The DRG Validation Nurse 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

The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in

The Senior Home Hospital Data Analyst specializes in MGB's innovative Home Hospital (HH) program. The Home Hospital program aims to improve the care of patients in their homes while increasing hospital capacity and reducing total costs of care. The Sr Data Analyst will partner with other members of the Enterprise Analytics team to represent the priorities and needs of the

The Senior Healthcare Data Analyst will principally support MGB Spaulding Rehabilitation, a world leader in advanced rehabilitation treatment and research. The Sr Data Analyst will partner with other members of the Enterprise Analytics team to meet the data and analytic needs of the Spaulding site operations teams, and will be the go to expert for the Spaulding domain. Th

Lab Assistant I Marlborough, MA Monday Friday 3 00pm 11 00pm (Rotational Weekends) Pay Range $18.61+ per hour Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive a

The Application Coordinator reports directly to an Application Manager within the Willow Application team; s/he is part of a team dedicated to configuring, building, testing and activating the Willow Pharmacy application. 1. Solid understanding of inpatient pharmacy clinical and operational workflow. 2. Clinical experience in pharmacy is preferred. 3. Electronic medical r

We're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. Tufts Medicine Lowell General Hospital is seeking an experienced Per Diem Credentialing Specialist . Hours Per Diem. Weekdays as needed. Preferred days include Tuesday Thursday between the hours of 7am 5pm availability. Location Remote Job Overview This position provides

Great opportunity to join an experienced team supporting transitioning planning for medical/surgical inpatients. Role requires ability to work independently and ability to prioritize tasks. Work closely with members of the care team interact with patients good communication skills and ability to use computer are key Supports the Case Manager in coordinating, negotiating,

We're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. Job Profile Summary This role focuses on providing administrative and business support to the organization in order to achieve operational goals. In addition, this role focuses on performing the following Credentialing duties Processes provider applications and re applica

To set up invoices for paper and electronic submission to responsible party Resolve billed client invoices by contacting both internal and external clients. Calculate payable portion per applicable contract and utilize available tools to secure proper payment from payer. This includes contacting payer as needed and reviewing contract and billing terms. Coordinate daily wo

Pre Analytical Assistant I Marlborough, MA Pre Analytical Assistant I is responsible for general support functions within the Technical Operations Department. Pay Range $18.61+ per hour Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and where applicable, certifications obtained. Market and organizational fact

Analyzes, prepares, sorts and scans medical record documents into the document management system making certain all documentation scanned belongs in the appropriate patient's medical record. Prepares batches of documents according to established prepping guidelines and scans within specified time frames while meeting productivity & accuracy expectations. Performs a qualit

Ensures CXM's data management activities are fully compliant with all regulatory requirements Other duties as assigned What We're Looking For Education Required BA/BS in a related field Education Desired BA/BS in a related field with strong emphasis in data analysis. Experience Required A minimum of 3 5 years of relevant work experience (i.e., data analytics informatics,

Lab Assistant I Marlborough, MA Monday Friday (Rotational Weekends 8 00pm 4 00am) Lab Assistant I is responsible for general support functions within the Technical Operations Department. Pay Range $18.61+ per hour Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and where applicable, certifications obtained. Ma

Under the general direction of the Manager of Patient Access, the Bed Placement Coordinator manages the daily operations relative to patient bed assignments within the Medical Center. The Coordinator upholds the department mission as follows Ensure the patient is admitted/registered in a timely and professional manner with little or no inconvenience or frustration to the