3 jobs found in Brookline

Salary: $93,800.00 - $106,000.00 Annually Application Deadline: N/A Overview Reporting to the Director of Billing Compliance, the Billing Compliance Reviewer plans and executes risk-based audits, analyzes documentation and coding for medical necessity and regulatory adherence, and recommends corrective actions to mitigate compliance risk. The role evaluates the accuracy and integrity of hospital and professional billing practices to ensure compliance with federal and state regulations, payer requirements, national coding guidelines, and internal policies. The Billing Compliance Reviewer is responsible for developing clear findings, collaborating with clinical and administrative stakeholders to resolve issues, and supporting continuous improvement in charge capture, documentation, and coding processes. This role works collaboratively with Coding, HIS, Billing and other internal and external teams to evaluate complex billing issues and initiate appropriate internal and external audit...

Dana‑Farber Cancer Institute in Brookline, MA is seeking a Billing Compliance Reviewer to plan and execute risk-based audits of medical necessity and coding accuracy. You will analyze documentation, ensure compliance with CMS, OIG, and payer requirements, and suggest corrective actions to reduce compliance risk. The role collaborates with Coding, HIM, Billing, and clinical teams to remediate findings, develop internal controls, and support ongoing improvement in charge capture and documentation #J-18808-Ljbffr

Dana-Farber Cancer Institute in Boston is seeking a Billing Compliance Reviewer who will plan and execute risk-based audits, analyze medical necessity and regulatory adherence, and recommend corrective actions to mitigate compliance risk. Reporting to the Director of Billing Compliance, you will collaborate with clinical and administrative stakeholders to resolve issues and support continuous improvement in charge capture, documentation, and coding practices across hospital and professional #J-18808-Ljbffr