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.
Billing And Coding Compliance Analyst Hunterdon HealthBilling And Coding Compliance AnalystFlemington, NJPositionSummary Responsible for application and maintenance of medical necessity software, insuring compliance relating to Medicare billing requirements, conducting internal audits relating to medical necessity, analyzing medical necessity denials, communicating and updating staff on changes as they relate to HCPCS and revenue code updates, additions and deletions as it relates to medical necessity. Preferred: License, Registry or Certification: Required: Medical coding certification, one of the following CCA,CCS,CPC in good standing Preferred: Billing Compliance, CDM experience, CPAT, CPAM preferred Knowledge, Skills and/or Abilities: Required: Demonstrates strong analytical skills.
Coding and Billing Manager-Certified Coder Rockhill Orthopaedic, PCCoding and Billing Manager-Certified CoderSummit, New JerseyWhile this is intended to be accurate reflections of the current job, management reserves the right to revise the job or to require that other or different tasks to performed when circumstances change (i.e., emergencies, changes in personnel, workload, rush jobs, or technological developments). Rockhill Orthopaedic Professional Corporation CODING AND BILLING MANAGER-CERTIFIED CODER Position Description: The employee in this full-time position (40-50 hours per week) is responsible for overseeing the coders, as well as coding and data entry for office and surgical charges as needed.
Vice President, Transformation Services - Coding & CDI Med-Metrix, LLCVice President, Transformation Services - Coding & CDIParsippany-Troy Hills, NJServing as the executive transformation lead and strategic advisor to Coding Leadership, CDI Leadership, operational stakeholders, and executive teams, this role partners closely with operational leaders to assess current-state performance, identify opportunities for improvement, and develop transformational solutions that enhance operational effectiveness, documentation integrity, compliance, reimbursement accuracy, and financial outcomes. Partner with Coding, CDI, HIM, Revenue Cycle, Compliance, Quality, Provider, Technology, Analytics, and executive leadership to assess current-state performance, identify operational and financial opportunities, and develop strategies focused on revenue integrity, documentation improvement, compliance, quality, efficiency, and sustainability.
NewCoding Auditor- Remote Med-Metrix, LLCCoding Auditor- RemoteParsippany-Troy Hills, NJRemotePhysical 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. Complete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Morristown, NJIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Coding and Documentation Coordinator Hunterdon HealthCoding and Documentation CoordinatorFlemington, NJPositionSummary The Coding and Documentation Coordinator monitors financial and operational reports to facilitate the timely and accurate submission of inpatient and outpatient claims in an unbilled or billed status in order to maintain weekly Diagnosis Not Final Bill (DNFB) and Billing Rejections benchmarks. Assists with the query resolution and reporting procedures Logs and tracks clinical validation audits and outcome Assists with the resolution of HIM and Coding related edits Assists with assigning accounts and providing necessary documentation (e.g., via imaging, faxing) to internal coders and external vendors.
Coding Instructor Code NinjasCoding InstructorGreen Brook, New JerseyWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Coding Instructor Cognito LLCCoding Instructorgreen brook, NJWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Professional Coder - FT - Day - Physician Professional Coders Remote (NJ, PA, AL) Capital HealthProfessional Coder - FT - Day - Physician Professional Coders Remote (NJ, PA, AL)NJRemote$25.49–$33.16 / 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. Responsible for accurately reviewing and assigning Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and ICD-10-CM codes for professional claims billed by Capital Health Medical Group (CHMG) for hospital and outpatient procedures.
Medical Billing Associate Nj Pediatric Neuroscience InstituteMedical Billing AssociateMorristown, New Jersey$21–$28 / hourWe believe that by working together, with patients and their families, our neurosurgeons, neurologists, ancillary healthcare providers, therapists, and orthotists deliver the best care in the world. We seek to improve a child’s health and quality of life by delivering expeditious and accurate diagnoses along with a comprehensive array of surgical and nonsurgical therapeutic options.
Clinical Billing Integrity Lead Analyst GeneDX LLCClinical Billing Integrity Lead AnalystNJRemote$100,000–$120,000 / yearThe lead analyst will work closely with claims, coding, appeals, billing and other internal clinical teams to ensure adherence to payer policies and regulatory guidelines, mitigating the risk of claim denials and improving success of appeals to ensure accurate reimbursement. GeneDx 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.
Senior Consultant - Clinical Documentation Specialist DeloitteSenior Consultant - Clinical Documentation SpecialistMorristown, NJ$95,600–$188,400 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistMorristown, NJ$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)NJ$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Medicaid Billing Administrator - Intern (Unpaid) Neuropath Healthcare SolutionsMedicaid Billing Administrator - Intern (Unpaid)Union, New JerseyThe Medicaid Billing Administrator Internship at Neuropath Behavioral Healthcare is designed to provide students and recent graduates with practical training and exposure to healthcare billing processes. Interns will gain hands-on experience in Medicaid claims processing, billing compliance, and healthcare administration while working under the direct supervision of experienced billing professionals.
Billing Coordinator / Coder Ambulatory - Physician Practice Hackensack University Medical CenterBilling Coordinator / Coder Ambulatory - Physician PracticeEdison, NJThis position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health (HMH) network. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system.
Charge Entry and Eligibility Specialist The Cardiovascular Care GroupCharge Entry and Eligibility SpecialistSpringfield, NJThe Charge Entry and Eligibility Specialist supports The Cardiovascular Care Group's commitment to delivering exceptional vascular care by ensuring accurate billing, efficient revenue cycle operations, and a positive patient financial experience. The ideal candidate demonstrates strong attention to detail, knowledge of medical billing processes, excellent customer service skills, and the ability to work effectively in a fast-paced healthcare environment.
Supervisor, Education/Audit, Physician Billing Hackensack Meridian HealthSupervisor, Education/Audit, Physician BillingEdison, New JerseyRemoteFull timeUnder the general direction of the Physician Billing (PB) Director of Coding and Manager of Education and Audit, the Supervisor, Education/Audit, Physician Billing will supervise the Coding Education and Audit team and conducts audits for medical provider documentation while adhering to Centers for Medicare and Medicaid Services (CMS) and Office of Inspector General (OIG) guidelines for Hackensack Meridian Health (HMH). The 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.
Inpatient DRG Reviewer Zelis Healthcare, Inc.Inpatient DRG ReviewerNJ$79,000–$99,750 / yearWhere the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review. 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.