Top 48729 Analyst, Program Jobs in Boston, MA

Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Acute care experience
Principal Engineering Project Lead
Mercury Systems —Andover, MA
- $65,200 - $153,900 a year
- Full-time
- Hybrid work
- 6 years
- Engineering
- Product management
- Tuition reimbursement
Senior Network Architect
Astrion —Hanscom AFB, MA
- $155,000 - $175,000 a year
- Full-time
- Engineering
- 11+ years
- Office
Team Medical Director
Lynn Community Health Center —Lynn, MA
- $120,000 - $250,000 a year
- Spanish
- Certified Nurse Practitioner
- BC/BE
- Health insurance
- Dental insurance
Quick Apply
Physical Therapist
Commonwealth Sciences —Boston, MA
- $95,000 - $105,000 a year
- Full-time
- Physical & Rehabilitation Medicine
- Outpatient experience
- In-person
- Health insurance
- Dental insurance
Licensed Psychologist (PhD/PsyD) — Clinical Director Track
Life CenteredTherapy —Waltham, MA
- $100 - $125 an hour
- Part-time
- Hybrid work
- 11+ years
- Doctor of Philosophy
- Psychology
Quick Apply
5d
Nurse Manager Maternity/Post Partum and Special Care Nursery 40hrs
Merrimack Health —Lawrence, MA
- Full-time
- Nursing
- RN License
- Mid-level
Field Application Engineer
Amphenol Pcd —Beverly, MA
- $82,000 - $92,000 a year
- Full-time
- Background check
- Bachelor of Science
- Engineering
- Health savings account
- Disability insurance
Quick Apply
Physical Therapist
Therafit by OSA —Lowell, MA
- $80,800 - $121,200 a year
- Full-time
- Doctoral degree
- Physical & Rehabilitation Medicine
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Crisis Clinician - Boston CBHC AMCI
Bay Cove Human Services —Boston, MA
- $31.87 - $35.31 an hour
- Weekends as needed
- Bilingual
- Management
- Adults
Quick Apply
Project Manager, Heavy Civil Infrastructure
Onyx Corporation —Acton, MA
- Full-time
- OSHA
- Construction site
- 5 years
- Disability insurance
- Health insurance
Quick Apply
Physical Therapist - $15,000 Welcome Bonus
ATI Physical Therapy —Sudbury, MA
- Full-time
- Physical & Rehabilitation Medicine
- Mid-level
- Outpatient experience
- Continuing education credits
- Paid holidays
Quick Apply
Per Diem Inpatient Physical Therapist
Boston Medical Center —Boston, MA
- Part-time
- Background check
- CPR Certification
- High school
Quick Apply
Technical Sales Engineer
Amphenol Pcd —Beverly, MA
- $80,000 - $85,000 a year
- Full-time
- Background check
- Bachelor of Science
- Engineering
- Health savings account
- Disability insurance
Quick Apply
Superintendent, Heavy Civil Construction
Onyx Corporation —Acton, MA
- Full-time
- Construction site
- Basic math
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Clinical Supervisor
BEHAVIORAL HEALTH NETWORK INC —Boston, MA
- $85,000 - $92,000 a year
- Email
- Addiction Medicine
- Mid-level
- Psychology
ECMO Educator
Boston Children's Hospital —Boston, MA
- $105,102 - $168,158 a year
- Full-time
- 3 years
- Master's degree
- Databases
Quick Apply
Director of Behavioral Health
Lowell Community Health Center —Lowell, MA
- $150,000 - $175,000 a year
- Weekends as needed
- School experience
- Spanish
- Nursing
13d
Licensed Clinician
Hearth INC —Boston, MA
- $70,000 - $75,000 a year
- Weekends as needed
- Background check
- Management
- Licensed Clinical Social Worker
- Health insurance
- Flexible spending account
Quick Apply
Board Certified Behavior Analyst (BCBA)
WCI - Work, Community, Independence —Waltham, MA
- $80,000 a year
- Weekends as needed
- Adults
- Mid-level
- Residential
- Health insurance
- Dental insurance
Quick Apply

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Coding and Compliance Auditor

South Shore Health -
Weymouth, MA

Apply Now

Job Details

Full-time
$73,000 - $104,400 a year

Qualifications

Medical coding experience in outpatient clinics
Medical coding for surgical records
Health information management
Acute care experience

Full Job Description

Job Description Summary

The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements. This is a hybrid position: 2 days onsite; 3 days remote option.

