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Job Description Job Title: Medical Record Billing Compliance Auditor Physician Educator Employer: Healthforce, Inc., a healthcare administrative services consulting firm, since 2015. Location: Primarily On-Site at Lemuel Shattuck Hospital, Jamaica Plain, Massachusetts (Massachusetts Department of Public Health Facility) with some remote work flexibility. Job Description: We are seeking a Nationally Certified Medical Coder with a minimum of three years of experience as a Medical Record Billing Compliance Auditor and Medical Record Billing Compliance Physician Educator. The successful applicant will play a crucial role in ensuring the accuracy and compliance of our professional and facility billing claims. This position will primarily involve on-site work at Lemuel Shattuck Hospital in Jamaica Plain, MA, with some remote work flexibility. Key Responsibilities: • Perform comprehensive audits of professional and facility billing claims to ensure accuracy, compliance with coding guidelines, and regulatory requirements., • Identify potential areas of non-compliance and recommend corrective actions., • Develop and deliver educational sessions to physicians and hospital staff on medical record documentation, coding, and compliance best practices., • Serve as a resource for physicians and staff regarding coding and billing inquiries., • Stay current with changes in coding regulations, healthcare compliance, and industry best practices., • Must have: Nationally Certified Medical Coder (e.g., CPC, CCS, CCS-P)., • Three years of experience as a Medical Record Billing Compliance Auditor preferred., • Proven experience as a Medical Billing Compliance Physician Educator., • Strong understanding of professional billing, auditing, and education principles., • In-depth knowledge of medical coding guidelines (e.g., ICD-10-CM, CPT, HCPCS)., • Familiarity with state and federal healthcare regulations and compliance standards., • Excellent analytical, problem-solving, and communication skills., • Ability to work independently and collaboratively within a healthcare team., • Healthforce, Inc. offers an attractive salary and comprehensive benefits package, commensurate with experience and qualifications.Company DescriptionHealthforce, Inc., is a healthcare administrative consulting firm with a focus on revenue integrity through regulatory compliance, coding and billing guidance. Healthforce’s mission is to provide the appropriate mix of skilled business analysts, auditors and coders, equipped with affordable and flexible software for customized support, to assist client practices and facilities to reach the highest level of revenue integrity: optimal and compliantly collected revenue from accurately reported medical services that is beyond retraction by third-party payers, claim reviewers and recovery audit contractors.Healthforce, Inc., is a healthcare administrative consulting firm with a focus on revenue integrity through regulatory compliance, coding and billing guidance. Healthforce’s mission is to provide the appropriate mix of skilled business analysts, auditors and coders, equipped with affordable and flexible software for customized support, to assist client practices and facilities to reach the highest level of revenue integrity: optimal and compliantly collected revenue from accurately reported medical services that is beyond retraction by third-party payers, claim reviewers and recovery audit contractors.

Job DescriptionDescription: Who we are: Gather Health delivers Social Primary Care to older adults. Through our unique and differentiated care model and proprietary technology, Gather Health’s solution drives substantial care outcomes by addressing the whole person needs of their target demographic: dual eligible populations, the fastest growing government segment. To address the needs of these clinically and socially complex patients, Gather Health’s Social Primary Care solution is comprehensive and wholistic in nature, encompassing care and community within the four walls of Gather Health Centers and in the homes of its patients. This innovative approach leads to dramatically better outcomes for our patients and creates a more sustainable and equitable model for the healthcare system. We are looking for talented professionals to help us build the platform, scale our operations, and create generational health for communities across the country. Requirements: The day-to-day responsibilities of the Risk Adjustment Coding Senior Manager will include but are not limited to the following: What are the duties? • Lead the Gather Disease Detection and Treatment (DDAT) program to ensure screening, documentation, and coding practices are aligned with CMS and organizational goals, • Lead Gather coding team to ensure chart reviews (pre, concurrent, and post) are completed to ensure the most complete and accurate representation of patients’ health by identifying opportunities to improve accuracy of diagnoses documentation and coding, • Participate in chart reviews as needed, • Collaborate with providers and clinic staff regularly to provide observations and trends related to documentation and coding practices in the center, • Provide education to providers and staff on topics related to compliant and accurate documentation and coding (e.g., CMS Medicare Risk Adjustment procedures and regulations, documentation guidelines, etc.), • Audit charts and consult providers on opportunities to improve documentation and coding practices, • Support coding compliance audits as necessary, • Support Revenue Cycle team with claims corrections and denials as needed, • 4+ years working as a physician coder (including at least 2 years supporting risk adjustment coding), • Deep understanding of Medicare Risk Adjustment and compliance requirements, • Risk Adjustment Coder credential (e.g., AAPC CRC, or similar), • Process improvement, • Experience working with electronic health records (EHR) systems, • Experience in a healthcare setting with a focus on quality improvement, • Strong interpersonal skills; in particular a track record of building effective working relationships with providers, • Detail-oriented – demonstrates exceptional attention to detail in coding and documentation review, • Proactive – actively identifies and addresses potential coding and compliance issues, • We are a mission-based organization that is passionate about changing the way seniors experience primary care, • Our business model is unique and on the cutting-edge of the primary care industry, • Our leadership team is comprised of experienced individuals who are committed to creating not only the best patient experience, but also an amazing employee experience for our colleagues, • We are intentionally building a strong company culture and providing a compassionate and joyful work environment, • Generous PTO, • Eleven Paid Holidays, • Medical insurance coverage (health, dental, vision) with no waiting period for enrollment, • Short and Long-Term disability insurance at no cost to you, • Basic life insurance coverage at no cost to you, • 401K plan with 100% employer match, up to 4% of your salary

