ESL Teacher NJDOE Endorsement Code #1475 Required Trenton Public SchoolsESL Teacher NJDOE Endorsement Code #1475 RequiredTrenton, NJAll certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE). PERFORMANCE RESPONSIBILITIES: Develops and implements written instructional plans that meet the diverse needs, abilities, and interests of all students.
Anticipated Vacancy Kindergarten Teacher NJDOE Endorsement Code #1000 #1001 #1013 Required Cert Preferred Trenton Public SchoolsAnticipated Vacancy Kindergarten Teacher NJDOE Endorsement Code #1000 #1001 #1013 Required Cert PreferredTrenton, NJid='p9376_'>Anticipated Vacancy Kindergarten Teacher NJDOE Endorsement Code #1000 #1001 #1013 Required Cert Preferred JobID: 9376. All certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE).
Staff Software Engineer, Code Search GitHub IncStaff Software Engineer, Code SearchNY$140,400–$372,300 / yearOR Associate's Degree in Computer Science, Electrical Engineering, Electronics Engineering, Math, Physics, Computer Engineering, Computer Science, or related field AND 8+ years experience in Software Engineering, Computer Science, or related technical discipline with proven experience maintaining and delivering production software coding in languages including, but not limited to, C, C++, C#, Java, JavaScript, Go, Ruby, Rust, or Python. OR Master's Degree in Computer Science, Electrical Engineering, Electronics Engineering, Math, Physics, Computer Engineering, Computer Science, or related field AND 5+ years experience in Software Engineering, Computer Science, or related technical discipline with proven experience maintaining and delivering production software coding in languages including, but not limited to, C, C++, C#, Java, JavaScript, Go, Ruby, Rust, or Python.
Senior Manager Coding IP OP Boston Medical CenterSenior Manager Coding IP OPNY$97,500–$141,500 / yearThis job provides direct oversight and supervision of coding staff and related workflows, develops and maintains coding guidelines for inpatient and outpatient services, responds to billing edits and related reports to ensure accurate Diagnosis-Related Group (DRG) and Ambulatory Patient Categories / Ambulatory Patient Groups (APC/APG) assignment, and enforces the appropriate application of Official Coding Rules and Regulations, including Coding Clinic guidance. Manages and coordinates institutional responses to external audits, including Recovery Audit Contractor (RAC) reviews and commercial payer audits, ensuring all documentation is submitted within required timelines, with oversight of staff participation and supporting work efforts as applicable.
NewAdvanced Practice Clinician, Per Diem (Bilingual Cantonese/Mandarin preferred) VNS HealthAdvanced Practice Clinician, Per Diem (Bilingual Cantonese/Mandarin preferred)New York, NY$58.30–$77.72Manages and provides comprehensive, advanced nursing care, including post-discharge aftercare visits, annual comprehensive assessment visits, palliative care-care management program onboarding, and change in condition assessment visits (including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing). Urgent interventions (i.e., escalations for the Care Teams, RPM, and the 24/7 Line), pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling, and patient education.
Staff Software Engineer, Code RL AnthropicStaff Software Engineer, Code RLNew York City, NY$405,000–$625,000 / yearYou'll be part of a team solving the engineering side of research efforts such as embedding with research teams, getting up to speed on their systems and needs, and designing the frameworks, APIs, and infrastructure that let researchers move faster, then rotating off, leaving behind well-oiled systems those teams can understand, own, and maintain themselves. This research continues many of the directions our team worked on prior to Anthropic, including: GPT-3, Circuit-Based Interpretability, Multimodal Neurons, Scaling Laws, AI & Compute, Concrete Problems in AI Safety, and Learning from Human Preferences.
