Quality Analyst / Medical Auditor SourcePro SearchQuality Analyst / Medical AuditorClifton, New JerseyThis role will manage and execute all audit procedures to ensure adherence to expected consistency of quality expectations as well as monitor and track all audit scores by employees. SourcePro Search has a fantastic opportunity for an experienced Quality Audit/Analyst for one of our top clients in Norther New Jersey.
Director/Senior Director - Program Management - Medical Monitoring Implementation Lead/Clinical SME ArgyllinfotechDirector/Senior Director - Program Management - Medical Monitoring Implementation Lead/Clinical SMEJersey City, NJRemoteClinical judgment and patient-safety orientation; protocol-to-dashboard translation; safety and efficacy review; therapeutic-area agility; clinical data interpretation and reconciliation; medical-monitoring workflow design; clinical validation and risk assessment; medical and regulatory writing; clinician-to-engineer translation; root-cause analysis; stakeholder trust; and end-to-end implementation ownership. Support integrated patient review across adverse events, serious adverse events, AESIs, CTCAE grading, MedDRA coding, laboratory trends, Hy's Law indicators, vital signs, ECGs, physical examinations, exposure, dose modifications, concomitant medications, medical history, disposition, deaths, and other relevant clinical domains.
Billing Coordinator(Level III) - (FGP), Manhattan, Plastic Surgery New York University School of MedicineBilling Coordinator(Level III) - (FGP), Manhattan, Plastic SurgeryNew York, NY$70,481.60–$104,622 / yearDemonstrate a significant level of expertise in subject matter to assist and mentor entry-level coding staff, support the operations lead/supervisor in managing day-to-day team activities against scope and timeline, and ensure timely reporting of activities. Collaborate with the corporate Revenue Integrity Analysts to understand CPT and ICD-10 guidelines, payer policy and procedure manuals, updates, and CMS publications to ensure practices are compliant with current policies and procedures.
Manager, Compliance RWJ Barnabas Health Medical IncManager, ComplianceOceanport, NJ$110,150–$143,195 / yearDetailed knowledge of federal and state statutes, regulations, policies, procedures, and guidance that governs healthcare Compliance programs and operations, Strong understanding of healthcare Compliance programs and processes, and the ability to analyze issues, identify compliance risks and oversee timely and effective remediation, Ability to clearly articulate requirements and complex compliance issues to senior leadership and impacted business units/departments, Expertise with federal and state regulatory audit processes, and the ability to clearly and effectively communicate with auditors and regulators, Strong sense of ethics and integrity to ensure that the organization adheres to regulatory requirements and operates in a compliant manner. You have excellent written and verbal communication skills are necessary for interacting with employees, management, stakeholders, and regulatory bodies, You demonstrate leadership and management Skills: lead and motivate the Compliance team, effectively coordinate with various departments and physician practices to manage projects, and influence others on compliance integrity.
NewMDS Coordinator Sunrise Senior Living ServicesMDS CoordinatorEdison, New Jersey$41–$56.65 / hourWhat You’ll Do: • Coordinate and complete MDS, CAA and Care Plans per federal and state regulations • Maintain MDS schedules and ensure timely, accurate submissions • Facilitate Triple Check and weekly Medicare meetings • Review clinical documentation for accuracy and reimbursement support • Ensure Care Plans are individualized and aligned with resident goals • Monitor Quality Indicators and analyze CASPER/iQIES reports • Participate in IDT and QAPI meetings to drive quality improvement • Provide MDS and documentation training to clinical team members • Support ICD-1 coding accuracy and skilled services documentation • Collaborate with Business Office to ensure timely billing Resident Assessment Coordinator (RN/LPN) – Lead MDS Accuracy and Drive Quality Care Outcomes MDS Coordinator | Resident Assessment Coordinator | RN | LPN | Skilled Nursing | Care Planning | RAI. The Resident Assessment Coordinator (RAC) leads the Resident Assessment Instrument (RAI) process for Skilled Nursing, ensuring accurate MDS completion, individualized care planning and regulatory compliance.
Clinical Documentation Specialist - CDI MercorClinical Documentation Specialist - CDINew York, New YorkRemote$50–$150 / hourComfort working inside CAC/CDI software and reading the full clinical record, including H&Ps, consults, progress notes, discharge summaries, labs, and flowsheets. Ensure codes are changed, queries sent, holds placed, DRG recomputed, and notes and CDI reviews filed.
Nurse Practitioner Resident Henry J Austin Health CenterNurse Practitioner ResidentTrenton, NJDevelops patient treatment plans and/or explains treatment plans as formulated to patients, taking into consideration any cultural, linguistic, financial, educational, health literacy, accessibility or other patient factors that might affect communication and patient engagement in shared decision-making and adherence to treatment plans. REQUIREMENTS: EDUCATION & EXPERIENCE: Master of Science in Nursing or Doctor of Nursing Practice from an accredited educational institution, Nurse Practitioner board certification by the American Association of Nurse Practitioners or the American Nurses Credentialing Center.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DONY$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Medical Assistant - Internal Medicine UnitedHealth Group IncMedical Assistant - Internal MedicineSpringfield, NJIreland & UK ›India ›Philippines ›Culture of Belonging›Employee Benefits›BlogJob seeker resources Login Bookmarked jobs 0 Career areas Clinical PhysiciansAdvanced practice cliniciansPharmacyBehavioral healthNursingMedical codingClinical support Corporate and business operations Administrative supportConsultingFinance and business analyticsLegal and complianceMarketing and communicationsPeople teamProject management Customer and support services BillingClaimsCustomer ServiceData entryEarly careers Sales and account management Account managementSalesSales management Technology and data Artificial intelligenceArchitectureBusiness systems analysisData analyticsData engineeringData scienceNetwork infrastructureProduct management & developmentSecurity and riskSoftware engineering Life here U.S. Culture of BelongingEmployee BenefitsMilitary Fellowship Program Ireland & UK Culture of BelongingEmployee Benefits India Culture of BelongingEmployee Benefits Philippines Culture of BelongingEmployee BenefitsJoin our talent communityOpen search formKeyword or job numberLocationGoExplore remote jobsPursue your passion and potentialMedical Assistant - Internal Medicine Springfield New Jersey Apply Internal apply Bookmark job Jump to Our values Job description Benefits Testimonial Awards & recognitions Related content Caring. BlogsJob seeker resources Login Bookmarked jobs 0 Career areasLife hereJoin our talent communitySearch jobsClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.
