Hospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding RemoteNJRemote$64,625.60–$84,448 / yearHospital Coder Inpatient Senior Coder is an expert-level coding professional responsible for accurately reviewing and coding complex inpatient medical records using ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and appropriate MS-DRG/APR-DRG grouping methodologies. This role serves as a subject matter expert within the coding department, performing second level reviews, mentoring staff, and collaboration with Clinical Documentation Improvement (CDI), quality, and revenue cycle teams to ensure optimal reimbursement and compliance with regulatory guidelines.
Professional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA AL Capital HealthProfessional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA ALNJRemote$29.27–$38.25 / hourFrequent physical demands include: Occasional physical demands include: Standing, Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion, Taste or Smell, Talk or Hear. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
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.
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.
Operatory Surgical Coding Specialist West End Orthopaedic Clinic IncOperatory Surgical Coding SpecialistWestchester, NY$24.23–$36.35 / hourWith more than 159 physicians in over 35 locations-including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads-OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. In this role, you will ensure accurate posting of surgical cases, proper billing of supplies and implants, and correct CPT/HCPCS coding in collaboration with surgeons, clinical staff, and the Operatory Director.
Medical Coding Specialist Capital Rx, Inc.Medical Coding SpecialistNew York, NY$70,000–$85,000 / 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. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Billing & Coding Specialist-BI-FT Days Mount Sinai Health SystemBilling & Coding Specialist-BI-FT DaysNew York, NY$58,661–$81,675 / yearWe 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. 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.
DRG Coding Auditor - MS-DRG and APR-DRG Elevance Health IncDRG Coding Auditor - MS-DRG and APR-DRGNew York, NY$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Director of Billing and Coding (Full Time ) PRIMARY HEALTH NETWORK, INC.Director of Billing and Coding (Full Time )Mercer County, NJReviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency. We envision a future where healthcare is a transformative, personalized journey that embodies a comprehensive approach marked by unwavering integrity, respect for all individuals, continuous innovation, and a relentless commitment to quality.
DRG Coding Auditor - Ms-Drg And Apr-Drg Elevance HealthDRG Coding Auditor - Ms-Drg And Apr-DrgNew York, NY$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Medical Coding Specialist Capital Rx LLCMedical Coding SpecialistNew York, NY$70,000–$85,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Hospital Inpatient Coder Certified - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coder Certified - FT - Day - HIM Facility Coding RemoteNJRemote$28.70–$37.32 / hourAssigns and properly sequences accurate ICD-10-CM diagnosis and ICD-10-PCS procedure codes in accordance with Official Coding Guidelines, UHDDS definitions, Coding Clinic guidance and CMS to a full range of inpatient services including cases with a high complexity level. Ensures accurate capture of Major Comorbid Conditions (MCC)/Comorbid Conditions (CC), Present on Admission (POA) indicators, Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Severity of Illness (SOI) and Risk of Mortality (ROM).
Profee Coding Consultant - Full Time DatavantProfee Coding Consultant - Full TimeNew York City, NY$20–$28 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. The estimated base pay range per hour for this role is: $20—$28 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
Profee Coding Consultant - PRN DatavantProfee Coding Consultant - PRNNew York City, NY$20–$28 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. The estimated base pay range per hour for this role is: $20—$28 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
Product Safety Data Coordinator and Coding Associate LancesoftProduct Safety Data Coordinator and Coding AssociateNutley, NJRemote$25Computer proficiency required, including data entry of adverse event information. Description of Responsibilities: Code and enter information into the Product Safety database for Adverse Events.
NewPrincipal Product Manager, Healthcare AI - Autonomous Coding Oracle CorpPrincipal Product Manager, Healthcare AI - Autonomous CodingNY$92,900–$209,500 / yearOracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. We are seeking an experienced AI Product Manager with a vision and experience in healthcare revenue cycle for improving medical coder's productivity and developing AI products that reduce their burnout.
Professional Coding Provider Educator RWJ Barnabas Health Medical IncProfessional Coding Provider EducatorOceanport, NJRemote$68,700–$106,600 / yearJob Summary: Our Professional Coding Audit and Education team partners with physicians, advanced practice professionals, and operational leaders to strengthen provider documentation, professional-fee coding accuracy and compliance across a large multispecialty health system. Analyze a high volume of questions from providers, practice and regional managers, and senior executives; identify the core issue and provide guidance or engage the appropriate organizational team.
ACO Risk Coding Specialist (Hybrid) Essen Medical AssociatesACO Risk Coding Specialist (Hybrid)Bronx, New YorkFull timeQualifications: Qualifications : - Strong working knowledge of CMS‑HCC risk adjustment model (required for accurate coding and compliance) - Solid understanding of ICD‑10‑CM coding guidelines - Ability to accurately identify and code chronic conditions requiring annual recapture - Experience reviewing face‑to‑face encounters and validating provider documentation - Skilled in retrospective and/or prospective chart reviews - Experience with provider education or documentation improvement initiatives Knowledge, Skills, & Abilities : - Deep understanding of chronic disease processes (e.g., CHF, CKD, COPD, diabetes with complications) - Familiarity with hierarchical logic and exclusion rules in HCC coding - Strong analytical, organizational, and problem‑solving skills, especially in Excel - Ability to research and resolve coding discrepancies independently - Effective written and verbal communication with clinical and non‑clinical staff - Team-based orientation with ability to manage and report out KPIs - Cultural sensitivity and ability to work with diverse team members, both US-based and offshore, and with medical providers - Consistent ability to meet productivity and quality benchmarks Education : - High School Diploma or equivalent (required) - International Medical Graduate (preferred) - Certified Risk Adjustment Coder (CRC) - Certified Professional Coder (CPC) or CCS / RHIT / RHIA (AAPC or AHIMA) Compensation & Benefits. They will become experts in HCC-based risk adjustment (prior experience preferred, but not necessary), they will conduct medical chart reviews to identify suspect conditions, and they will design and manage workflows to ensure that providers are made aware of suspect conditions, so that they can evaluate the patient thoroughly and correctly document the patient’s risk factors.
Medical Coding Reviewer - Risk Adjustment GuideWell Mutual Holding CorpMedical Coding Reviewer - Risk AdjustmentNY$28–$45 / hourManager Risk Adjustment Audit, the Risk Adjustment Coder is responsible for reviewing medical records to apply appropriate diagnosis coding in compliance with International Classification of Diseases, Tenth Revision (ICD-10) coding guidelines for the purposes of risk adjustment. Review and validate provider-submitted and/or vendor-submitted medical record documentation and ICD-10 diagnosis codes to identify and correct any inaccuracies or discrepancies to ensure accuracy and compliance of risk adjustment.
Outpatient Coding Consultant - Remote Datavant LLCOutpatient Coding Consultant - RemoteNYRemote$20–$28 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.