1,014 Results for

Coding Jobs in Fairview, NJ

Jobs

Lead, Medical Network Claims Pricer Capital Rx, Inc.

New York, NY

$128,000–$160,000 / year

Apply Medicare-based pricing, Reference-Based Pricing (RBP), fee schedules, resource-based relative value methodologies, diagnosis-related groups, ambulatory payment classifications, per-diem rates, case rates, percent-of-charge arrangements, stop-loss provisions, and other approved reimbursement approaches. Advanced knowledge of procedure, revenue, diagnosis, and modifier logic; physician fee schedules; resource-based relative value methodologies; diagnosis-related groups; ambulatory payment classifications; per-diem, case-rate, percent-of-charge, and other medical reimbursement arrangements.

30+ days ago

Operations Analyst, I Claritev Corp

$45,000–$50,000 / year

High school diploma or GED and two (2) years of experience in claims processing, customer service, medical records, collections, data entry, database management, or a related operational role; OR an Associate''s degree with no prior experience required. You''ll collaborate with clinical teams, coding professionals, customer service partners, and other internal stakeholders to deliver efficient claim outcomes that contribute to operational excellence and an exceptional customer experience.

4 days ago

Professional Coder I eTeam Inc.

Newark, NJ

Remote

$35–$42.38 / hour
Quick Apply

This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business. Qualifications: Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist, P from the American Health Information Management (AHIMA).

30+ days ago

Billing Optimization Analyst Med-Metrix, LLC

Parsippany-Troy Hills, NJ

Applying expert knowledge of Medicare, Medicaid, managed care, and commercial payer requirements across the claim-generation lifecycle, including edits, claim splits, bill holds, rejections, late charges, and other exceptions, the Billing Optimization Analyst exercises independent judgment to diagnose root causes, works with billing, IT, and operational teams to implement fixes, and ensures issues do not recur. Monitor first-pass clean-claim rate, bill-hold days, DNFB, rejection trends, and billing throughput to confirm implemented improvements are sustained, identify new improvement opportunities, and coordinate additional follow-up when results do not meet established performance targets.

5 days ago

Staff Software Engineer, Code RL Anthropic PBC

New York City, NY

$405,000–$625,000 / year

You''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.

30+ days ago

Clinic Director (Lcsw Required) - 64542301 Institute for Community Living

Brooklyn, NY

$115,000–$118,450 / year

The Director leads programmatic systems, policy implementation, quality assurance, and operational strategy to support efficient, compliant, and sustainable service delivery. Additional Perks: Commuter benefits, recognition programs, discount programs, flexible spending plans, and voluntary benefits including pet insurance, identity theft protection, and legal plans.

30+ days ago

Senior Manager, Revenue Cycle Management, Provider Operations Oscar Health Inc

New York, NY

$135,792–$178,227 / year

Lead coding and documentation integrity strategies, including pre- and post-bill review, provider queries, addendums, signatures/co-signatures, identification of inappropriate documentation practices or cloning, and proactive provider education to address documentation gaps and support accurate coding. This leader will serve as a subject matter expert in professional billing and coding and will partner closely with clinical, operations, finance, compliance, credentialing, product, to identify revenue cycle risks and opportunities and translate them into actionable operational strategies.

30+ days ago

Manager, Total Cost Of Care Healthfirst

New York, NY

$103,400–$149,430 / year

Preferred Qualifications: Expertise in key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. This leader will serve as healthcare economics and analytics subject matter expert, across all areas of medical trend, medical cost savings, provider network informatics, and reimbursement accuracy.

13 days ago

Dental Office Manager Dental365

Englewood, NJ

$60,000–$80,000 / year

Since our inception, we've touched the lives of hundreds of thousands of patients and have emerged as a leading and distinguished dental organization, led by dentists. By placing patients and providers at the core of our approach, we're breaking new ground in the world of dentistry.

4 days ago

Quality Analyst IV - Clinical Validation Auditor (CVA), Healthcare ExlService Holdings Inc

$85,000–$110,000 / year

EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.

21 days ago

Senior Staff Dentist, Utilization Management (Remote) NY LIBERTY Dental Plan

New York, NY

Remote

$175,000–$185,000 / year

Join LIBERTY Dental Plan as a Senior Staff Dentist and play a critical role in improving quality, supporting providers, and ensuring members receive clinically appropriate, evidence-based dental care across Commercial, Medicare Advantage, and Medicaid programs. In this influential clinical leadership role, you'll leverage your expertise to guide utilization management decisions, support quality improvement initiatives, mentor colleagues, and help drive better oral health outcomes on a broader scale.

30+ days ago

Quality Analyst - Diagnosis-Related Group (DRG), Healthcare ExlService Holdings Inc

$70,000–$110,000 / year

30+ days ago

Physician Advisor, Physician Tal Healthcare

Queens, NY

$336,900
Quick Apply

This role balances clinical practice with administrative oversight, promoting efficient hospital workflows and financial sustainability while maintaining a commitment to excellent patient outcomes. The Physician Advisor will serve as a strategic liaison, collaborating with multidisciplinary teams to enhance clinical operations, improve quality of care, and ensure compliance with regulatory and payer requirements.

