QHP Coding Auditor - Boston, MA

We are seeking a highly skilled QHP Coding Auditor to perform initial chart reviews and ensure the highest standards of coding accuracy in a remote setting. · ...

The Coding and Compliance Auditor- Behavioral Health performs complex review and adjustments of medical claims to ensure accuracy in claim payments. · This is accomplished through data analysis to ensure alignment with payment policies, · medical policies, correct coding, · and s ...

Under the general direction of the Corporate Director, Health Information Management & Privacy Officer provides leadership and technical support for ambulatory coding auditing and educating functions. · ...

The Ambulatory Coding Auditor/Educator provides leadership and technical support for ambulatory coding auditing and educating functions. Responsible for ensuring accurate diagnosis and procedure coding as well as providing documentation and coding related feedback and educational ...

We're on the hunt for a sharp Finance Manager or Controller to help us scale our financial operations. · Partner with leadership to upgrade and manage financial systems · Oversee day-to-day accounting and reporting · Support budgeting, forecasting, and cash flow managementCollabo ...

This position is for an Audit Team Lead who will oversee compliance reviews of medical and administrative documentation to identify healthcare fraud and wasteful conduct.We remove friction and drive alignment between care providers and payers, and ultimately consumers. · ...

This position is available to remote employees residing in Massachusetts. · Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding configuration requirements for Optum CES and Zelis edits. · Analyze, measure, m ...

This position is a leadership role in performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive conduct by health care providers who submit claims for payment. · We remove friction and drive ali ...

The CDI Validation Specialist assists the CDI Manager with oversight evaluation and analysis of CDI functions including efficiency accuracy continuing education needs and overall quality. · The individual identifies individual education needs of Clinical Documentation Specialists ...

+Job summary · The CDI Validation Specialist assists the CDI Manager with oversight evaluation and analysis of CDI functions including efficiency accuracy continuing education needs and overall quality. · This individual identifies individual education needs of Clinical Documenta ...

The Accounting Manager will play a key role in the CereVasc's accounting and financial operations. This position will oversee the monthly close process by preparing aspects of monthly close tasks and ensuring the accuracy and timeliness of financial reporting. · ...

This position involves leading compliance reviews of medical and administrative documentation to identify instances of healthcare fraud. The role requires analyzing claims data, reviewing provider records, and presenting findings to clients. · Supervise auditors in performing com ...

We continue to look for today's and tomorrow's brightest talent, those that embody a spirit to improve not only their lives, but those around them. · ...

The Accountant will manage core accounting functions, including payroll, accounts payable, accounts receivable, and account reconciliations. This position offers an opportunity to contribute to the financial health of a dynamic nonprofit organization while supporting programs tha ...

The Pioneers is looking for a finance director with excellent organizational and analytical skills. · Bachelor's degree preferred or relevant experience. · Strong financial analysis skills, ability to make sense of complex financial data and translate it for a wide range of audie ...

The Accountant will manage core accounting functions including payroll accounts payable accounts receivable and account reconciliations. · ...

The Accounting Manager will play a key role in the CereVasc's accounting and financial operations. · ...

+The CDI Validation Specialist assists the CDI Manager with oversight, evaluation, · and analysis of CDI functions including efficiency, · accuracy, · continuing education needs, · and overall quality. · +Bachelor's degree (or equivalent) in nursing, · health information manageme ...

The CDI Validation Specialist assists with oversight evaluation analysis of CDI functions including efficiency accuracy continuing education needs overall quality. · ...

The Clinical Auditor I performs detailed medical record audit review and analysis of the health plan's outpatient, professional and ancillary claims to ensure that all reimbursement to the provider is paid accurately and ensuring adherence to regulations, internal policies and be ...