Ready to help us transform healthcare? Bring your true colors to blue. Position Summary This position does require travel within Massachusetts. This role will be responsible for representing Blue Cross Blue Shield MA's risk adjustment coding improvement initiatives through engagement with health care providers and non clinical team members. Collaborates with internal team

The FWA Investigator Coder Sr. Associate is an integral part of the Fraud, Waste & Abuse (FWA) Special Investigation Unit (SIU). The position reports directly to the Sr. Director, Fraud, Waste & Abuse. This position utilizes a variety of FWA investigative tools and techniques to complete activities required to identify compliance with state and federal results, regulation

Hospital Services Technicians travel between customer healthcare facilities providing on site proactive collection and exchange of waste containers for various Stericycle programs, including but not limited to Sharps Management Service, Pharmaceutical Waste, Controlled Substances, and Document Management. This service is provided at regularly scheduled intervals for assig

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

This position is responsible for the accurate and complete collection and capture of patient registration data for inpatients, observation, and day surgery patients. Reviews and confirms that valid insurance coverage exists for each admission and collects other important demographic and statistical information on all patients. Updates all data in the Siemens Invision syst

Central Supply and Medical Records Clerk Requisition ID 2024 29228 # of Openings 1 Area of Interest Facilities Company Elderwood Location Elderwood of Scallop Shell at Wakefield Position Type Regular Full Time Salary Pay $17.60 $22.39 / hour Salary Pay $17.60 $22.39 / hour Overview Central Supply and Medical Records Clerk Overview The Central Supply and Medical Records cl

How will your role help us transform hope into reality? Reporting to Head of Global Medical Information, this newly created position is responsible for supporting the Medical Information Services (MIS) function at Blueprint Medicines. This person will play a significant role in the launch of our products in US and international markets, as well as be responsible for revie

Responsible for records management of TRAC industry files in compliance with EPA requirements, including electronic document storage using Pretreatment Information Management System (PIMS) and hard copy files. This includes opening and distributing mail; routing, scanning, filing, and archiving and retrieval of correspondence and documents relating to the Industrial Pretr

The Utilization Review Specialist is responsible for the pre certification, concurrent, and discharge review process for clients at all levels of care, resulting in the approval of their admission and continued treatment. Job Duties and Responsibilities Consult with Admissions Department regarding specific LOC issues, insurance requests, and/or criteria questions. Complet

Telecommute within Boston, MA/Fortune 5 Company/Excellent Compensation Package!

Health Information Specialist I (Onsite Worchester, MA) Job Locations US MA Worcester | US MA Worcester | US MA Worcester | US MA Worcester Requisition ID 2024 35936 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power bet

Assigns appropriately sequenced and compliant ICD 10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS DRGs, APR DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or compute

The Inpatient DRG Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official Coding

Interwell Health is a kidney care management company that partners with physicians on its mission to reimagine healthcare with the expertise, scale, compassion, and vision to set the standard for the industry and help patients live their best lives. We are on a mission to help people and we know the work we do changes their lives. If there is a better way, we will create

The Health Information Management (HIM) Supervisor is responsible for the daily planning and monitoring of department operations, staffing and coordinating tasks to ensure timely completion to meet regulatory requirements at CCA. Supervision Exercised Yes, which includes but is not limited to providing leadership, work direction, and performance feedback to subordinate st