Billing Services Representative Saint Peter's Healthcare System IncBilling Services RepresentativePiscataway, NJReview outstanding accounts using ATB/queues/payments reports/halt report/electronic billing edits/credit balances. Use technology provided (including hospital information system, contract management system, electronic billing system, payer websites and document imaging system.).
Clinical Documentation Educator, Remote CPC and/or CCS P Required Cooper University Health CareClinical Documentation Educator, Remote CPC and/or CCS P RequiredCamden, NJRemoteReporting to the Manager of the Clinical Documentation Team the Clinical Documentation Educator, through diverse assignments, supports and participates in educational activities to improve of the quality, completeness and accuracy of clinical documentation for Cooper University Physicians (CUP.). Well-versed in using, referring to and researching CMS and other federal and local clinical documentation and compliance guidelines, CPT, ICD-9-CM and HCPCS codes, Evaluation and Management Documentation Guidelines and PATH guidelines.
Clin Documentation Spec III Remote Cooper University Health CareClin Documentation Spec III RemoteCamden, NJRemoteFacilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregiver and Health Information coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients. Ability to sit for long periods of time, manual dexterity and mobility for extensive use of computer screen, keyboard, copy and facsimile machines, reader/printer and other office equipment.
Director of Nursing (DON) - Home Care Caresense Home HealthDirector of Nursing (DON) - Home CareMontgomeryville, PennsylvaniaExcellent verbal and written communication skills, to effectively communicate with nurses, physicians, case managers and patients. This is a great top management opportunity to gain experience, expand your skills, and utilize your creativity, while making a Real difference in a growing successful company.
Director of Nursing (DON) Caresense Home HealthDirector of Nursing (DON)Montgomeryville, PennsylvaniaThe Director of Nursing is responsible for the overall direction, management, and supervision of patient care clinical services. This is a great top management opportunity to gain experience, expand your skills, and utilize your creativity, while making a Real difference in a growing successful company.
Sr Ophthalmic Technician SightMD CareerSr Ophthalmic TechnicianElkins Park, PennsylvaniaPerform comprehensive pre-examination testing, including visual acuity (with pinhole and glare), confrontational visual fields, extraocular muscle testing, pupillary evaluation, tonometry, angle assessment, and dilation. SightMD is a rapidly growing integrated ophthalmic provider group, extending the reach of exceptional eye care to patients across New York, New Jersey, Pennsylvania, Connecticut and Massachusetts.
NewAppeals Specialist GeneDX LLCAppeals SpecialistCranbury, NJRemote$31.25–$33.65 / hourGeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world's largest, rare disease data sets. The Appeals Specialist is responsible for reviewing denied claims, identifying root causes, and submitting well-documented appeals to maximize reimbursement for specialized laboratory services.
Clinical Documentation Specialist (40 Hrs/Temple Physicians Inc.) Temple University Health SystemClinical Documentation Specialist (40 Hrs/Temple Physicians Inc.)Philadelphia, PAResponsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. The specialist provides valuable feedback to management for provider education and correction purposes, ensuring that patient records are complete and compliant with payer guidelines in a timely matter.
Surgical Coordinator - Orthopedics - Health and Wellness Center Hackensack Meridian HealthSurgical Coordinator - Orthopedics - Health and Wellness CenterClark, New JerseyFull timeThe posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. Responsibilities: A day in the life of a Surgical Coordinator at Hackensack Meridian Health includes: Coordinates all aspects of tests, procedures and surgeries under the direction and supervision of the Practice Supervisor or Manager and physician(s) in an efficient manner.
Wound Care Nurse - Lpn-Lvn - Full Time Project RestorixWound Care Nurse - Lpn-Lvn - Full TimeRahway, NJWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceImplement physician orders accurately within appropriate time framesRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcome. Qualifications: Valid LPN nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients preferred (Will train)Experience with billing and coding preferred.
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.
Finance Systems Analyst Hogan LovellsFinance Systems AnalystPhiladelphia, PA$100,000–$125,000 / yearThis will involve attending project meetings and working with other departments in Finance and Technology as required in relation to the projects concerned, keeping the appropriate manager regularly informed of progress and developments. The team currently consists of the Finance Systems Manager with analysts based in London and Hong Kong, a Senior Finance Systems Manager with analysts based in the US, and a Finance Systems Manager - Product Owner based in London.
Clinical Documentation Educator, Remote- CPC and/or CCS-P Required Cooper University HospitalClinical Documentation Educator, Remote- CPC and/or CCS-P RequiredCamden, New JerseyRemoteFull timeShort Description: Reporting to the Manager of the Clinical Documentation Team the Clinical Documentation Educator, through diverse assignments, supports and participates in educational activities to improve of the quality, completeness and accuracy of clinical documentation for Cooper University Physicians (CUP.). Well-versed in using, referring to and researching CMS and other federal and local clinical documentation and compliance guidelines, CPT, ICD-9-CM and HCPCS codes, Evaluation and Management Documentation Guidelines and PATH guidelines.
Director, Market Access Strategy, Access Optimization Lead (Oncology) GSK plcDirector, Market Access Strategy, Access Optimization Lead (Oncology)Philadelphia, PAThe Director partners across pricing and contracting, account teams, patient experience, trade and distribution, access marketing, access analytics, HEOR / value evidence, finance, policy, medical, and brand teams to align on the integrated strategic plan and ensure execution against the most critical access priorities. Partner with pricing and contracting, analytics, HEOR, patient experience, account teams, and trade/channel teams to evaluate choiceful tradeoffs across investments, GTN implications, customer strategies, and launch/lifecycle priorities.
