Senior Billing Compliance Auditor: CMS & Coding Expert
$93.8k - $106kARMA International
ARMA International in Brookline, Massachusetts, is seeking a Billing Compliance Reviewer. This role entails planning and executing audits, analyzing medical documentation, and ensuring compliance with regulations. The ideal candidate will have a strong background in healthcare coding and auditing. The position offers a salary range of $93,800.00 - $106,000.00 based on experience and skills. Qualified candidates must have at least 5 years of relevant experience and appropriate certifications. #J-18808-Ljbffr ARMA International
$116.7k - $132k
Dana-Farber Cancer Institute in Boston is seeking a Senior Billing Compliance Hospital Reviewer. The role involves overseeing billing compliance activities, evaluating coding accuracy, and ensuring adherence to CMS guidelines. With a focus on creating a diverse and inclusive...CmsSenior- Join Dana-Farber Cancer Institute as a Senior Billing Compliance Reviewer where you will oversee the accuracy of ICD-10 coding and audit processes. This role involves collaboration with various departments, ensuring compliance with billing guidelines, and assisting in the...Senior
$93.8k - $106k
...Farber Cancer Institute in Brookline is seeking a Billing Compliance Reviewer to manage audits and ensure compliance with CMS guidelines. This role focuses on analyzing... ...collaborating with clinical teams to improve coding practices. Qualified candidates should have at...Cms$116.7k - $132k
...Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer will be responsible... ...appropriateness of ICD-10-PCS procedure coding and assessing DRG assignment. The... ...Skills and Abilities: Knowledge of CMS (Medicare and Medicaid) and commercial...CmsSeniorWork at officeFlexible hours$78.4k - $107.8k
Humana Inc is looking for a Senior Insurance Product Compliance Professional in Boston, Massachusetts. As a subject matter expert, you will ensure the compliance of marketing and communication materials with federal and state guidelines. Your role will involve mentoring...CmsSeniorRemote work- Title: Senior Outpatient Coder Reports to: Director of Revenue... ...be a part of an emerging coding team under the billing and credentialing service... ...Serves as an expert on coding guidelines Assigns... ...documentation guidelines, compliance policies, annual coding updates...CmsSeniorWork at office
$93.8k - $106k
...Reporting to the Director of Billing Compliance, the Billing Compliance Reviewer plans and executes... ...based audits, analyzes documentation and coding for medical necessity and regulatory... ...billing code selection in alignment with CMS, OIG, and other applicable professional...Cms$83.4k - $91.1k
...The Billing Compliance Curriculum Development Specialist is responsible for... ...role serves as a subject-matter expert in professional and technical... ...-based, and aligned with CMS, OIG, NCCI, payer guidance, and... ...billing, documentation, and coding requirements. Knowledge, Skills...CmsWork at officeRemote work$88k - $132k
...Overview ABOUT THE ROLE The Senior Financial Systems Analyst... ...-end process subject matter expert for Zuora, owning platform... ...providing daily system support for Billing, Collections, and Revenue... ...support business growth and compliance. Job Description and Requirements...SeniorRemote workHome office$85k - $115k
A leading engineering firm in Boston, MA is seeking a Principal Technician, Civil/Geotechnical Engineer to oversee construction management projects. Candidates must have at least 7 years of experience (or 10 years without a Bachelor's) and possess a valid driver's license...CmsSeniorFor subcontractor$93.8k - $106k
Dana-Farber Cancer Institute in Boston, MA is seeking a Billing Compliance Reviewer to manage audits and ensure compliance with billing regulations... ...teams. Ideal candidates should have 5 years of healthcare coding experience and required certifications. The position offers a...Full time$92.96k - $125.09k
## Coding & Compliance Manager, SurgeryApplylocations: Beth Israel Deaconess Medical Centertime... ...the coding, auditing and billing process according to CMS, BIDMC, other federal insurance programs... ...several factors, that may include seniority, education, training, relevant...CmsWork experience placementInterim role$154.2k - $170.8k
Director, Billing Compliance Dana-Farber Cancer Institute Boston, MA Full... ...leader and subject matter expert responsible for ensuring the... ...presents review findings to senior management and recommends corrective... ...clinical documentation, coding and billing education...CmsFull timeLocal area$95k - $120.65k
...holistically with technology built by healthcare experts – driving real, measurable results for... ...records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based... ...reviews to determine accuracy of the DRG billed, based on industry standard coding...CmsSeniorFull timeWork at officeLocal areaRemote workVisa sponsorshipFlexible hours$60k - $130k