The role includes auditing clinical documentation, billing, and payment records to ensure compliance with medical records and coding standards. Resolves coding issues according to National Correct Coding Initiative (CCI) standards through analysis of medical record documentation and use of CCI stand

We are looking for a certified medical coder with experience in neurosurgical procedures, including craniotomy and spine surgeries. Certified medical coder with AAPC or AHIMA credentials (e.

In-depth knowledge of HCPCS, CPT, ICD-10 and not otherwise classified (NOC) coding, all to validate billing and services Education and Experience: * Registered Nurse with current Massachusetts licensure required (BSN preferred) * Credentialed coder (CPC, CCS) required * Minimum 3-5 years acute car

In-depth knowledge of HCPCS, CPT, ICD-10 and not otherwise classified (NOC) coding, all to validate billing and services Education and Experience: * Registered Nurse with current Massachusetts licensure required (BSN preferred) * Credentialed coder (CPC, CCS) required * Minimum 3-5 years acute car

In-depth knowledge of HCPCS, CPT, ICD-10 and not otherwise classified (NOC) coding, all to validate billing and services Education and Experience: * Registered Nurse with current Massachusetts licensure required (BSN preferred) * Credentialed coder (CPC, CCS) required * Minimum 3-5 years acute car

In-depth knowledge of HCPCS, CPT, ICD-10 and not otherwise classified (NOC) coding, all to validate billing and services Education and Experience: * Registered Nurse with current Massachusetts licensure required (BSN preferred) * Credentialed coder (CPC, CCS) required * Minimum 3-5 years acute car

The Physician Billing Coder oversees the department's revenue integrity process by managing coding work queues and reviewing registration and charge interfaces. The coder assesses coding accuracy and risk, prepares reports, and provides feedback based on audit findings. Certified Professional Coder

To be considered a qualified candidate, you must be a seasoned and strong surgical coder with understanding of CCI edits and guidelines along with all the surgical modifiers, teaching attestations, and global periods and with experience writing appeals and NOC letters. Surgical coder candidates shou

Kickstart Your Career in Healthcare!.Are you a recent college graduate passionate about helping others and making a difference in the healthcare field? A leading hospital in Boston is seeking enthusiastic and motivated Administrative Assistants to join their team.This entry-level role is the perfect

To be considered a qualified candidate, you must be a seasoned and strong surgical coder with understanding of CCI edits and guidelines along with all the surgical modifiers, teaching attestations, and global periods and with experience writing appeals and NOC letters. Surgical coder candidates shou

Title: Health Assistant I-medical secretary.Position Type: 06+ Months contract with potential extensions.Location: Cambridge, MA 02138 ONSITE.Schedule: Monday–Friday, 8:00 AM – 4:00 PM (7 hours/day, 35 hours/week).Duration: Approximately 5–6 months (covering a medical leave).Location: 100% Ons

Kickstart Your Career in Healthcare!.Are you a recent college graduate passionate about helping others and making a difference in the healthcare field? A leading hospital in Boston is seeking enthusiastic and motivated Administrative Assistants to join their team.This entry-level role is the perfect

Title: Health Assistant I-medical secretary.Position Type: 06+ Months contract with potential extensions.Location: Cambridge, MA 02138 ONSITE.Schedule: MondayFriday, 8:00 AM 4:00 PM (7 hours/day, 35 hours/week).Duration: Approximately 56 months (covering a medical leave).Location: 100% Onsite Overt

The Patient Administrative Assistant will ensure efficient operation of the healthcare facility and assist with direct patient services.Their duties and responsibilities include:.Answer and direct phone calls in a polite and friendly manner.Register new patients and update existing patient demograph

Serves as the first point of contact for patients entering the organization.This role plays a critical part in shaping the patient experience by providing both call center and administrative support.Working in a team-oriented environment, collaborate with colleagues and supervisors to ensure smooth

