Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Under the general supervision of the Principal Investigator(s) and Clinical Research Coordinator assist in recruitment acquisition and analysis of patient information for multiple clinical research projects. Interviews patients to gather information prepares and maintains study record enters data via computer performs statistical analyses of resultant data. Participates i

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

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

Referral Coordinator The Referral Coordinator is responsible for all administrative processing in regard to patient's personal and insurance information for a group of dialysis clinics. This individual cooperates and works closely with both internal and remote co workers, possesses strong time management skills and the ability to complete assigned job duties with applicab

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

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

We're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. Hours 40 hours per week; Monday through Friday from 8 30 AM to 5 00 PM. Location 100% Onsite at 888 Main St in Wakefield, Massachusetts. Position Summary Responsible for all secretarial, routine office duties and requisitioning of supplies to aid in the smooth functioning

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