Senior Quantitative Scientist, Commercial-Facing Verana Health IncSenior Quantitative Scientist, Commercial-FacingNew York, NYRemote$141,441–$212,161 / yearBuilt on the values of continuous learning, cross-functional collaboration, and rigorous scientific research, the Data & Science team strives to improve patient care by innovating at the intersection of real world data, clinical context, and methodology with our partners to ensure all available data is being used to in the most efficient, data-driven way possible. Verana Health, a digital health company that delivers quality drug lifecycle and medical practice insights from an exclusive real-world data network, recently secured a $150 million Series E led by Johnson & Johnson Innovation - JJDC, Inc. (JJDC) and Novo Growth, the growth-stage investment arm of Novo Holdings.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistMorristown, NJ$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Test And Code Compliance Coordinator KONE Inc.Test And Code Compliance CoordinatorNew York, NY$63,000–$82,740 / yearAs our Test and Code Compliance Coordinator, you will manage local and district processes for scheduling, and interface with Service/Repair Supervisors, customers, 3rd party inspection companies and local regulatory bodies to schedule testing and inspections. For Branches not on ATI Tender Creation, create billable tenders for testing and inspections for customers, follow-up to obtain approval, create Billable Service Orders and requisition parts as required.
Medical Billing Manager - Compliance MercorMedical Billing Manager - ComplianceNew York, New YorkRemoteManage claims submission workflows including electronic claim generation, clearinghouse edits, and payer-specific billing requirements. Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections.
Medical billing Auditor #3474683 Blackbird RecruitingMedical billing Auditor #3474683Brooklyn, New YorkCollaborate with billing/coding staff, providers, revenue cycle teams, compliance, internal audit or external auditors to implement process improvements, provide training and feedback. The ideal candidate will audit and review medical billing and coding practices, ensure compliance with payer and regulatory requirements, identify errors and opportunities for improvement, and support risk mitigation and revenue integrity efforts.
Medical Office Manager-Bronx The Dermatology SpecialistsMedical Office Manager-BronxNew York City2 years’ + experience in Hospitality or Medical management as a minimum; Experience in managing a team; Ability to give direction with confidence; Hard-working and willing to be part of a team; Desire to grow with the practice; Flexible availability. - Knowledge of health insurance policies, guidelines- including copays, coinsurances, referrals, verification of insurances; handling patients' records discretely, updating demographic and financial information; Protecting and securing medical records.
AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote 61st Street Service CorpAR Follow-Up Specialist III - Coding and Complex Denials #Full Time #RemoteFort Lee, NJRemote$28.72–$36.92 / hourThe AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and resolving complex coding-related denials and appeals in addition to following up on unpaid accounts with insurance companies and third parties. The Specialist III assists the unit supervisor and manager with complex cases, supports training efforts, and identifies denial trends to inform process improvements.
Summer Camp Coding, Digital Arts, or Game Development Assistant Teacher Black Rocket ProductionsSummer Camp Coding, Digital Arts, or Game Development Assistant TeacherBurlington, NJ$15–$17 / hourStrong technology skills are preferred, such as 3D modeling, coding, game creation or design, animation, robotics, modifying games, video editing, digital arts, competitive gaming, significant knowledge of Minecraft or Roblox, etc. 2. No specific formal experience required to apply: We train teachers, college students and content area experts on technology and instruction: You provide the desire to work with children using technology and creativity.
HCC Coding Leader - Risk Adjustment MercorHCC Coding Leader - Risk AdjustmentNew York, New YorkRemote5+ years of experience in risk adjustment coding , HCC coding , or Medicare Advantage coding operations , with at least 2 years in a leadership role. Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid , and ACA risk adjustment programs.
Product Safety Data Coordinator and Coding Associate ESRhealthcare and EXEC STAFF RECRUITERSProduct Safety Data Coordinator and Coding AssociateNew JerseyRemoteThe individual will be responsible for verifying the accuracy and completeness of information for each adverse event report for which he/she is assigned in conjunction with the source documents and ensuring that the activities are performed in a manner consistent with SOPs. Description of Responsibilities: Code and enter information into the Product Safety database for Adverse Events reported in association with Client Marketed and investigational products.
