Top 519 Compliance 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
Auditor
Cambridge Savings Bank —Waltham, MA
- $70,000 - $100,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- Computer literacy
- Mid-level
- Health insurance
- 401(k) matching
Quick Apply
Manager, Compliance, Legal & Risk Administration
Level99 Entertainment —Boston, MA
- $90,000 - $120,000 a year
- Full-time
- Hospitality
- Customer service
- Senior level
Quick Apply
Compliance Officer
Company Confidential Search —Boston, MA
- $100,000 - $150,000 a year
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
7d
Senior Manager, Asset Management Compliance - Alternatives Manager Oversight
Fidelity Investments —Boston, MA
- $85,000 - $171,000 a year
- Full-time
- 5 years
- Office
- Analysis skills
- Loan repayment program
- Tuition reimbursement
Compliance Director
The Confidential Search Company —Dorchester, MA
- Up to $180,000 a year
- Full-time
- Hybrid work
- 5 years
- Master's degree
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Regional Compliance Specialist (Quincy Regional Office/Northeast Region)
WinnCompanies —Quincy, MA
- $80,000 - $92,000 a year
- Weekends as needed
- Management
- 5 years
- English
- Health savings account
- AD&D insurance
Quick Apply
Associate Compliance
ProStaff Solutions Inc —Billerica, MA
- Full-time
- Microsoft Word
- Bachelor of Science
- Writing skills
- Health insurance
- 401(k)
Quick Apply
1h
Compliance Specialist
The Schochet Companies —Braintree, MA
- $38 an hour
- Email
- Pass drug screening
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Compliance Reporting Associate
MFS Investment Management —Boston, MA
- $55,500 - $80,500 a year
- Full-time
- Hybrid work
- Mid-level
- Finance
- Bachelor's degree
- Commuter assistance
- Health savings account
10d
Marketing Compliance Analyst
Royal Bank of Canada —Boston, MA
- $60,500 - $104,500 a year
- Full-time
- Bachelor of Science
- Data analysis skills
- Mid-level
- Disability insurance
- Health insurance
Portfolio Compliance Associate
Victory Capital Management —Boston, MA
- $97,750 - $115,000 a year
- Mid-level
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Compliance Officer
Arrow Search Partners —Boston, MA
- $130,000 - $140,000 a year
- Mid-level
- Office
- 3 years
Program Integrity Clinical Compliance Auditor
Optum —Boston, MA
- $29 - $52 an hour
- 8 hour shift
- Remote
- 18 years or older
- RN License
- Customer service
- On-the-job training
Risk and Compliance Specialist
VHB —Watertown, MA
- $95,000 - $115,000 a year
- Full-time
- Hybrid work
- 5 years
- Writing skills
- Bachelor's degree
Energy Reliability and Compliance Associate
Ameresco —Boston, MA
- $77,000 - $111,500 a year
- Full-time
- Microsoft Word
- Mid-level
- Office
- Health insurance
- Paid time off
Compliance Analyst
Analysis Group, Inc. —Boston, MA
- $60,000 - $70,000 a year
- Hybrid work
- Mid-level
- Bachelor's degree
- US work authorization
Compliance Specialist – Marketing Compliance
Artisan Partners —Boston, MA
- $100,000 - $175,000 a year
- Hybrid work
- 5 years
- Research
- Office
Senior Security Compliance Analyst
OneStudyTeam —Boston, MA
- $110,000 - $140,000 a year
- Remote
- Computer science
- Computer Science
- Pass drug screening
Quick Apply
Quality and Compliance Coordinator
Boston Senior Home Care —Boston, MA
- $50,000 - $60,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Ability to walk for extended periods
- Loan repayment program
- Health insurance
Quick Apply

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compliance 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 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

compliance jobs in boston, ma

Coding and Compliance Auditor

Auditor

Manager, Compliance, Legal & Risk Administration

Compliance Officer

Senior Manager, Asset Management Compliance - Alternatives Manager Oversight

Compliance Director

Regional Compliance Specialist (Quincy Regional Office/Northeast Region)

Associate Compliance

Compliance Specialist

Compliance Reporting Associate

Marketing Compliance Analyst

Portfolio Compliance Associate

Compliance Officer

Program Integrity Clinical Compliance Auditor

Risk and Compliance Specialist

Energy Reliability and Compliance Associate

Compliance Analyst

Compliance Specialist – Marketing Compliance

Senior Security Compliance Analyst

Quality and Compliance Coordinator

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