Medical Solutions Allied is seeking a travel Physical Therapy Assistant for a travel job in Boston, Massachusetts.Job Description & Requirements.We're seeking talented healthcare professionals whose adventure game is as strong as their clinical game.Those that want flexibility and high pay, we h

Serves as the first point of contact for patients entering the organization.This role plays a critical part in shaping the patient experience by providing both call center and administrative support.Working in a team-oriented environment, collaborate with colleagues and supervisors to ensure smooth

To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman, youll get to try your hand at just about everything while making a huge difference for the Sailors yo

The Patient Administrative Assistant will ensure efficient operation of the healthcare facility and assist with direct patient services.Their duties and responsibilities include:.Answer and direct phone calls in a polite and friendly manner.Register new patients and update existing patient demograph

To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman, youll get to try your hand at just about everything while making a huge difference for the Sailors yo

Our inpatient nursing assistant roles are typically 36 hours per week on day/night rotation with rotating weekend shifts and holidays.This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders.In addition, this role focuses on performing

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Under the direction and supervision of the registered nurse and in accordance with hospital policies, procedures, protocols, and standards of practice, the Nursing Assistant (NA) participates in the delivery of patient care.The role encompasses the provision of direct clinical and support services t

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Provides administrative support to ensure efficient operation of the office.Supports managers and employees through a variety of tasks related to organization and communication.Responsible for confidential and time sensitive material.Familiar with a variety of the field's concepts, practices and pro

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Rang Healthcare is seeking a local contract Medical Assistant for a local contract job in Cambridge, Massachusetts.Job Description & Requirements.Medical Assistant - Day shift, Monday- Friday 8-430pm, no weekends, no holidays.We are an equal opportunity employer.It is our policy to provide emplo

Our client, a mission-driven senior living community is seeking a Bilingual Russian Front Desk Receptionist to support residents and families in a welcoming environment.This temporary role is located onsite in Newton, MA, with free parking provided.The position pays $23/hour, runs Monday-Friday, 8:0

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Working under the direction of licensed personnel, assists patients with activities of daily living tasks such as bathing, dressing, and eating.Also assists with taking patients' temperature, blood pressure, pulse, and respiration.Does this position require Patient Care?.Performs vital signs, weight

Job Title: Administrative Assistant.Full-Time, Monday-Friday, 8:00 AM - 5:00 PM.We are seeking a reliable and detail-oriented.CEO and assist with day-to-day operations.This role requires excellent organizational skills, strong communication abilities, and proficiency in Microsoft Office applications

To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman, youll get to try your hand at just about everything while making a huge difference for the Sailors yo

Rang Healthcare is seeking a local contract Medical Assistant for a local contract job in Needham, Massachusetts.Job Description & Requirements.Medical Secretary / Practice Assistant - Primary Care Brookline, MA - 40 hours/week Busy Primary Care practice Medical Secretary will be administrative,

To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman, youll get to try your hand at just about everything while making a huge difference for the Sailors yo

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman, youll get to try your hand at just about everything while making a huge difference for the Sailors yo

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

Excellent Care to Patients and Families The Best Staff In the Safest Environment.Nursing at Brigham and Women's Hospital is known for their excellent clinical practice and for keeping patients and their families at the center of all they do.We understand that great care is shaped by relationships wi

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman, youll get to try your hand at just about everything while making a huge difference for the Sailors yo

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

Synergy Medical Staffing is seeking a travel Certified Occupational Therapy Assistant for a travel job in Needham, Massachusetts.Job Description & Requirements.Certified Occupational Therapy Assistant.Location: Needham, Massachusetts.Shift: 5x8 Days, 08:00:00-16:00:00, 8.When you join Synergy Medica

Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Inc.Be among the first 25 applicants.Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Inc.Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Inc.Associate General Counsel i

Synergy Medical Staffing is seeking a travel Certified Occupational Therapy Assistant for a travel job in Watertown, Massachusetts.Job Description & Requirements.Certified Occupational Therapy Assistant.Location: Watertown, Massachusetts.Shift: 5x8 Days, 08:00:00-16:00:00, 8.When you join Synergy Me

Overview: $1,500 Sign-On Bonus About Us Matrix Medical Network pioneered the first national in-home clinical network, and today we're an independent provider of comprehensive health assessments serving people across the nation.We deliver exceptional, personalized care that improves health, lowers co

Synergy Medical Staffing is seeking a travel Physical Therapy Assistant for a travel job in Malden, Massachusetts.Job Description & Requirements.Location: Malden, Massachusetts.Shift: 5x8 Days, 08:00:00-16:00:00, 8.When you join Synergy Medical Staffing, you'll have a dedicated recruiter helping you