NewPatient Advocate Specialist Firstsource Solutions LtdPatient Advocate SpecialistNYRemote$17–$19 / hourE. The goal of the Patient Advocate Specialist is to successfully resolve account balances for medical services provided by multiple healthcare facilities to patients by, contacting the patients by telephone and screen them to determine if the patient is eligible for state, county, and federal assistance programs. Follow-up with assigned accounts until every avenue is exhausted in trying to secure benefits for the patients or the patient is approved for a program and billing information is obtained.
Assistant Director (FGP), Revenue Optimization & Analytics - Radiology, Manhattan NYU Langone HealthAssistant Director (FGP), Revenue Optimization & Analytics - Radiology, ManhattanNew York, NY$121,792.22–$210,091.64Full timeWork 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.
Applied AI Scientist, Clinical AI Agents R37 Lab, R1 RCMApplied AI Scientist, Clinical AI AgentsNew York, New YorkPhare Health is now part of R1 and its AI innovation engine, R37 Lab , bringing Phare’s frontier clinical reasoning technology together with one of the largest healthcare platforms in the U.S. At R37 and Phare, we are building the first AI-native Healthcare Revenue Operating System : a connected platform that reasons over full medical records, payer logic, and financial workflows to automate medical coding, billing, and follow-up. You will be embedded in hard healthcare problems — clinical documentation integrity, medical coding, denial prevention, appeals, revenue cycle workflows, and payer logic — and will own the loop from problem framing to agent design, evaluation, deployment, trace analysis, and ongoing improvement.
Revenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred) New York University School of MedicineRevenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred)New York, NY$70,481.60–$94,605 / yearKnowledge of: Current Procedures Codes (CPT) and International Class of Diseases Codes (ICD9/10) utilized in medical billing; Medical billing software; Healthcare billing including Medicare, Medicaid, or other third-party payers; Terminology utilized in medical billing; English usage, grammar, and spelling; Basic math. Conducts special projects and special studies to facilitate revenue management as required for system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc.
Revenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred) NYU Langone HealthRevenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred)New York, NY$70,481.60–$94,605Full timeKnowledge of: Current Procedures Codes (CPT) and International Class of Diseases Codes (ICD9/10) utilized in medical billing; medical billing software; healthcare billing including Medicare, Medicaid, or other third party payers; terminology utilized in medical billing; English usage, grammar, and spelling; basic math. Reporting to the Assistant Director, Professional Billing, the Revenue Integrity Analyst is responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection and ensures the overall integrity of the charge capture process.
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.
Palliative Care Nurse Practitioner CompassusPalliative Care Nurse PractitionerWall Township, NJThe Palliative Care Nurse Practitioner provides palliative care for patients facing chronic, complex, and /or life-threatening conditions at various locations within the flow of patient care. Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.
Insurance Authorization Specialist - NYC Human HireInsurance Authorization Specialist - NYCNew York, NYHumanHire is a national executive search and staffing firm with a leadership team that has over 50 years of experience as trusted industry professionals specializing in direct hire, temp to hire, temporary and payrolling services. If this is not the ideal position for you but are still interested in hearing about what other job opportunities are in your area, please visit www.humanhirellc.com and email your resume to jobs[at]humanhirellc.com!
DRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadNew York, NY$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
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.
Call Center Service Associate Integrated Resources, IncCall Center Service AssociateNewark, New JerseyContractorThis is Direct Hire with our ClientJob DescriptionSkills Required:3+ years in a large call center with excellent customer service skillsBilingual in Spanish/English is a major plusSome experience in a call center or customer service role within the health insurance industry required. Initiate investigation process based on the nature of the inquiry (claim, member information, benefits, enrollment, appeals, etc.).Utilize available resources to quickly and efficiently resolve or redirect inquiries in accordance with prescribed departmental process.
eService Call Center Asscociate Integrated Resources, InceService Call Center AsscociateNewark, New JerseyContractorThis is Direct Hire with our ClientJob DescriptionSkills Required:3+ years in a large call center with excellent customer service skillsBilingual in Spanish/English is a major plusSome experience in a call center or customer service role within the health insurance industry required. Core Individual Contributor Competencies: Personal and professional attributes critical to successful performance for IndividualContributors: Customer Focus, Accountable, Learn, CommunicateQualificationsEducation/Experience:High school degree or equivalent required.
