Healthcare Claims Auditor Jobs in Woburn, Massachusetts | HealthcareCrossing.com


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22

Healthcare Claims Auditor Jobs in Woburn





Job info
 
Company
**********
Location
Boston, MA
Posted Date
Mar 21, 2021
Info Source
Employer  - Full-Time  90  

... contract is responsible for processing claims for more than 6 million ... than 6 million members, the claims processing and financial management functions ... to an external vendor. The..

 
Company
**********
Location
Boston, MA
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Medicaid Associate Director, Compliance Nursing in Boston Massachusetts Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

 
Company
**********
Location
Boston, MA
Posted Date
Apr 07, 2021
Info Source
Employer  - Full-Time  90  

Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

 
Company
**********
Location
Boston, MA
Posted Date
Sep 12, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

 
Company
Humana Inc.
Location
Boston, MA
Posted Date
Sep 02, 2021
Info Source
Employer  - Full-Time  90  

Description Humana's Claims Cost Management (CCM) organization is ... support our efforts for ensuring claims payment accuracy, so that our ... that our members receive quality healthcare at an affordable..

 
Company
Genesis HealthCare
Location
Danvers, MA
Posted Date
Oct 21, 2021
Info Source
Employer  - Full-Time  90  

POSITION SUMMARY: The Clinical Reimbursement Coordinator (RN) manages the overall process and tracking of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within the Center. Conducts ..

 
Company
**********
Location
Boston, MA
Posted Date
Mar 23, 2023
Info Source
Employer  - Full-Time  90  

... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Boston Massachusetts ... Massachusetts Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..

 
Company
**********
Location
Boston, MA
Posted Date
Feb 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ... are met. The Medical Coding Auditor work assignments are varied and ... action. Responsibilities The Medical..

 
Company
**********
Location
Boston, MA
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... for an experienced medical coding auditor to..

 
Company
**********
Location
Boston, MA
Posted Date
Apr 07, 2023
Info Source
Employer  - Full-Time  90  

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..

 
Company
Humana Inc.
Location
Boston, MA
Posted Date
Mar 23, 2023
Info Source
Employer  - Full-Time  90  

... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Boston Massachusetts ... Massachusetts Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..

 
Company
**********
Location
Boston, MA
Posted Date
Jul 29, 2021
Info Source
Employer  - Full-Time  90  

... (ACD). The technician assists with claims review, provider record updates, and ... 30% Assist with submission of claims corrections and recoupments, while monitoring ... Qualifications 2 plus years of..

 
Company
**********
Location
Boston, MA
Posted Date
Sep 30, 2022
Info Source
Employer  - Full-Time  90  

Description The Nurse Auditor 2 will work on the ... lab audit concepts. The Nurse Auditor 2 will perform clinical audit ... waste, and abuse. The Nurse Auditor 2 work..

 
Company
**********
Location
Boston, MA
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

 
Company
**********
Location
Boston, MA
Posted Date
Mar 12, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Massachusetts Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ... CPT, HCPCS). The..

 
Company
**********
Location
Boston, MA
Posted Date
Apr 23, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Fraud and Waste-Remote US in Boston Massachusetts Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..

 
Company
**********
Location
Boston, MA
Posted Date
Oct 12, 2021
Info Source
Employer  - Full-Time  90  

... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Massachusetts Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..

 
Company
**********
Location
Boston, MA
Posted Date
Feb 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Coding Auditor extracts clinical information from a ... coding guidelines. The Medical Coding Auditor work assignments are varied and ... guidelines/procedures. As a Medical Coding Auditor for..

 
Company
**********
Location
Boston, MA
Posted Date
Oct 17, 2021
Info Source
Employer  - Full-Time  90  

... when they happen. The Nurse Auditor 2 validates and interprets medical ... of par and non-par provider claims to determine payment accuracy. Makes ... process improvements. Reviews and audits..

 
Company
**********
Location
Boston, MA
Posted Date
Jun 20, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..

 
Company
**********
Location
Boston, MA
Posted Date
Apr 10, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..

 
Company
Humana Inc.
Location
Boston, MA
Posted Date
Sep 05, 2022
Info Source
Employer  - Full-Time  90  

... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..

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