Lead Software Engineer Humana IncLead Software EngineerNew York, NYRemote$155,200–$213,400 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Exercise independent judgment and decision making on complex issues regarding job responsibilities and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
DRG Validator Nesco Resource, LLCDRG ValidatorGarden City, NYRemote$95,000–$110,000 / yearThis role is responsible for auditing inpatient medical records to ensure the accuracy of coding, clinical documentation, and DRG assignment while maintaining compliance with applicable coding guidelines and regulatory requirements. Perform concurrent and retrospective clinical, MS-DRG, and APR-DRG validation reviews in accordance with UHDDS, Medicare guidelines, and applicable federal and state regulations.
Associate Chiropractor – The Joint Chiropractic - Norwalk, CT (Multi Clinic Network) The Joint ChiropracticAssociate Chiropractor – The Joint Chiropractic - Norwalk, CT (Multi Clinic Network)Norwalk, CTWe are a walk-in, cash-based chiropractic clinic that focuses on giving our patients an excellent, consistent, and efficient experience while allowing our doctors to exercise their own professional and clinical expertise. The Joint Chiropractic in Norwalk, CT is looking for a passionate, talented, and patient-focused Doctor of Chiropractic to join our mission of making routine chiropractic care accessible, convenient, and affordable.
Coder Northwell Health IncCoderLake Success, NYWhen determining a team members base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment.
Document Improvement Specialist, Fulltime Stamford HealthDocument Improvement Specialist, FulltimeStamford, CTImprove physician documentation compliance with criteria required under the Inpatient Prospective Payment System (IPPS), in order to eliminate payment errors on Medicare discharges caused by incomplete/inaccurate physician documentation; as well as ensure clear and concise documentation to meet the requirements of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and applicable federal and state law. Stamford Health is a major teaching affiliate of the Columbia University Vagelos College of Physicians and Surgeons and has recently expanded its relationship with Columbia to offer treatment and expertise from Columbia University Irving Medical Center's nationally recognized heart surgeons.
Sr. Analyst, Revenue Operations and Analytics Zuora IncSr. Analyst, Revenue Operations and AnalyticsNY$99,500–$132,000 / yearWhile we share a comprehensive range, a candidate's final base salary will fall within these guidelines and will be determined based on multiple factors including but not limited to: qualifications of the candidate, job related knowledge, prior related experience, specific and unique skills, the location of the role, internal equity and internal budget. Our platform powers modern business models - from subscriptions and usage-based pricing to AI-driven and outcome-based offerings - helping companies launch new products, automate complex billing, and unlock predictable, recurring revenue.
Actuarial Data Scientist Berkshire Hathaway GUARD Insurance CompaniesActuarial Data ScientistNew York, New York$120,000–$190,000 / yearFull timeThe successful candidate will help modernize actuarial modeling practices, develop scalable analytical solutions, and promote the adoption of data science and software engineering best practices throughout the organization. Develop and enhance pricing, segmentation, profitability, and risk selection models across Commercial Lines products using both actuarial methodologies and modern machine learning techniques.
Senior Certified Coder Abstractor St. Joseph HealthSenior Certified Coder AbstractorPaterson, NJThis role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices. The Coding Liaison supports documentation integrity, monitors vendor performance, and acts as a subject matter expert for coding-related inquiries.
Registered Nurse Supervisor, Clinical Trauma Registry, 40 Hours (Days) Boston Medical CenterRegistered Nurse Supervisor, Clinical Trauma Registry, 40 Hours (Days)NYRemote$89,500–$130,000 / yearKey responsibilities include maintaining data integrity through concurrent abstraction, validation, and audit readiness; managing the trauma registry software in partnership with the vendor and BMC ITS; and implementing required updates from ACS, TQIP, NTDB, and MA DPH. This role supervises five trauma registrars, prioritizes daily workflow, and ensures full compliance with all state and national reporting requirements, including submissions to NTDB/TQIP and the Massachusetts Department of Public Health Trauma Registry.
Benefit Operations Specialist Capital Rx, Inc.Benefit Operations SpecialistNew York, NY$95,000–$100,000 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. Position Summary: Join our first-of-its-kind Integrated Benefits team as a Benefit Operations Specialist, where you will play a pivotal role in delivering comprehensive medical and pharmacy benefit programs for Judi Health clients.