Dental Treatment Coordinator (Must Have Dental Experience) Expert Dental PCDental Treatment Coordinator (Must Have Dental Experience)New york, New York$25–$35 / hourMust be familiar with Dentrix Enterprise or regular Dentrix functionalities, including financial ledger, treatment planning, insurance billing and coding, clinical charting, office resource setup and appointment schedule management. Busy, modern, high-end, multi-specialty dental office with two locations in Manhattan (Midtown and Tribeca) looking to add a Treatment Coordinator to join our team.
Surgical Scheduling Specialist - PMPH Penn MedicineSurgical Scheduling Specialist - PMPHPlainsboro, NJ$18.11–$28.86 / hourSummary: Surgical Scheduling Specialist schedules all surgical procedures, associated pre-admission testing and assures that all of the appropriate clinical coding and insurance information is collected for the surgical procedure. Provides accurate and timely information so that all departments may view the schedule daily and maintains open communication with hospital departments and physician offices regarding schedule changes etc.
AI Engineer Joyful HealthAI EngineerNew York City, New YorkThe healthcare payment system is a complex and inefficient maze - healthcare practices leave $125 billion in revenue uncollected each year, lost in the chaos of fragmented financial data, manual workflows, and opaque payer systems. We're looking for a talented and ambitious machine learning engineer with 5+ years of experience building production AI systems who's excited to solve one of the toughest challenges in healthcare - automatically resolving claim denials.
AI Engineer | Agentic Systems MachinifyAI Engineer | Agentic SystemsNY$130,000–$200,000 / yearWe''re building production-grade agentic systems that audit medical claims end-to-end - reading raw medical records, reasoning over coding and clinical guidelines, and producing defensible findings that hold up to clinical and regulatory review. Working knowledge of how modern coding agents are built and how they engineer context - what goes in the system prompt, how files are read and edited, how long-running tasks are planned and tracked, where they break.
Billing Coordinator-Tisch Hospital Perioperative Services-Day Shift (35 Hours) New York University School of MedicineBilling Coordinator-Tisch Hospital Perioperative Services-Day Shift (35 Hours)New York, NY$66,299.99–$71,400 / yearIn this role, the successful candidate This position is responsible for overseeing/posting charges for all supplies and implants used in operating room cases (inpatients and outpatients) for surgical locations within Tisch Hospital and Ambulatory Sites, and ensures the accuracy of all billable supplies are captured and submitted in accordance to departmental policies. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation.
Data Engineer II - Surgery Mount Sinai Health SystemData Engineer II - SurgeryNew York, NY$90,000–$135,285 / yearMount 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. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Advance Practice Practitioner Lead CINQCAREAdvance Practice Practitioner LeadBrooklyn, NY$150,000–$185,000 / yearReporting to the Regional Chief Medical Officer, the APP Lead is responsible for training and day to day management of Nurse Practitioners (NPs), Physician Assistants (PAs), and RN’s, ensuring effective collaboration, proper clinical management, documentation of visits, and high-quality patient care delivery to Grace at Home family members. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes.
RCM Business Development Manager - NJ - On Site Vensure Employer ServicesRCM Business Development Manager - NJ - On Site[Edison, NJ, 08837], NJ$75,000–$125,000 / yearYou will be responsible for identifying new market opportunities, securing high-value partnerships, and expanding our footprint in the Revenue Cycle Management sector. Market Intelligence: Stay ahead of industry shifts including regulatory changes, payer trends, and AI-driven billing technologies to keep our offerings competitive.
Physician Consensus HealthPhysicianNew JerseyProper and complete medical documentation (without copy/paste) for all patient care in order to assure accuracy (above 80% with goal of 95%) of E/M coding – and closing/sign off after review of all patient charts in accordance with company policies. Located in: Blairstown, New Jersey 07832 The Physician operates in a team with other clinic healthcare providers and support staff.
Insurance Billing/Collection Assistant III (Remote) - Department of Medicine - Business Office Washington University in St LouisInsurance Billing/Collection Assistant III (Remote) - Department of Medicine - Business OfficeMORemote$20.57–$30.84 / hourSkills: Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Team Leadership, Telephone Communications. Performs advanced follow-up on insurance billing and collection activities, makes collection calls, verifies the accuracy and completeness of insurance records, and claims, contacts insurance companies and/or collection agencies as well as other related duties to expedite payments from various payers for physician services.
Insurance Billing/Collection Assistant III - Physicians Billing Service (Hybrid) Washington University in St LouisInsurance Billing/Collection Assistant III - Physicians Billing Service (Hybrid)St. Louis, MO$21.33–$31.98 / hourSkills: Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Team Leadership, Telephone Communications. Performs advanced follow-up on insurance billing and collection activities, makes collection calls, verifies the accuracy and completeness of insurance records and claims, contacts insurance companies and/or collection agencies as well as other related duties to expedite payments from various payers for physician services.