27 days ago

Technical Product Owner, Core Processor - AVP Barclays Plc

Whippany, NJ

To be successful in this role as a Technical Product Owner, Core Processor - AVP, you should have: Product Ownership, Product Management, or Platform Management experience delivering enterprise technology solutions within banking, payments, financial services, or processor modernization programs. Deep understanding of AWS cloud services, including EKS, ECS/Fargate, Lambda, API Gateway, EventBridge, SNS, SQS, DynamoDB, S3, IAM, KMS, PrivateLink, and Route 53, with experience designing cloud-native integration solutions.

11 days ago

AI Engineer Joyful Health Inc

New York City, NY

$150,000–$275,000 / year

The 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. Were looking for a talented and ambitious machine learning engineer with 5+ years of experience building production AI systems whos excited to solve one of the toughest challenges in healthcare - automatically resolving claim denials.

30+ days ago

Medical Assistant - Part-time or Full-time Community Medical and Dental Care Inc

Spring Valley, NY

Part time

Community Medical & Dental Care, Inc., has over 60 health care providers who offer a wide range of services including Adult Medicine, Pediatrics, Family Practice, Obstetrics/Gynecology, Dentistry/Oral Surgery, Allergy, Dermatology, Endocrinology, Nutrition Counseling, Occupational Therapy, Ophthalmology, Optometry, Podiatry, Speech Therapy, and Urology. The ideal candidate enjoys working with patients, has an upbeat personality, positive attitude, exceptional commitment to customer service, and is a good multi-tasker.

7 days ago

Senior Quantitative Biomarker Scientist Regeneron Pharmaceuticals

Armonk, NY

$109,900–$179,300 / year

This role requires: PhD, or Masters with minimum 2 years of relevant work experience in one of the following or otherwise related quantitative fields: Computer Science, Computational Biology, Systems Biology, Quantitative Biology, Bioinformatics, Data Analytics, Statistics, Biostatistics, Mathematics, Applied Mathematics, Physics, Chemistry. The team collaborates with Clinical Sciences colleagues to develop the clinical experimental sciences (CES) studies for generating clinically testable, mechanistic hypotheses for each molecule, including developing scientific rationale for initial and new indications for PoC.

12 days ago

Clinical Documentation Specialist RN Hackensack University Medical Center

Hackensack, NJ

Obtains and promotes appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to ensure clinical documentation reflects the level of service rendered to patients is complete and accurate. The Clinical Documentation Specialist RN facilitates improvement in the overall quality, completeness and accuracy of medical record documentation for assigned hospital in the northern region of Hackensack Meridian Health (HMH).

30+ days ago

Senior Solution Architect Chubb Ltd

Jersey City, NJ

$150,000–$170,000 / year

At least 10 years as a solution architect delivering end-to-end technology solutions, with deep expertise in underwriting platform architecture from blueprint and roadmap through solution design and production implementation, ideally in commercial lines or specialty P&C insurance. Experience architecting AI/ML-powered enterprise workflows and STP pipelines, including LLM-based document intelligence, predictive risk scoring, decision automation, and configurable referral exception handling for underwriting operations.

28 days ago

Quality Analyst & Trainer for Home Health ExlService Holdings Inc

Remote

$60,100–$98,700 / year

Continuous Improvement/Education actively participates with team to ensure alignment and sustained results; attends training (assigned or self-initiated) to improve performance or capitalize on new overpayment trends; keeps up with CMS, OIG, and other publications related to our business. The analyst undertakes quality review of random and targeted clinical coding audits, involving and consulting with clinical auditors, clinicians, and managers to enhance the accuracy and completeness of audits performed.

30+ days ago

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Coding Jobs in Fairview, NJ

Lead, Medical Network Claims Pricer Capital Rx, Inc.

Operations Analyst, I Claritev Corp

Professional Coder I eTeam Inc.

Billing Optimization Analyst Med-Metrix, LLC

Staff Software Engineer, Code RL Anthropic PBC

Clinic Director (Lcsw Required) - 64542301 Institute for Community Living

Senior Manager, Revenue Cycle Management, Provider Operations Oscar Health Inc

Manager, Total Cost Of Care Healthfirst

Dental Office Manager Dental365

Quality Analyst IV - Clinical Validation Auditor (CVA), Healthcare ExlService Holdings Inc

Senior Staff Dentist, Utilization Management (Remote) NY LIBERTY Dental Plan

Quality Analyst - Diagnosis-Related Group (DRG), Healthcare ExlService Holdings Inc

Physician Advisor, Physician Tal Healthcare

Technical Product Owner, Core Processor - AVP Barclays Plc

AI Engineer Joyful Health Inc

Medical Assistant - Part-time or Full-time Community Medical and Dental Care Inc

Senior Quantitative Biomarker Scientist Regeneron Pharmaceuticals

Clinical Documentation Specialist RN Hackensack University Medical Center

Senior Solution Architect Chubb Ltd

Quality Analyst & Trainer for Home Health ExlService Holdings Inc

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