/Coordinator Job Ref: 33952 Category: Medical Assistant Location: 830 Constitution Ave, Littleton, MA 01460 Department: Urgent Care Littleton Schedule: Part Time Shift: Day/Eve shift Hours: 800-800, 900-500 Pay Range: $18.00 - $26.00 per hour. Experience: Minimum of one year of experience in urgent care or related healthcare environment required Minimum of one year of phlebotomy experience with patients of all ages highly preferred An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements.
NewMedical Coder, 40hrs TaraVistaMedical Coder, 40hrsDevens, MA$23–$28 / hourAs a Medical Coder: You will code hospital and professional inpatient visits using the International Classification of Disease 10-Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) coding methodology in accordance with official coding and reimbursement guidelines. You will maintain current working knowledge with all coding rules, coding guidelines, Medicare, and Medicare like payer regulations in accordance with the hospital coding compliance policies and procedures.
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.
Phlebotomist, Per Diem-Marlborough Hospital UMass Memorial HealthPhlebotomist, Per Diem-Marlborough HospitalMarlborough, 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. Under the supervision of the Laboratory Medical Director, Director of Laboratory Services and Lead CLA performs patient phlebotomy, laboratory assistance and other duties as needed.
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.
Phlebotomist, Per Diem-Marlborough Hospital UMass Memorial Health Care IncPhlebotomist, Per Diem-Marlborough HospitalMarlborough, MA$16.60–$29.88 / 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. Under the supervision of the Laboratory Medical Director, Director of Laboratory Services and Lead CLA performs patient phlebotomy, laboratory assistance and other duties as needed.
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).
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.
Payment Integrity Program Development Manager Devoted Health IncPayment Integrity Program Development ManagerWaltham, MARemoteThat'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).
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.
NewMedical Coder, 40hrs TaraVista Behavioral Health CenterMedical Coder, 40hrsMA$23–$28 / hourAs a Medical Coder: You will code hospital and professional inpatient visits using the International Classification of Disease 10-Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) coding methodology in accordance with official coding and reimbursement guidelines. You will maintain current working knowledge with all coding rules, coding guidelines, Medicare, and Medicare like payer regulations in accordance with the hospital coding compliance policies and procedures.
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.
Urgent Care Center Coordinator Emerson HospitalUrgent Care Center CoordinatorLittleton, MA$20–$26 / hourSkills: • Basic computer skills including familiarity with electronic medical records, Microsoft Office, and Outlook, and use computer-based scheduling to record and maintain demographic scheduling and related information • Must be able to read and write English and possesses verbal and written communication skills to understand and interpret instructions • Superior customer service skills with experience to handle escalated issues • Demonstrates effective professional and positive communication and interpersonal skills with patients, families, and urgent care staff on the phone and in person • Knowledge of medical billing systems, medical coding, and third-party payer requirements as well as the ability to process financial transactions • Knowledge of office and laboratory procedures • Accurately read and write medical terminology • Strong aptitude for detail with excellent critical thinking, multitasking, problem-solving, and organizational skills • Work in a high-pressure environment independently or as part of a team with minimal supervision. The UCCC also supports the physicians in a fast-paced environment to treat various types of ailments while also supporting the medical techs with a team approach to clinical flow and appropriate duties.
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.
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.
Chief of Urology for Optum Massachusetts (Atrius/Reliant Medical Group) UnitedHealth Group IncChief of Urology for Optum Massachusetts (Atrius/Reliant Medical Group)Worcester, 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.
Medical Assistant - 4.5 days per week - Internal Medicine UnitedHealth Group IncMedical Assistant - 4.5 days per week - Internal MedicineMAAssists in management of patient flow and access Performs a variety of clinical functions such as measuring temperature pulse rates blood pressure orthostatic vitals height weight pediatric lengths head circumference peak flows pulse oximetry etc. 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.
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.
Per Diem Family Medicine Physician - Reliant Medical Group - Worcester UnitedHealth Group IncPer Diem Family Medicine Physician - Reliant Medical Group - WorcesterWorcester, 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 with the support not restrictions of 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.
Physician, Geriatric Primary Care |Reliant Medical Group UnitedHealth Group IncPhysician, Geriatric Primary Care |Reliant Medical GroupWorcester, 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. Monitor and manage acute and chronic conditions common in nursing homes CVA progressive neurological conditions including Dementia Alzheimers and other Dementia diagnoses Parkinsons Disease MS fractures delirium and postoperative surgical patients and end stage diseases.
Same Day Services Physician - ReadyMED Urgent Care - Reliant Medical Group UnitedHealth Group IncSame Day Services Physician - ReadyMED Urgent Care - Reliant Medical GroupWorcester, 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 with the support not restrictions of 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.
Same Day Services APC - (Part-time) ReadyMED Urgent Care - Reliant Medical Group UnitedHealth Group IncSame Day Services APC - (Part-time) ReadyMED Urgent Care - Reliant Medical GroupLeominster, MAAs the largest employer of Advanced Practice Clinicians we have a best-in-class employee experience and enable 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 We grow talent from within. 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. › Ireland & UK › India › Philippines › Culture of Belonging › Employee Benefits › Blog.
CMRN (MNA) Ambulatory Nurse Case Manager Atrius Health UnitedHealth Group IncCMRN (MNA) Ambulatory Nurse Case Manager Atrius HealthMAAssesses adult medicalsurgical Atrius Health patients for risk of readmission and communicates identified risks with transition of care outpatient case manager andor primary care team Facilitates real-time review of contributing factors to readmission of patients and explores opportunities for acute care hospitalization ACH reduction. Performs needs assessments of patientsfamilies for services including but not limited to primary care specialty care visits skilled homecare palliative care hospice care including hospice residence andor skilled nursing facility to ensure appropriateness of services and expedite transitions of care.
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.
Vigilance Writer LancesoftVigilance WriterActon, MARemote$43The Global Product Monitoring Vigilance Report Writer develops, establishes, and maintains quality assurance methodologies, systems, and medical device industry best practices which meet customer, regulatory, and client requirements;serves as a post-market vigilance (reportable event) and surveillance subject matter expert and representative to improve awareness, visibility, and communication on quality/compliance initiatives to support departmental, divisional, and corporate quality goals and priorities;works on problems of diverse scope where analysis of data requires evaluation of identifiable factors;demonstrates good judgment in selecting methods and techniques for obtaining solutions;and networks with senior internal and/or external personnel in own area of expertise. Working knowledge/experience with global, multi-country vigilance reporting requirements for medical devices and demonstrated knowledge of country-specific differences and requirements.
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.
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.
Medical Records Director Non Nurse/HIM Temporary Life Care Center of Merrimack ValleyMedical Records Director Non Nurse/HIM TemporaryBillerica, MassachusettsCredentialed as a Registered Health Information Administrator (RHIA) OR as a Registered Health Information Technician (RHIT) OR have a degree in a health related field with extensive training and demonstrated competence in the HIM field. Perform proficiently in all competency areas including but not limited to: medical coding, auditing, clinical records, privacy official responsibilities, supervisory responsibilities, patient rights, and safety and sanitation.