...About Stout’s Forensics and Compliance Group Stout’s Forensics and Compliance... ...collaborating closely with senior team members. Support and... ...related to healthcare billing, coding, reimbursement, and revenue cycle... ...compliance frameworks, including CMS regulations, HIPAA, and the...CmsWork at officeLocal areaFlexible hours- ...Enterprise Services) is seeking an Inpatient Coding Specialist to ensure accurate assignment... ...with an Associate's Degree in Medical Billing and Coding. Key responsibilities include... ...with healthcare teams, and maintaining compliance with coding guidelines. Comprehensive...CmsRemote work
$120k - $150k
...systems. What You Will Do: The position will be the principal owner for the design, development, and implementation of Aderent Expert customization of Classic and Framework forms, inquiries, rules, and workflows. Utilize the DocuDraft toolkit to develop and...SeniorWork at office$78k - $113k
...The Manager of Risk Adjustment Coding manages the day-to-day... ...knowledge of regulatory and compliance changes impacting Risk Coding... ...Outpatient or Certified Documentation Expert Outpatient (CDEO) Certified... ...health records, computerized billing and charging systems,...CmsFixed term contractFlexible hours$78k - $113k
...world. Position: Manager Professional Billing Coding Operations - Remote Department: Coding &... ...the coding edits and denials and ensures compliance with payer guidelines. The Manager, PB Coding... ...conventions (including E&M coding), CMS National Coverage Determinations and...CmsRemote jobFull timeFlexible hours- ...impact, Vitra Health is seeking a Compliance Specialist who is passionate... ...Coder (CPC), Certified Coding Specialist (CCS), or willingness... ...reviewing documentation, claims, or billing processes in a regulated... ...regulations including HIPAA, CMS, NCQA, and OIG guidelines strongly...CmsWork at office
$79.56k - $115.72k
...Mass General Brigham Incorporated. is seeking a Senior Research Compliance Specialist to oversee and evaluate research activities for compliance with regulatory standards. This hybrid role requires a Bachelor's degree in Healthcare Management or a related field and at...Senior- ...Oversees the coding audit and compliance aspects of risk adjustment processes. In partnership with... ...timely and compliant responses to CMS and external auditors. Implement and monitor risk... ...coding performance and risk areas to senior management. Oversee vendor...CmsRemote work
- ...Stout Risius Ross, LLC in Boston is seeking a Senior Manager to lead Risk Advisory engagements focused on SOX 404 compliance. The ideal candidate will have deep U.S. GAAP knowledge and extensive experience in managing client relationships, overseeing risk assessments,...SeniorFlexible hours
$114.1k - $211.9k
...Senior Expert I / Expert II, Data Science This role is based in Cambridge, MA. Novartis is unable to offer relocation support for this... ...Evaluate and implement emerging technologies, including AI-assisted coding platforms and agentic tools, to enhance team effectiveness and...SeniorRelocation package- Community Care Cooperative (C3) is searching for a Senior Outpatient Coder in Boston. This role involves conducting coding audits, assigning diagnosis and procedure codes, and ensuring compliance with guidelines. Applicants must have 10+ years of experience in outpatient...Senior
- ...efficiently and communicate effectively with all levels of management. The ideal candidate will ensure timely payroll processing in compliance with collective bargaining agreements and payroll tax laws, while also being responsible for the resolution of payroll...Senior
- ...Commonwealth of Massachusetts is seeking an MSRB Senior Internal Auditor to lead audits evaluating internal controls and compliance. This role requires a strong background in government auditing standards and the ability to manage audits with professionalism. The candidate...SeniorWork at officeRemote work
- ...Senior Product Sustainability Expert Assent is the leading AI native platform for supply chain sustainability and compliance, trusted by complex manufacturers and distributors around the world. Built and backed by experts who have led global compliance programs, our...SeniorFlexible hours
- ...Work in an organization that prioritizes compliance, process improvement, and operational excellence... ...Ensure accurate CPT, HCPCS, and ICD-10 coding in accordance with CMS and payer guidelines Review provider documentation for billing compliance and completeness Monitor claim...CmsFull timeTemporary workWork at officeRemote workMonday to FridayFlexible hours
- Confidential is seeking a Senior Bookkeeper for their US Operations, focused on day-to-day accounting activities. This hands-on role... ...managing full-cycle bookkeeping, payroll support, and ensuring compliance with tax regulations. Candidates should have 5+ years of accounting...Senior
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