Model Performance Software Engineer, Claude Code AnthropicModel Performance Software Engineer, Claude CodeNew York City, NY$405,000–$485,000 / yearThis research continues many of the directions our team worked on prior to Anthropic, including: GPT-3, Circuit-Based Interpretability, Multimodal Neurons, Scaling Laws, AI & Compute, Concrete Problems in AI Safety, and Learning from Human Preferences. This is a senior individual contributor role for someone who has already built and owned systems at significant scale, and who is ready to operate as a technical leader: driving architecture, mentoring engineers, and influencing the direction of Claude Code itself.
Senior Compliance Specialist NYU Langone HealthSenior Compliance SpecialistNew York, NY$84,577.92–$142,767.54Full timeConducts risk assessments to define audit priorities by evaluating previous audit findings, management priorities, ICD, APC and DRG utilization patterns, national normative data, CMS and PEPPER initiatives, OIG work plans and advisories, and healthcare industry best practices. The Senior Compliance Specialist (Hospital Billing Auditor) will support the Manager of Hospital Billing Compliance and the Director of Billing Compliance in the development and implementation of the Hospital Billing Compliance program at NYU Langone Health System to ensure adherence with federal and state billing regulations.
Frontend Engineer - AI Coding Expert MercorFrontend Engineer - AI Coding ExpertNew York, New YorkRemoteRegular use of AI coding agents such as Cursor, Claude Code, Codex, Windsurf, Gemini CLI, or similar tools. Use frontier AI coding agents to complete and evaluate complex engineering tasks.
RCM Customer Service Specialist The Dermatology SpecialistsRCM Customer Service SpecialistLong IslandThe role handles inquiries via phone, email, and EMR-tasked billing requests, assists patients with billing questions, and ensures accurate interpretation of Explanation of Benefits (EOBs), payment postings, and claim denials. The CSR collaborates with the Revenue Cycle team and Ops team to support timely resolution, maintain high patient satisfaction, and improve financial outcomes for the dermatology practice.
Medical Billing and Coding Associate DocGo IncMedical Billing and Coding AssociateNY$20–$24 / hourResponsibilities: • Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues • Responsible for escalating concerns regarding questionable paperwork to appropriate management • Contact payers to verify claim status via phone or web and follow up on unpaid claims • Process appeals on aged insurance claims/denials • Analyze, identify and resolve issues which may cause payer payment delays • Identify and resolve claim edits through understanding of billing guidelines and payer requirements • Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate • Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers Compensation and No Fault when applicable • Review all EOBs for correct payment, deductible, adjustments, and denials • Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment • Reconcile account balances, and verify payments are applied correctly • Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner • Follow up on appeals/corrected submitted claims • Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding • Review and audit customer service account inquiries • Receive inbound/outbound customer service call • Provide excellent customer service to all patients, Insurances & Facilities • Review and correct all rejections in clearing house • Perform all other related duties as assigned. Qualifications: Must have 2-3 years of medical billing experience (required) Ambulance billing experience (preferred) Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation Proficient in CPT and ICD-10 coding Ambulance/Medical billing certification or diploma preferred Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred Excellent organizational skills and the ability to multitask in a fast-paced environment Analytical - collects and researches data; uses intuition and experience to complement data.
Medical Billing and Coding Specialist Saint Peter's Healthcare System IncMedical Billing and Coding SpecialistNew Brunswick, NJPerform billing activities in a timely manner, i.e. surgical billing, physician billing and coding; may assist with chart audits to identify areas for improvement and resolve as appropriate. May assist with the education and training of office staff on processing office and surgery claims, managing the Athena hold buckets, IngeniousMed tasks, precertifications, and other billing related functions.
Facility-Fee Emergency Department Medical Coder Sutherland Global Services IncFacility-Fee Emergency Department Medical CoderClifton, NJThe Facility-Fee Emergency Department Medical Coder is responsible for the accurate review, abstraction, and assignment of ICD-10-CM, CPT, HCPCS, facility-specific charging methodologies, and applicable modifiers for Emergency Department (ED) facility encounters. The coder will review clinical documentation, emergency department records, physician documentation, nursing notes, ancillary reports, and charging information to accurately capture facility services rendered during emergency department visits.
