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

Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence based criteria related to DRG and clinical validation denials Creates appeal letters utilizing the relevant information from the medical record; supported by current clinical standards and facility guidelines, evidence based medicine, professionally reco

The Medical Staff Coordinator (MSC) works independently to coordinate a variety of medical staff office functions and coordinates with and confers with other personnel involved in the credentialing process and medical staff daily operations. The MSC supports medical staff officers and department leadership through management of medical staff and department meeting logisti

Use/s the Mass General Brigham values to govern decisions, actions, and behaviors. These values guide how we get our work done Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collab

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

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

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

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

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

Under general supervision and following applicable laws and statutes of the Commonwealth of Massachusetts, collects and electronically transfers patient data in order to register births and provide prenatal statistical information on all newborns and their parents. PRINCIPAL DUTIES AND RESPONSIBILITIES 1. Generates daily reports using the electronic health record. 2. Inte

We're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. Job Profile Summary This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing . In addition, this role focuses on performing the following Patient Access duties Performs the administrative and financial cleara

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

Under general supervision from the department supervisor, manager or director, is responsible for the optimizing department operations by ensuring timely arrivals, registrations and floor support for all ED Patient Access Representatives and ED areas. Responsible for leading assigned staff and providing support to the supervisor, manager, director and the department in ma

Medical Biller Opportunity Full Time, Onsite Pembroke Hospital is seeking Full Time Medical Biller to join our team. This is a on site position. Pembroke Hospital is a 120 bed acute care, inpatient behavioral health facility located south of Boston, in Pembroke, MA. Situated on 26 acres, we offer inpatient and partial hospitalization treatment to teens, adults and older a