Medical Director - ENT CVS Health CorpMedical Director - ENTPA$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Executive Medical Director, Neurology, Clinical Development Katalyst HealthCares & Life Sciences IncExecutive Medical Director, Neurology, Clinical DevelopmentBridgewater, NJThis individual will be the primary point person for medical monitoring and oversight of assigned clinical programs, including monitoring of clinical studies, review and interpretation of clinical trial data, authoring clinical study and regulatory communications and documents, and monitoring of competitor activities and data. Provide medical/clinical expertise to internal (Marketing, Sales, Manufacturing, Market Access, Patient Services, Regulatory Affairs, R&D, and Legal) and external (healthcare professionals, Data Safety Monitoring Boards, patients, advocacy groups, etc.) customers.
Vice President, Medical Larimar TherapeuticsVice President, MedicalPhiladelphia, PAD.O.) required; neurology or cardiology background preferred; 10+ years of pharmaceutical industry experience with demonstrated progressive increase in management responsibilities; Prior experience in neurology and/or rare disease preferred; Experience with activities related to Medical Affairs a plus but not required; Track record of meaningful and substantial support of Phase 2 and Phase 3 studies, such as medical monitoring activities (data, coding, and protocol deviation review), contribution to and review of documents (protocols, informed consent forms, clinical study reports), and interactions with relevant external stakeholders (key opinion leaders, investigators, data monitoring committee); Proven excellent writing, presentation, communication, leadership, organization, and problem-solving skills; Established understanding of good clinical practices (GCP) and best practices related to evidence generation and scientific communications; Demonstrated appreciation of the needs and culture of a small company environment; Robust knowledge of clinical development, regulatory requirements, and healthcare compliance. Specific responsibilities include: Lead the medical guidance and support of clinical development programs, ensuring prompt, facilitative, and high value collaboration with Clinical Operations and the cross-functional study teams; In coordination with Statistics and Quantitative Sciences, review data and assist with interpretation of data from clinical studies; Partner with Safety and Pharmacovigilance to ensure provision of medical input as needed; Support Medical Affairs activities; Review and approve documents related to the clinical development program; Represent Medical at internal meetings and provide definitive guidance and direction; Supervise direct reports and external contractors; Ensure compliance with relevant regulatory law and guidance; Present medical and scientific information at study site visits and congresses; Represent Larimar Medical in engaging with external partners, regulatory bodies, and other external stakeholders; Perform other duties as appropriate at the direction of the Chief Medical Officer.
Associate Medical Director, Medical Safety Jazz Pharmaceuticals PlcAssociate Medical Director, Medical SafetyPhiladelphia, PARemote$212,000–$318,000 / yearServe as the signatory and overseer of the preparation and review of pre- and postmarketing aggregate safety reports including Periodic Safety Update Reports (PSURs)/Periodic Benefit Risk Evaluation Reports (PBRERs), Periodic Adverse Drug Experience Reports (PADERs), Development Safety Update Reports (DSURs), IND Annual Reports, and 6-month Suspected Unexpected Serious Adverse Reactions (SUSARs) Line Listing Reports and ensure consistent communication of safety profile/topics across various regulatory safety documents for assigned products. Sponsored, Compassionate Use, and Disease Monitoring Programs; liaise with Clinical Sciences, Clinical Operations, Medical Affairs, Biometrics, Regulatory Affairs, Contract Research Organizations (CROs), Data Monitoring Committees (DMCs) and other entities to contribute to overall study execution while ensuring safety strategy and operational excellence.
Vice President, Medical Larimar Therapeutics IncVice President, MedicalPhiladelphia, PAD.O.) required; neurology or cardiology background preferred; 10+ years of pharmaceutical industry experience with demonstrated progressive increase in management responsibilities; Prior experience in neurology and/or rare disease preferred; Experience with activities related to Medical Affairs a plus but not required; Track record of meaningful and substantial support of Phase 2 and Phase 3 studies, such as medical monitoring activities (data, coding, and protocol deviation review), contribution to and review of documents (protocols, informed consent forms, clinical study reports), and interactions with relevant external stakeholders (key opinion leaders, investigators, data monitoring committee); Proven excellent writing, presentation, communication, leadership, organization, and problem-solving skills; Established understanding of good clinical practices (GCP) and best practices related to evidence generation and scientific communications; Demonstrated appreciation of the needs and culture of a small company environment; Robust knowledge of clinical development, regulatory requirements, and healthcare compliance. Specific responsibilities include: Lead the medical guidance and support of clinical development programs, ensuring prompt, facilitative, and high value collaboration with Clinical Operations and the cross-functional study teams; In coordination with Statistics and Quantitative Sciences, review data and assist with interpretation of data from clinical studies; Partner with Safety and Pharmacovigilance to ensure provision of medical input as needed; Support Medical Affairs activities; Review and approve documents related to the clinical development program; Represent Medical at internal meetings and provide definitive guidance and direction; Supervise direct reports and external contractors; Ensure compliance with relevant regulatory law and guidance; Present medical and scientific information at study site visits and congresses; Represent Larimar Medical in engaging with external partners, regulatory bodies, and other external stakeholders; Perform other duties as appropriate at the direction of the Chief Medical Officer.
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.