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
$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$59.3k - $80.9k
...of our caring community The Medical Coding Auditor reviews medical claims submitted against... ...Conduct peer reviews to ensure compliance with coding guidelines and provide reports... ...Interventional Radiology, Outpatient Itemized Bill reviews ~ Ambulatory Payment...CmsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$31.92 - $39.9 per hour
Tufts Corporate in Burlington, Massachusetts is seeking a medical coder to review and ensure accuracy in coding inpatient admissions. The role requires valid CCS certification and three years of coding experience, particularly in ICD-10-CM and PCS. The successful candidate...CmsSenior$83.4k - $91.1k
Dana-Farber Cancer Institute is seeking a Billing Compliance Curriculum Development Specialist in Boston, MA. This role involves designing and... ...are required. Candidates must have knowledge of ICD-10-CM coding guidelines and ideally certifications like CPC or CCS. The position...CmsCasual work- Dana-Farber Cancer Institute is seeking a Billing Compliance Reviewer to lead audits ensuring accuracy and compliance with billing practices. This critical role requires 5 years of healthcare coding experience and a coding certification (CPC, CCS, RHIT, or RHIA). The Reviewer...
$18.5 - $42.35 per hour
...Accounts Receivable Associate, Senior Coordinator, will be... ...productivity and overall compliance Recognizing and identifying coding deficiencies and... ...based upon compliance and CMS regulations Identifying... ...the intricacies of medical billing encountered in such areas...CmsSeniorHourly payFull timeContract workTemporary workWork at officeLocal area$93.8k - $106k
...Overview Reporting to the Director of Billing Compliance, the Billing Compliance Reviewer plans and... ...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$154.2k - $170.8k
Reporting to the VP, Chief Compliance Officer with a dotted... ..., the Director of Billing Compliance is a strategic... ...leader and subject matter expert responsible for... ...presents review findings to senior management and recommends... ...documentation, coding and billing education programs...CmsLocal 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$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$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
...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$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$90k - $105k
...Working Situation Hybrid (1 day per week in office) Role The Senior Billing Coordinator will be responsible for managing the billing process... ...budgets, and ensuring that all billing procedures are in compliance with company policies and legal regulations. Responsibilities...CmsSeniorWork at office1 day per week$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- Dormont Manufacturing Co in Somerville, MA is seeking a qualified individual to oversee and evaluate research compliance activities. The role requires conducting audits, monitoring projects, and ensuring adherence to ethical guidelines and regulations. The ideal candidate...Senior2 days per week
- Pho Prime, LLC is seeking a Senior Safety Specialist in Boston, MA to oversee health, safety, and environmental compliance programs. This role requires a professional with a minimum of five years in safety-related fields, adept in managing safety performance systems and...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
- Massschoolbuildings is looking for an Internal Auditor in Boston, Massachusetts, to ensure the effectiveness of internal controls and compliance. The role involves conducting audits... ...processes, and reporting findings to senior management. The ideal candidate will have...Senior
- ...Enterprise Services) is seeking a Medical Coder to ensure proper coding compliance and documentation accuracy. The role requires assigning... ...medical documentation, ensuring adherence to guidelines by AMA and CMS. The ideal candidate has 2-3 years of experience in medical...Cms
- ...including installation and maintenance of mechanical and electronic locking systems. You will also manage key systems and ensure compliance with safety and accessibility standards. The ideal candidate has at least 5 years of locksmith experience, strong mechanical skills...Senior
- ...Summary: Responsible for ensuring proper coding compliance, documentation accuracy, and adherence... ...for Medicare and Medicaid Services (CMS), and other regulatory bodies. -Analyze... ...required or Associate's Degree Medical Billing and Coding preferred Can this role accept...CmsRemote work
$67.9k - $199.14k
Position Summary We are seeking a strategic, data-driven Senior Manager to advise and support Medicare Advantage and Part D health plan... ...changes, adherence outreach, formulary disruption, etc.) that are CMS compliant and behaviorally effective Translate complex...CmsSeniorTemporary workLocal area$206.25k - $297.92k
...Job Title: Senior Director, Access Strategy, Rheumatology Location... ...IRA negotiations with CMS. Assess ongoing indication... ...reimbursement landscape, ensuring compliance and sustained market access.... ...Serve as the TA subject matter expert for market access and GTN, providing...CmsSenior- ...Senior Database Developer You're a talented database developer who is passionate about coding. You excel at getting from feature request to implementation plan. You go beyond just... ...cart, faceted search, catalog building, CMS and payment APIs. Familiarity with using...CmsSeniorPermanent employmentFull timeCasual workWork at officeLocal area
- ...Certified Risk Coder Reports to: Manager, Risk Coding Classification: Individual Contributor... ...or behavioral health condition coding, billing compliance, and coding quality assurance protocols... ...FQHCs. Responsibilities Serves as an expert on ICD‐10‐CM coding guidelines, AHA...CmsRemote work
$99.47k - $141.8k
Job Summary The Senior Contract Compliance Specialist will be responsible for ongoing data management of... ...streams. Escalation point to provide expert direction to team for posting... ...regulations, such as HIPAA, ACA, and CMS guidelines. Familiarity with payer-provider...CmsSeniorContract workWork at officeRemote work
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