DRG Validator Nesco Resource, LLCDRG ValidatorGarden City, NYRemote$95,000–$110,000 / yearThis role is responsible for auditing inpatient medical records to ensure the accuracy of coding, clinical documentation, and DRG assignment while maintaining compliance with applicable coding guidelines and regulatory requirements. Perform concurrent and retrospective clinical, MS-DRG, and APR-DRG validation reviews in accordance with UHDDS, Medicare guidelines, and applicable federal and state regulations.
NewCoder Northwell Health IncCoderLake Success, NYWhen determining a team members base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment.
Full Time Profee Oncology Coder Remote Inventurus Knowledge Solutions LtdFull Time Profee Oncology Coder RemoteNYRemoteOur Care Enablement Platform delivers data-driven value and expertise across the care journey, and IKS is a partner for clinician enterprises looking to effectively scale, improve quality and achieve cost savings through forward-thinking solutions. IKS Health takes on the chores of healthcare, reducing administrative, clinical, and operational burdens so that staff can focus on their core purpose: delivering exceptional care.
Director of Patient Access Services-Patient Financial Services-Corporate 42nd Street-Full-Time Days Mount Sinai Health SystemDirector of Patient Access Services-Patient Financial Services-Corporate 42nd Street-Full-Time DaysNew York, NY$127,044–$190,565 / yearCollaborating with hospital and physician leadership, this position works closely with Revenue Integrity, Coding, Billing, Cash Posting, and Case Management in defining vision, strategy and priority setting for system wide-revenue operations system initiatives, including: The integration and distribution of information that contributes to the capture, management, and collection of hospital patient service revenue using a holistic perspective to ensure that the business processes are operating in an integrated, efficient state to achieve maximum effectiveness; Improving business processes to maximize and protect the assets of the enterprise by enhancing and maintaining a properly functioning revenue cycle process through a cross-department organizational structure; Establishing and maintaining key revenue cycle performance indicators for the enterprise in support of BMC's strategic plan. 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.
VP, RCM Business Operations oneOncologyVP, RCM Business OperationsNew York, NY$180,000–$230,000 / yearJob Description: This individual will be responsible for helping coordinate the day-to-day execution of all RCM functions, working with the Chief Revenue Officer ("CRO") and the other RCM Vice Presidents to optimize performance, ensure proactive communication with practices, manage risks and issues along with the overall OO RCM team. OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases.
Medical Assistant - Urology UnitedHealth Group IncMedical Assistant - UrologyLake Success, NYClinical › Corporate and business operations › Customer and support services › Early careers› Sales and account management › Technology and data› Physicians› Advanced practice clinicians› Pharmacy› Behavioral health› Nursing› Medical coding› Clinical support› U.S. › Ireland & UK › India › Philippines › Culture of Belonging› Employee Benefits› Blog. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Certified Professional Coder (CPC) Lead/Provider Liaison Integrated Resources, IncCertified Professional Coder (CPC) Lead/Provider LiaisonNewark, New JerseyContractorResponsibilities: Operates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insightsWorks closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysisCollaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider EducatorsCollaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staffValidates documentation against submitted claims diagnosis codes and prepares detailed reportsSupports Risk Adjustment Data Validation auditsDrives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressedProvides status reports to managementQualificationsCertifications:AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)Knowledge:Understands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment model Mastery of medical coding best practices Project management skills Experience displaying ability to think analytically Strong communications and presentation skills Computer skills: Outlook, Excel, Word & Powerpoint Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJDuration: Contract to HireJob Summary:The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding client's risk adjustment programs.
Billing Coordinator II Opportunities - Long Island NYU Langone HealthBilling Coordinator II Opportunities - Long IslandLong IslandFull timeCollaborate with the corporate Revenue Integrity Analysts to understand CPT and ICD-10 guidelines, payer policy and procedure manuals, updates, and CMS publications to ensure practices are compliant with current policies and procedures. Detail oriented with high level of accuracy for reviewing charge batch submissions, analyzing and correcting coding denials, preparing, and presenting analyses.
Field Reimbursement Manager (Seattle, Denver or Salt Lake City) Recordati SpAField Reimbursement Manager (Seattle, Denver or Salt Lake City)Bridgewater, NJRemoteServe as subject matter experts on issues of coverage, access and reimbursement by providing compliant, limited support to US health care providers (HCPs) and their office staff in navigating the reimbursement landscape for products of Recordati Rare Diseases Inc. (RRD) after the HCP made an independent decision to prescribeCollaborate with HCP staff and Specialty Pharmacy to follow up with accounts that have outstanding prior authorization or appeals submissions. The FRM is responsible for providing access and reimbursement education to healthcare providers (HCPs)and office personnel, including information regarding medical policies, prior authorization requirements, coding and billing, product access via buybill or specialty pharmacy with the goal of minimizing barriers to therapy.
