7 jobs found in Weymouth

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...

Job Description Summary Under experienced leadership the Professional Surgical Coder I is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding. Using established department policies and procedures in conjunction with the current versions of ICD-10 and CPT-4, the Professional Surgical Coder I will determine the proper diagnosis, assign co‑morbidities and complications, secondary diagnoses and any HAC (Hospital Acquired Conditions) documented. As well as both E/M codes and procedure codes. The Professional Surgical Coder I is expected at South Shore Physician Ambulatory Enterprise to query providers when documentation requires clarification and he/she proactively works with medical leadership to address concerning documentation trends. The Professional Coder I works with direct support from and under the direction of the Billing and Coding Manager to...

South Shore Health System in Weymouth, MA is seeking a full-time Patient Accounts/Revenue Cycle specialist. The role involves compiling data from Patient Access and Health Information Management to submit third-party claims, initiating all collection calls on aged accounts, and maintaining claims editing systems for optimal efficiency. You will evaluate insurance reimbursement schemes, assist with denials and appeals, and produce reports on aging accounts. #J-18808-Ljbffr

South Shore Health System in Weymouth, MA is hiring a Professional Coder I to ensure accurate coding for outpatient and inpatient procedures. You will analyze medical documentation, assign diagnostic codes, and work collaboratively with healthcare providers to clarify information. The role demands strong analytical skills and requires certification as a Certified Professional Coder or Certified Coding Specialist. Ideal candidates will have an Associate's Degree and prefer candidates with 2-3 years of surgical practice experience. #J-18808-Ljbffr

South Shore Health System is seeking a Coding & Compliance Auditor to ensure medical coding accuracy and compliance. The role involves establishing audit processes, conducting training for clinical staff, and monitoring regulatory changes. Applicants should have at least 5 years of coding experience in an acute care setting, extensive knowledge in coding standards, and relevant certifications. Join a team committed to quality healthcare standards. #J-18808-Ljbffr

South Shore Health System in Weymouth is hiring a full-time Insurance Biller responsible for submitting insurance claims and managing aged accounts receivable. Successful candidates will demonstrate expertise in healthcare billing regulations and skills in analytical assessment of claims. The role requires at least 2 years of hospital or physician billing experience and proficiency in relevant software like Epic and Excel. The work schedule is Monday to Friday, 8:00 AM to 4:30 PM, with a hybrid option available after 90 days. #J-18808-Ljbffr

South Shore Health seeks a Coding & Compliance Auditor to evaluate medical record documentation and coding accuracy. The role designs and delivers training for clinical staff and coders while monitoring regulatory changes to ensure adherence to Federal, State, and local requirements. The incumbent will support multiple departments, maintain training tools, and report program effectiveness. Requires AHIMA/AAPC certifications and ongoing licensure. #J-18808-Ljbffr