Job Description

Job Responsibilities:

Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process.

Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes.
Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection.
Analyzes data to identify deficiencies, prepare reports to deliver provider education specific to training needs identified during audit.
Develop and monitor follow-up audits and education as determined necessary to improve documentation quality.

Support all departments of the Health System with coding guidance:

Pertaining to compliance training / education as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional, surgical and Home Health divisions of the Health System to ensure accuracy and support program objectives.
Designs training programs around compliant coding and billing from a regulatory standpoint for any new initiatives or programs affecting the Health System.
Evaluates vendor-training materials for its application or recommendation for use in educational programs.

Maintains:

Knowledge of all State and Federal regulatory changes that impact the Health System
Revises/modifies any instructional tools as necessary based on any changes to State and Federal regulatory changes to ensure guidance and training are accurate.
Assists in the development of follow-up mechanisms to ensure that knowledge and/or skills learned in the training are being applied on the job and have an impact on staff performance in meeting organizational goals.
Reports on program effectiveness and documents necessary changes.

Self Development:

Participates in professional societies or organizations relevant to ICD-9-CM, ICD-10-CM, PCS and CPT.
Maintains necessary licensure required for employment.

Administrative Duties:

Assists with administering programs as assigned.
Attends and participates in organization-wide committees as assigned.
Performs additional related duties as required.
Designs, develops and delivers education and training programs that meet the staff’s needs for compliant coding and billing.
Plans and develops curriculum in accordance with the organization’s strategic goals, mission and business strategies to improve employee performance leading to quality data and accuracy.

JOB REQUIREMENTS

Minimum Education - Preferred

Associates or Bachelor’s degree in Health Information Management.

Minimum Work Experience

Minimum 5 years acute care coding with demonstrated expertise in ICD-9-CM, ICD-10-CM, PCS and CPT coding.
Experience, preferred, in adult and continuing education, organizational development and training.

Required Certifications

CCA - Certified Coding Associate (AHIMA-American Health Information Management Assoc) or

CCS - Certified Coding Specialist (AHIMA-American Health Information Management Assoc) or

CCS-P - Certified Coding Specialist-Physican Based (AHIMA-American Health Information Management Assoc) or

CPC - Certified Professional Coder (AAPC-American Academy of Professional Coders) or

CPMA -Certified Professional Medical Auditor (AAPC-Academy of Professional Coders) or

RHIA - Registered Health Information Administrator (AHIMA-American Health Information Management Association)

Required additional Knowledge and Abilities:

Interact with constituents who have competing priorities and effectively communicate the importance of compliance in a respectful yet authoritative manner.

Apply Now

Refine Your Search

Analyst, Program jobs in Boston, MA

Coding and Compliance Auditor

Principal Engineering Project Lead

Senior Network Architect

Team Medical Director

Physical Therapist

Licensed Psychologist (PhD/PsyD) — Clinical Director Track

Nurse Manager Maternity/Post Partum and Special Care Nursery 40hrs

Field Application Engineer

Physical Therapist

Crisis Clinician - Boston CBHC AMCI

Project Manager, Heavy Civil Infrastructure

Physical Therapist - $15,000 Welcome Bonus

Per Diem Inpatient Physical Therapist

Technical Sales Engineer

Superintendent, Heavy Civil Construction

Clinical Supervisor

ECMO Educator

Director of Behavioral Health

Licensed Clinician

Board Certified Behavior Analyst (BCBA)

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