NewEd Business Associate | Full-Time Day Shift E/O Weekend (25516) Bergen New Bridge Medical CenterEd Business Associate | Full-Time Day Shift E/O Weekend (25516)Paramus, New JerseyArranges for the efficient and orderly admission of patients presenting to the Emergency Department, ensuring that all required patient information pertinent to registration is obtained and accurately entered into the EMR per EMTALA and HIPAA compliance regulations. Admits, discharges and transfers patients to and from units such as Emergency Room, Skilled Nursing Facility, Psychiatric Services, SDS, etc.
Emergency Dept. Business Associate - Per-Diem (25199) Bergen New Bridge Medical CenterEmergency Dept. Business Associate - Per-Diem (25199)Paramus, New JerseyArranges for the efficient and orderly admission of patients presenting to the Emergency Department, ensuring that all required patient information pertinent to registration is obtained and accurately entered into the EMR per EMTALA and HIPAA compliance regulations. Admits, discharges and transfers patients to and from units such as Emergency Room, Skilled Nursing Facility, Psychiatric Services, SDS, etc.
Clinical Nurse Reviewer Zelis Healthcare, Inc.Clinical Nurse ReviewerMorristown, NJ$59,000–$75,050 / yearThe Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. 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.
Director, Patient Access & Revenue Cycle RWJ Barnabas Health Medical IncDirector, Patient Access & Revenue CycleNewark, NJ$133,924–$189,167 / yearAchieve goal of reducing bill hold days below target by leading revenue cycle committee meetings with members of finance, clinical departments, coding, and revenue integrity. Job Overview: The Director of Patient Access and Revenue Cycle Services is responsible for the comprehensive leadership, management, and strategic direction of all hospital patient access/revenue cycle operations.
Engagement Manager, Revenue Cycle Chartis Group LLCEngagement Manager, Revenue CycleNYRemote$137,000–$180,000 / yearEngagement Managers lead work across a portfolio of client engagements, structuring workplans, managing teams, and partnering directly with client stakeholders to turn insights into practical, sustainable improvements across the revenue cycle. The salary range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skills, experience, training, licensure and certifications, practice area, and other business and organizational needs.
Assistant Director (FGP), Revenue Optimization & Analytics - Radiology, Manhattan New York University School of MedicineAssistant Director (FGP), Revenue Optimization & Analytics - Radiology, ManhattanNew York, NY$121,792.22–$210,091.64 / yearWork closely with departmental and revenue cycle leadership on initiatives that target revenue optimization for radiology services, including identifying bottlenecks, analyzing root causes, and implementing corrective measures. Regularly meet with Department Chair and his leadership team to present revenue cycle insights, address payor issues, and review opportunities for improvement using practice-specific and departmental data.
NewPrior Authorization Specialist GeneDX LLCPrior Authorization SpecialistNJRemote$29.56–$33.80 / 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. We provide competitive compensation and benefits that reflect local market practices and legal requirements in each country where we operate, helping employees thrive both professionally and personally.
Full Time - Medical Scribe - Church Ave Sun River Health IncFull Time - Medical Scribe - Church AveBrooklyn, NY$20.50–$23.56 / hourUnder the supervision of the VP of Practice Management, the medical scribe will be responsible for capturing accurate and detailed documentation of the medical encounter into the Electronic Medical Record (eClinical Works) in a timely manner. Attend trainings on diverse subjects such as information technology, legal, HIPAA and regulatory compliance, billing and coding, proofread and edit all the physician's medical documents for accuracy, spelling, punctuation, and grammar.
Director, Compliance Columbia UniversityDirector, ComplianceNew York, NY$150,000–$160,000 / yearThe Director contributes to the success of CUIMC's mission provides strategic direction and operational leadership for a team of compliance professionals, supports provider education and dispute resolution, and partners closely with Revenue Cycle, Clinical Departments, Legal, and Leadership to mitigate risk and promote compliant billing practices across a large academic medical center. Expert knowledge of the General Compliance Program Guidance issued by the HHS OIG and the DOJ's Evaluation of Corporate Compliance Programs, as well as fraud, waste, and abuse laws (Stark Law, Anti-Kickback Statute, False Claims Act).
Principal Engineer-Software Development Verizon Communications IncPrincipal Engineer-Software DevelopmentBasking Ridge, NJ$120,500–$231,000 / yearYou will mentor technical teams and develop high-quality, robust applications that meet critical business needs within our evolving Customer Experience Platform (CXP) and FiOS Order management platform. In the role of Principal Engineer of Software Development, you will provide technical leadership for the design and implementation of complex, scalable software solutions primarily using Java Spring Boot and React.