Claims Adjudication Associate Capital Rx, Inc.Claims Adjudication AssociateNew York, NY$98,800–$123,500 / 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. Manage and prioritize escalated claims-related workflows, including appeals, subrogation, payment issues, stop-loss, adjustments, and member/provider inquiries, based on contractual obligations, regulatory requirements, business risk, and client impact.
Medical Biller / Reimbursement Coordinator McKesson CorporationMedical Biller / Reimbursement CoordinatorEdison, NJ$17.44–$23.53 / hourResponsibilities Key Responsibilities:- Submit and follow up on insurance claims (commercial, Medicare, Medicaid)- Verify patient insurance eligibility and benefits- Review and resolve claim denials and rejections promptly- Manage accounts receivable and aging reports- Post payments and reconcile accounts accurately- Coordinate prior authorizations for chemotherapy, infusions, and specialty medications- Ensure compliance with coding and billing regulations (ICD-10, CPT, HCPCS)- Communicate effectively with patients, providers, and insurance companies regarding billing inquiries- Maintain accurate and up-to-date patient billing records Qualifications Qualifications:- Minimum 2+ years of medical billing experience (oncology/hematology preferred)- Strong knowledge of insurance guidelines, reimbursement processes, and prior authorizations- Relevant certifications such as Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) are preferred but not required.- Familiarity with oncology-specific billing (infusion services, J-codes, drug billing) is highly desirable- Experience with EHR/PM systems (e.g., Athena, Centricity, ONCOEmr)Preferred Skills:- Experience handling high-dollar claims and specialty drug reimbursement- Knowledge of Medicare guidelines for oncology services- Ability to work independently and as part of a team in a fast-paced environmentPHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
NewRegistered Nurse MDS Assessor GreenLife Healthcare StaffingRegistered Nurse MDS AssessorNew York, NY$100,000–$110,000 / yearThis role involves conducting comprehensive patient assessments, ensuring regulatory compliance, and coordinating interdisciplinary care plans to optimize resident outcomes in a long-term care setting. Greenlife Healthcare Staffing is seeking an experienced Registered Nurse MDS Coordinator to join a Skilled Nursing Facility in New York, NY.
Revenue Cycle Supervisor (Self Pay and Specialty) Self Pay and SpecialtyRevenue Cycle Supervisor (Self Pay and Specialty)Fort Lee, New JerseyDemonstrated skills in A/R management, Customer Service, problem assessment, and resolution, and collaborative problem-solving in complex and interdisciplinary settings, including strong proficiency in healthcare and payer guidelines as it pertains to billing and reimbursement. The Revenue Cycle Supervisor (Self Pay and Specialty) will also be responsible for day-to-day operations of the payment posting process, the International Business Line, Specialty billing, and the oversight of guarantor work queues.
Patient Financial Coordinator #Full Time 61st Street Service CorpPatient Financial Coordinator #Full TimeNew York, NY$24.76–$33.17 / hourThis position acts as a crucial member of our patient care teams to coordinate the financial aspects of the patient’s care, while working together with our other dedicated team members in creating a positive and memorable patient experience. The PFC serves as a resource to patients regarding financially related matters such that they are accessible to patients for ongoing questions regarding this aspect of their care.
Medical Director MPO CVS Health CorpMedical Director MPONY$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
Manager, Clinical Bus Amin Columbia UniversityManager, Clinical Bus AminNew York, NYMaster's degree in healthcare administration, business administration, finance, accounting, or a related field preferred, with experience in an academic medical center, hospital, faculty practice organization, or similarly complex healthcare environment, and knowledge of healthcare operations, revenue cycle workflows, billing processes, clinical support arrangements, and related administrative practices strongly preferred. The Manager of Clinical Business Administration partners with operational stakeholders to monitor performance, audit billing and coding compliance, resolve issues, reduce risk, and identify opportunities to improve revenue and efficiency, while also supporting business planning and managing key affiliate agreements, contracts, and practice initiatives.