NewPatient Advocate Specialist Firstsource Solutions LtdPatient Advocate SpecialistNYRemote$17–$19 / hourE. The goal of the Patient Advocate Specialist is to successfully resolve account balances for medical services provided by multiple healthcare facilities to patients by, contacting the patients by telephone and screen them to determine if the patient is eligible for state, county, and federal assistance programs. Follow-up with assigned accounts until every avenue is exhausted in trying to secure benefits for the patients or the patient is approved for a program and billing information is obtained.
NewMDS Assessor Amsterdam Nursing HomeMDS AssessorNew York, NY$110,000–$115,000The essence of Amsterdam includes a unique combination of old-world charm, comfortable surroundings, and a state-of-the-art clinical care. Amsterdam Nursing Home is actively seeking an MDS Assessor or our Skilled Nursing Facility located in the heart of New York City.
Axiom Developer, AVP Barclays PlcAxiom Developer, AVPWhippany, NJSupport hardware upgrades, operating system upgrades, and Oracle database development, performance turning, and upgrades by coordinating required analysis and development and supporting production implementation. Cross-functional collaboration with product managers, designers, and other engineers to define software requirements, devise solution strategies, and ensure seamless integration and alignment with business objectives.
Full Stack Developer - Securitized Products Technology Barclays PlcFull Stack Developer - Securitized Products TechnologyWhippany, NJseeks Full Stack Developer - Securitized Products Technology (multiple positions) in Whippany, NJ: Design and develop complex solutions using core computer science concepts Including algorithms and object-oriented programming. They may also lead a number of specialists to influence the operations of a department, in alignment with strategic as well as tactical priorities, while balancing short and long term goals and ensuring that budgets and schedules meet corporate requirements.
Sr ETL Developer, AVP Barclays PlcSr ETL Developer, AVPWhippany, NJseeks Sr ETL Developer, AVP in Whippany, NJ (multiple positions available): Design, develop and operate a data lake platform using Python, Apache Spark, Hadoop, Sqoop, Hive, PIG and SQL to build various ETL analytics and data quality and risk control components. Cross-functional collaboration with product managers, designers, and other engineers to define software requirements, devise solution strategies, and ensure seamless integration and alignment with business objectives.
SAP Technical Lead Barclays PlcSAP Technical LeadWhippany, NJseeks SAP Technical Lead in Whippany, NJ (multiple positions available): Participate in the technical development activity for the SAP Finance Technology team to enable and deliver global services and solutions across Barclays functions and businesses viathe bank's SAP enterprise platforms. Utilize various IT tools technologies to carry out the sophisticated job duties including SAP Business suite products, SAP NetWeaver, ABAP on HANA and Fiori Developments including knowledge in CDS, AMDP and Fiori UI5 development.
Software Engineer, Android Cape Asset ManagementSoftware Engineer, AndroidNew York, NY$180,000–$235,000 / yearAs a member of our team, you will collaborate with world-class engineers, architects, and visionaries, and work across organizational lines to solve "impossible" problems and deliver mission-critical results for our users every single day. Our journey began when our founder recognized a critical vulnerability in our modern world: everyone relies on the same stagnant cellular infrastructure and legacy systems that track our every movement, monitor and profile our connections, and lose and sell our personal data.
Software Engineer, Ios Cape Asset ManagementSoftware Engineer, IosNew York, NY$180,000–$235,000 / yearYou will own the entire feature lifecycle-from architectural design to App Store launch-using Swift and SwiftUI to solve some of the hardest technical challenges in security and cryptography in order to secure personal information (PII), account data, and even voice & SMS traffic. Our journey began when our founder recognized a critical vulnerability in our modern world: everyone relies on the same stagnant cellular infrastructure and legacy systems that track our every movement, monitor and profile our connections, and lose and sell our personal data.
Sr. Tech Lead - AWS Barclays PlcSr. Tech Lead - AWSWhippany, NJYou may be assessed on the key critical skills relevant for success in role, such as risk and controls, change and transformation, business acumen, strategic thinking, digital and technology, as well as job-specific technical skills. Some other highly valued skills may include: Knowledge of observability practices (logging, metrics, tracing) using tools/frameworks like CloudWatch, Prometheus/Grafana, Telemetry or equivalent tools.