Associate Patient Account Representative Northwell Health IncAssociate Patient Account RepresentativeLake Success, NYWhen determining a team members base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.
Medical Biller Agility Billing ServicesMedical BillerMelville, NYEducation and Experience: • High school diploma or equivalent required• Medical billing or coding certification is a plus Benefits: • Competitive compensation based on experience, skills, and growth potential• Opportunities for professional development and advancement in a specialty billing role• Supportive, team-oriented work environment• Hybrid position available after a 90-day probationary period Powered by JazzHR. The ideal candidate will have experience in medical claims follow-up, with a strong understanding of commercial and Medicare insurance plans and out-of-network billing.
Senior Director Mount Sinai Health SystemSenior DirectorNew York, NY$153,723–$245,000 / yearWorking in close partnership with Managed Care Contracting, Revenue Cycle, Finance, Patient Financial Services, Physician Enterprise, Faculty Practice, Information Technology, Data & Analytics, Compliance, Legal, and operational leadership, the Senior Director ensures that contract-performance issues are identified early, appropriately escalated, and resolved through sustainable corrective and preventive actions. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Medical Biller FemmPro OB/GYNMedical BillerGarden City, New YorkManage and resolve Zero-Pay Worklist, Unpaid claims, Fully Worked Receivables, Review and respond to adjustments / payment data with approval (or initiate appeal) communicate trends and root issues through proper lines of reporting. • Educate and communicate revenue cycle/financial information to patients, payers, co-workers, managers and others as necessary to ensure accurate processes.
Senior Clinical Experience Manager SmarterDx IncSenior Clinical Experience ManagerNYRemote$135,000–$160,000 / yearProvide senior clinical oversight for priority, complex, or escalated client engagements, partnering with Clinical Experience Managers and Client Success to build trust with CDI, coding, physician advisor, clinical, and revenue cycle leaders. 5+ years of progressive leadership experience in Clinical Documentation Integrity (CDI), Health Information Management (HIM), Revenue Cycle, Clinical Operations, or related healthcare leadership roles.
Software Engineer II Cohere Health Technologies LLCSoftware Engineer IINYRemote$107,000–$130,000 / yearBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. With an enterprise approach that streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
NewSenior Actuarial Support Analyst Cohere Health Technologies LLCSenior Actuarial Support AnalystNYRemote$105,000–$115,000 / yearWhat you'll need: 5 years of experience in healthcare analytics, cost containment, or similar roles in the healthcare industry, preferably within a payer, provider, or managed care setting, Proficiency in data analytics and visualization tools, for example SQL, Tableau, Power BI, advanced Excel, Strong understanding of healthcare cost drivers and medical claims data, Demonstrated experience in data cleaning, data analysis and problem-solving skills, Ability to transform complex data into actionable insights and clear, concise reports. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Sr. Software Engineer, Data Platform Cohere Health Technologies LLCSr. Software Engineer, Data PlatformNYRemote$130,000–$160,000 / yearBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. As a Senior Software Engineer of the data platform team, you'll operate across the end-to-end data lifecycle-from ingestion to transformation to integration-driving solutions that align with architectural best practices, governance needs, and business outcomes.
Clinical Documentation Improvement Specialist Northwell HealthClinical Documentation Improvement SpecialistNorwalk, ConnecticutObtains and promotes appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, the Coding team and Health Information Management Department to ensure clinical documentation is complete and accurate and reflects severity of illness and resource utilization. Maintains positive and open communications with physicians, interdisciplinary care team members, Department Head, Lead Clinical Documentation Specialist, coding management and coding staff.
Customer Support Coach - NORAM Digital Arbitrage IncCustomer Support Coach - NORAMNYRemote$55,000–$77,000 / yearOur Customer Support Team: Join a dynamic, fully remote team of over 60 global Customer Support professionals united by our goal of delivering exceptional customer experiences across live chat, email, and phone. Since our founding in 2012, we''ve become the World''s Best Hotel PMS Solutions Provider and landed on Deloitte''s Technology Fast 500 again in 2024, but we''re just getting started.