NewOncology Authorization Specialist St. Joseph's Healthcare SystemOncology Authorization SpecialistPaterson, NJThe combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care". Key responsibilities include verifying insurance coverage, obtaining necessary authorizations, and providing clear cost estimates to patients, thereby promoting transparency and reducing financial uncertainty.
NewClaims Specialist- Liab Crawford & CoClaims Specialist- LiabBerkeley Heights, NJTo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves within designed authority, as necessary, during the processing of the claim.
Care Manager (Clinical) [CMA] Guideway Care, Inc.Care Manager (Clinical) [CMA]NYUsing computer applications Making and answering phone calls the majority of the shift Welcoming patients Reviewing patient medical records Coding and filling out insurance forms Scheduling appointments Arranging for hospital admissions and laboratory services Handling correspondence, billing, and bookkeeping Escalating patient concerns or needs to appropriate provider. Essential Functions: (may include, but not limited to): Manage and support patients' healthcare needs via telephonic outreach Conduct and document visits by using several technology platforms and EHRs Monitors adherence to care plans, evaluates effectiveness, monitors patient progress in a timely manner, and facilitates changes as needed.
Clinical Documentation Integrity Specialist - Remote Med-Metrix, LLCClinical Documentation Integrity Specialist - RemoteParsippany-Troy Hills, NJRemoteThe Clinical Documentation Integrity Specialist performs concurrent chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient's severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding. Physical 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.
Remote Medical Coder - Pulmonology / Hematology-Oncology (ProFee) UCSF Medical CenterRemote Medical Coder - Pulmonology / Hematology-Oncology (ProFee)NYRemote$50.61–$63.01 / hourThe University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. Run necessary reports related to moving assigned charges through their respective work queues, including missing charge reports, error reports, and other reports related to charge capture, error resolution, and throughput.
Community Pharmacy Team Lead (Thursday to Saturday, 10:00AM - 6:30PM ET) AnewHealthCommunity Pharmacy Team Lead (Thursday to Saturday, 10:00AM - 6:30PM ET)NJRemoteAbility to communicate effectively and professionally through written, verbal (e.g., face-to-face, telephonically and/or virtual communication platforms), and interpersonal skills as applied when interacting with employees, patients, healthcare professionals, clients, or agency representatives; successfully conveying and exchanging information at an appropriate level and in a positive and timely manner. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly.
Psychotherapist (LPC/LCSW/LMFT/Art Therapist) Konnect TherapyPsychotherapist (LPC/LCSW/LMFT/Art Therapist)Iselin, New Jersey$40–$60Demonstrated expertise in psychotherapy techniques such as motivational interviewing, behavioral therapy, psychodynamic therapy, grief counseling, PTSD care, addiction counseling, and crisis management. Deliver individual, group, and family counseling sessions utilizing modalities such as cognitive behavioral therapy (CBT), psychodynamic therapy, art therapy, DBT, TF-CBT, ERP, EMDR.
Facility-Fee Emergency Department Medical Coder Sutherland GlobalFacility-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.
Director, Provider Education & Risk Adjustment Metropolitan Jewish Health SystemDirector, Provider Education & Risk AdjustmentNew York, New YorkFull timeThey are responsible for implementation of strategic plans and coordination of all aspects of provider and practice education, including but not limited to scheduling, tracking, follow-up, workflow integration, medical record documentation, coding, and electronic health records. • Analyze medical record documentation and coding through a chart review process that identifies incorrect coding, coding lacking supporting documentation, and missed opportunities to capture risk adjustment diagnoses and associated revenue.
NewMgr - Multi-Facility CDI - SCDNNJ Medical Records Fac#01 St. Clare's - DenvilleMgr - Multi-Facility CDI - SCDNNJ Medical Records Fac#01Denville, New JerseyFull timeSaint Clare's Health includes CMS 5-Star Rated hospitals and is an award-winning provider of safe, high quality, compassionate care, serving the communities of Morris, Warren and Sussex counties. The Multi-Facility CDI Manager will work closely with the Chief Financial Officer and Director of HIM at the individual facility to be instrumental in supplementing assistance to these departmental functions pertaining to clinical documentation and inpatient coding.