Inpatient Coder – HIM Coding – Full Time NYPInpatient Coder – HIM Coding – Full TimeNew York, NY$54.35–$62.35 / hourIn collaboration with two renowned medical schools, Weill Cornell Medicine and Columbia University College of Physicians & Surgeons, NewYork-Presbyterian is consistently recognized as a leader in medical education, ground-breaking research and innovative, patient-centered clinical care. NewYork-Presbyterian is one of the nation’s most comprehensive academic health care delivery systems, dedicated to providing the highest quality, most compassionate care to patients in the New York metropolitan area and throughout the globe.
Inpatient Coding Data Quality Auditor/Educator University Hospital, Newark NJInpatient Coding Data Quality Auditor/EducatorNewark, New Jersey$118,941–$142,009 / yearFull timeAs the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation. University Hospital considers multiple factors when determining compensation, including (but not limited to) the scope and responsibilities of the position, the candidate’s relevant work experience, education and training, key skills, internal equity, market data, and organizational needs.
AI Code Engineering Lead MadhiveAI Code Engineering LeadNew York, New YorkMadhive’s platform provides the unique ability to reach local audiences at national scale, with premium supply partnerships and end-to-end tools for planning, targeting, and measuring full-funnel campaign outcomes. Whether it’s taking ideas from previous lives and applying them in different ways or creating something completely new, we are all trail-blazing team players who think big and want to make an impact.
Elementary Teacher Gr. 6 NJDOE Endorsement Code #1013 or #1001 Required Trenton Public SchoolsElementary Teacher Gr. 6 NJDOE Endorsement Code #1013 or #1001 RequiredTrenton, NJAll certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE). PERFORMANCE RESPONSIBILITIES: Develops and implements written instructional plans that meet the diverse needs, abilities, and interests of all students.
Medical Billing Associate NJ PEDIATRIC NEUROSCIENCE INSTITUTEMedical Billing AssociateMorristown, NJ$21–$28 / hourFull timeMaintains current knowledge of, and complies with established policies and procedures including patient confidentiality/patient rights, government, insurance and third-party payer regulations. NJPNI Billers and Coding/ Collection Staff members are expected to maintain all licenses and credentials required by state and federal law.
NewBilling Manager – NYC Ophthalmology Practice Vitreous-Retina-Macula Consultants of New York PCBilling Manager – NYC Ophthalmology PracticeNew York, NY$85,000–$95,000 / yearThe ideal candidate has deep experience in ophthalmology/retina billing, strong knowledge of Medicare billing rules and reimbursement, advanced analytical and reporting skills, and the ability to synthesize complex data into actionable insights for leadership. Vitreous Retina Macula Consultants of New York (VRMNY) is one of the nation’s leading retina practices, known for world‑class physicians, cutting‑edge treatments, and a commitment to exceptional patient care.
Inpatient DRG Reviewer Zelis Healthcare, Inc.Inpatient DRG ReviewerNJ$79,000–$99,750 / yearWhere the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Appeal Analyst RN I Integrated Resources, IncAppeal Analyst RN IHopewell, NJ$40–$42 / hourStrong knowledge of medical terminology, anatomy and physiology, disease processes, treatment protocols, procedural drug therapies, ancillary services, and diagnostic procedures. Additionally, the role provides guidance and education to stakeholders regarding ICD-10-CM coding, DRG assignment, payment methodologies, and audit processes.
Denials Coordinator - Hospital Billing Patient Financial Services - Corporate 42nd Street - Full-Time - Days Mount Sinai Health SystemDenials Coordinator - Hospital Billing Patient Financial Services - Corporate 42nd Street - Full-Time - DaysNew York, NY$65,885–$98,827 / yearKey responsibilities include analyzing claim denial reasons, identifying denial trends, sharing trends and findings with owner areas, coordinating the appeals process, collaborating with departments to prevent future denials, maintaining documentation including issue logs with updates, denied dollars and resolutions, and acting as a resource for staff regarding denial-related issues and payer rules. 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.
