Top Tech Jobs & Startup Jobs in Boston, MA

The Utilization Management RN coordinates healthcare services, conducts utilization reviews, manages denials, collaborates with physician advisors, and focuses on compliance and quality patient care.

The Senior Director of Revenue Integrity is responsible for leading hospital revenue integrity operations, ensuring revenue capture, compliance, and process optimization, while collaborating across departments. The role involves strategic direction, oversight of quality assurance, technology adoption, and mentoring teams, with focus on innovative solutions and financial stewardship in healthcare.

Advanced medical coder who reviews clinical documentation to assign ICD-10 and CPT codes, process APCs and payer edits, resolve medical necessity edits, collaborate with providers and revenue cycle teams, maintain quality/productivity standards, and support documentation improvement and workflow changes for outpatient surgical encounters.

The Director of Revenue Integrity leads strategic and operational efforts to optimize revenue capture across various hospital services, ensuring compliance and accuracy in charge capture and billing processes, while collaborating with multiple departments and maintaining the charge description master.