6 jobs found in Worcester

Job TitleDenials Management CoderJob PurposeResponsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.Duties and ResponsibilitiesRead and interpret insurance carrier EOBs.Review medical reports, verify coding.Resolve coding related denial.Make any necessary coding corrections.Generate replacement claims (electronic and paper)Research carrier specific coding policies.Review and interpret carrier NCD and LCD policies.Communicate any coding denial trends to coding manager.QualificationsCPC/COC certification AAPC or CCS certification from AHIMAMinimum one (1) year of coding...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are...

Job Title Denials Management Coder Job Purpose Responsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. Duties and Responsibilities Read and interpret insurance carrier EOBs. Review medical reports, verify coding. Resolve coding related denial. Make any necessary coding corrections. Generate replacement claims (electronic and paper) Research carrier specific coding policies. Review and interpret carrier NCD and LCD policies. Communicate any coding denial trends to coding manager. Qualifications CPC/COC certification AAPC or CCS certification from AHIMA...

Opportunities with Reliant Medical Group, part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as a team member. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together. Position Details: Primary Location: 123 Summer Street, Worcester, MA, 01606 Department: Surgical Specialties Schedule: Full time, 38.75 hrs./ week- Monday - Friday 7:30a- 5:00p Under general supervision as a Team Lead, coordinates the daily support operations of a single clinical area or group. Primarily acts as a Medical Assistant and performs the full duties associated with this role. Is a resource for other...

UMass Memorial Health is seeking an Outpatient Coder II to interpret clinical documentation and assign ICD-CM and CPT codes for outpatient encounters across the hospital system. The role focuses on accurate coding, supports reimbursement, and requires close attention to detail. Responsibilities include verifying documentation, minimizing coding backlogs, participating in audits, and maintaining a high accuracy rate while working with billing teams. #J-18808-Ljbffr

Caring. Connecting. Growing Together For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Supervises staff through scheduling, evaluations, training, and personnel decisions, while addressing employee concerns and implementing performance improvement plans. Oversees daily staffing to support patient care needs and ensures high patient satisfaction by resolving concerns and collaborating with physicians. Conducts incident follow-ups and performs clinical duties as needed. Provides leadership, supports teamwork, manages budgets and operational activities, and contributes to policy and program development. Expected to align with the organization's mission, vision, and goals while providing strategic leadership and decision-making. Responsible for influencing, coaching, and developing teams to achieve...