NewRevenue Cycle Denials Analyst Richmond University Medical CenterRevenue Cycle Denials AnalystStaten Island, NY$60,000–$70,000 / yearFamiliarity with UB-04 facility billing, payer remits, CARC/RARC codes, and OPPS/APC/DRG methodologies strongly preferred. Works with Patient Access, Coding, Utilization Review, Billing, Managed Care, and clinicians to reduce denial root causes.
NewMedical Biller, SNF US Career PartnersMedical Biller, SNFNew JerseyAs a Medical Biller, you will be responsible for accurately and efficiently processing medical claims and ensuring timely reimbursement for services rendered. Company Overview: Our client is a leading SNF finance company that provides financial solutions to skilled nursing facilities across the country.
NewSenior Medical Accounts Receivable Specialist The Cardiovascular Care GroupSenior Medical Accounts Receivable SpecialistSpringfield, NJThe Senior AR Specialist is responsible for managing complex accounts receivable activities, resolving outstanding insurance and patient balances, and ensuring timely reimbursement for cardiovascular services. The ideal candidate possesses extensive medical accounts receivable experience, strong analytical skills, and a comprehensive understanding of physician practice billing, payer requirements, and healthcare reimbursement methodologies.
Clinical Data Scientist/ Methodologist SanofiClinical Data Scientist/ MethodologistMorristown, NJ$100.50–$145.17 / hourMinimum 4-5 years for Master's degree holder or 2-4 years for Doctoral degree holder of relevant experience in real-world data, commercial analytics, real-world evidence, health outcomes research, fit-for-purpose feasibility assessment, data quality assessment or a related field within the pharmaceutical, biotech, or health technology industry. This role serves as a methodological authority and RWD data domain expert, ensuring best-in-class data selection and optimal data usage to generating reliable insights or evidence to better understanding gaps in patient care and healthcare providers involved in patient care.
Revenue Cycle Supervisor (Accounts Receivable) Columbia UniversityRevenue Cycle Supervisor (Accounts Receivable)Fort Lee, NJ$66,300–$78,000 / yearThe Revenue Cycle Supervisor (Accounts Receivable) is responsible for day-to-day supervision of a unit that is responsible for working and collecting on unpaid professional medical claims (government and all third-party payers). Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
Revenue Cycle Denials Analyst Richmond Medical CenterRevenue Cycle Denials AnalystStaten Island, New York$60,000–$70,000 / yearFamiliarity with UB-04 facility billing, payer remits, CARC/RARC codes, and OPPS/APC/DRG methodologies strongly preferred. Works with Patient Access, Coding, Utilization Review, Billing, Managed Care, and clinicians to reduce denial root causes.
Analyst, Compliance Columbia UniversityAnalyst, ComplianceNew York, NY$80,000–$90,000 / yearProvide oversight and perform, as needed, ongoing, risk-based, and ad hoc coding auditing of complex services, across multiple specialties, rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare/Medicaid, medical necessity, and NCD/LCD requirements; including but not limited to retrospective audits for established providers and prospective audits for newly onboarded providers to ensure appropriate documentation, coding accuracy, and billing compliance. Support departmental compliance teams by providing advisory guidance and expert knowledge of CPT/HCPCS and ICD-10 guidelines across multiple specialties, as well as teaching facility guidance, professional fee billing, including global surgical package rules, modifier usage, incident-to services, split/shared services, and emerging regulatory changes.
Patient Account Representative Med-Metrix, LLCPatient Account RepresentativeRed Bank, NJPhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts.
NewMedical Office Manager The Cardiovascular Care GroupMedical Office ManagerClifton, NJOversee revenue cycle activities, including coding accuracy, charge capture, prior authorizations, claim submissions, denials management, collections, and collaboration with billing teams. Manage clinical and patient support functions, including prescription refills, patient clinical inquiries, disability forms, CT/MRI authorizations, and weekly chart preparation.