Top 51457 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
Emergency Physician Positions
Boston Medical Center —Boston, MA
- Full-time
- Background check
- Medicine
- Mid-level
Quick Apply
Roadmaster - Signal
Keolis Commuter Services —Somerville, MA
- $89,622 - $108,296 a year
- Background check
- 5 years
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
Nursing Manager of Regulatory Compliance
Signature Healthcare —Brockton, MA
- $42 - $60 an hour
- Full-time
- Hospital
- Word processing
- 3 years
Quick Apply
Dental Hygienists - Massachusetts
Confidential —Boston, MA
- $50 - $60 an hour
- Part-time
- Background check
- Dental office
- Patient care
- Health insurance
- Dental insurance
Quick Apply
FPGA Image Processing Engineer
SiOnyx, LLC —Beverly, MA
- $130,000 - $210,000 a year
- Full-time
- Hybrid work
- Background check
- Computer Science
- Bachelor of Science
- Paid parental leave
- Health insurance
Quick Apply
Lead Controls Install & Technician-100% Paid Medical Benefits
L.C. Anderson Inc —Boston, MA
- $40 - $60 an hour
- Full-time
- Clean driving record
- Customer service
- 5 years
- Health savings account
- Health 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
Registered Nurse
Nonotuck Resource Associates Inc —Lynn, MA
- $78,400 - $81,400 a year
- Weekends as needed
- Hybrid work
- Background check
- RN License
- Experience working with individuals with disabilities
- Profit sharing
- Mileage reimbursement
Quick Apply
17h
Designer
CRATE & BARREL —Hingham, MA
- Full-time
- Merchandising
- Mid-level
- 1 year
5d
CNC Swiss Setup Machinist (Watertown)
High Tech Turning —Watertown, MA
- $70,000 - $85,000 a year
- Full-time
- High school diploma or GED
- In-person
- Senior level
- Profit sharing
- Health insurance
Quick Apply
Fire Alarm Installation Technician – EST / Edwards
Relay Fire and Safety —Quincy, MA
- $45 - $60 an hour
- Full-time
- Clean driving record
- Customer service
- 5 years
- Health savings account
- Paid holidays
Quick Apply
Hair Stylist
Supercuts —West Roxbury, MA
- Up to $35 an hour
- Cosmetology License
- Entry level
- Paid holidays
- Disability insurance
Quick Apply
Product Director
Autonodyne LLC —Boston, MA
- $160,000 - $260,000 a year
- Full-time
- Hybrid work
- Computer Science
- 8 years
- Bachelor's degree
- Health savings account
- Relocation assistance
Quick Apply
Private Athletic Trainer
Confidential —Boston, MA
- $96 - $144 an hour
- Contract
- 5 years
- HIPAA
- Outpatient experience
Quick Apply
Yoga Instructor
Somerville YMCA —Somerville, MA
- $40 - $50 an hour
- Part-time
- Background check
- 18 years or older
- CPR Certification
- Employee discount
- Flexible schedule
Quick Apply
Senior Unity Full Stack Developer
Autonodyne LLC —Boston, MA
- $120,000 - $180,000 a year
- Full-time
- Hybrid work
- Computer science
- Computer Science
- 5 years
- Health savings account
- Relocation assistance
Quick Apply
Hair Stylist
Supercuts —Bedford, MA
- Up to $35 an hour
- Cosmetology License
- Entry level
- Paid holidays
- Disability insurance
Quick Apply
Behavior Analyst (BCBA) - Hybrid
Autism Learning Partners —Weymouth, MA
- $82,000 - $93,000 a year
- 8 hour shift
- Hybrid work
- Current TB test
- Mid-level
- Criminal background check
- Continuing education credits
- Disability insurance
Quick Apply
Visual & Operations Associate
CRATE & BARREL —Burlington, MA
- Part-time
- English
- Data entry
- Hand tools

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Analyst, Program jobs near Boston, MA

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

Emergency Physician Positions

Roadmaster - Signal

Nursing Manager of Regulatory Compliance

Dental Hygienists - Massachusetts

FPGA Image Processing Engineer

Lead Controls Install & Technician-100% Paid Medical Benefits

Crisis Clinician - Boston CBHC AMCI

Registered Nurse

Designer

CNC Swiss Setup Machinist (Watertown)

Fire Alarm Installation Technician – EST / Edwards

Hair Stylist

Product Director

Private Athletic Trainer

Yoga Instructor

Senior Unity Full Stack Developer

Hair Stylist

Behavior Analyst (BCBA) - Hybrid

Visual & Operations Associate

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