Responsible for the administrative duties required in the credentialing verification process. Reviews, enters, and maintains specialized applicant information in a complex database and coordinates the credentialing process for the Medical Staff offices of the respective entities. Ensures the credentialing process complies with organizational as well as an accrediting agen

Create and maintain documentation related to technical integration implementation and support Examples include o Blueprint/Discovery o Design o Testing o Epic Build o Conversions o Cutover o Post Live Support o Upgrades Serve as a resource for problem solving Assist with activities related to troubleshooting, supporting, developing, testing and delivering an integration s

This is a remote role with occasional (roughly 1x/every other month) onsite team meetings in Somerville, MA. Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our

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

As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function

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

Staff, Risk and Records Management Job ID 2024 2448 Job Locations US MA Newton Department Accounting/Finance Overview The Staff, Risk and Records Management position will support the Accounting group by focusing on aiding the Risk/Records Management Department. Due to company growth the Accounting department needs especially within records and risk management, additional

Review, send and receive physicians' orders. Function collaboratively with billing, medical records, and clinical staff, along with, physician offices to obtain outstanding orders and information. Record information in computer system and generate reports to monitor information. Claim issue inquiries are researched, resolved, and communicated to the Billing Department to

As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function

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

Who we are Samsara (NYSE IOT) is the pioneer of the Connected Operations Cloud, which is a platform that enables organizations that depend on physical operations to harness Internet of Things (IoT) data to develop actionable insights and improve their operations. At Samsara, we are helping improve the safety, efficiency and sustainability of the physical operations that p

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

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

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