Revenue Cycle Supervisor (Self Pay and Specialty) Columbia UniversityRevenue Cycle Supervisor (Self Pay and Specialty)Fort Lee, NJ$66,300–$78,000 / yearDemonstrated skills in A/R management, Customer Service, problem assessment, and resolution, and collaborative problem-solving in complex and interdisciplinary settings, including strong proficiency in healthcare and payer guidelines as it pertains to billing and reimbursement. The Revenue Cycle Supervisor (Self Pay and Specialty) will also be responsible for day-to-day operations of the payment posting process, the International Business Line, Specialty billing, and the oversight of guarantor work queues.
Outpatient Coder Sign on Bonus 1,500 Datavant LLCOutpatient Coder Sign on Bonus 1,500NYRemote$20–$35 / 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.
Advanced Practice Provider - Neurosurgery PA Catholic HealthAdvanced Practice Provider - Neurosurgery PARoslyn, New York$69.54–$93 / hourEnhance the body of knowledge to the APP profession or other areas of specialization through exchange of ideas and knowledge in professional organizations, oral presentations, posters, research activities, and written publications. Job Details: Our programs and services are overseen by a dedicated and compassionate team of award-winning physicians, nurses and supporting medical professionals who put the health needs and safety of our patients first.
Certified Coder I Hospital for Special SurgeryCertified Coder INew York, NYThe salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. Enters ICD-10 and CPT codes and updates patients' information as needed into hospital financial system or computerized department abstracting system which can be used reliably for hospital reimbursement, research, education, and strategic planning.
Clinical Statistical Programmer - II Integrated Resources, IncClinical Statistical Programmer - IIFlorham Park, NJRemote$80–$86 / hourBachelors, Master or post-graduate degree (eg, PhD, DrPH, PharmD) in Health Economics, Biostatistics, Health Services Research, Public Health, Epidemiology, Pharmacy Administration, or other relevant discipline, with experience in coding and developing analytical datasets and conducting statistical analysis. " Extensive work experience with large US insurance claims databases, electronic medical records, registry databases for health outcomes research (e.g., Premier, IBM-marketscan, THIN European database, Humedica, IMSPharmetrics +, GEhealth, Flatiron, OMNY etc.).
Documentation Improvement Specialist - HYBRID (4 days in Queens office) NYPDocumentation Improvement Specialist - HYBRID (4 days in Queens office)New York, NY$101,000–$151,000 / yearThe Documentation Improvement Specialist is responsible for facilitating improvement of medical record documentation by concurrent and retrospective interventions and interactions with, as well as the provision of education to physicians, residents, and other licensed independent practitioners. In collaboration with Coding Unit expertise, provides in-services to educate therapy staff and clinicians on the following but not limited to: correct billing, coding and documentation through clear verbal and/or written communication.
NewPractice Manager Allied Physicians GroupPractice ManagerElmont, New YorkAllied Physicians Kids Care Pediatrics - Elmont, Allied Physicians Kids Care Pediatrics - Lynbrook Located in: Elmont, New York 11003 We're Looking for an experienced Practice Manager to Join Our Team! This is a key leadership role that helps keep the office running smoothly—supporting our clinicians, staff, and ensuring an exceptional experience for every patient and family who walks through our doors.
Revenue Integrity Analyst, CDM -Revenue Integrity- Corporate-Full-Time Days- Hybrid Mount Sinai Health SystemRevenue Integrity Analyst, CDM -Revenue Integrity- Corporate-Full-Time Days- HybridNew York, NY$79,720–$119,580 / yearThe Revenue Integrity Analyst, Charge Description Master (CDM) for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice Plan) combines advanced financial analysis with a strong hospital healthcare revenue cycle background to ensure an accurate and compliant Chargemaster. 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.
ML Engineer R37 Lab, R1 RCMML EngineerNew York, New YorkPhare Health is now part of R1 and its AI innovation engine, R37 Lab , bringing Phare’s frontier clinical reasoning technology together with one of the largest healthcare platforms in the U.S. At R37 and Phare, we are building the first AI-native Healthcare Revenue Operating System : a connected platform that reasons over full medical records, payer logic, and financial workflows to automate medical coding, billing, and follow-up. As a ML Engineer, you’ll lead the development of early-phase, high-impact ML systems; own the internal ML dev environment (instrumentation, benchmarking, experimentation); and help bring scientific rigor into production environments, so ideas move rapidly from research to validated pipelines.
Engineering Manager R37 Lab, R1 RCMEngineering ManagerNew York, New YorkPhare Health is now part of R1 and its AI innovation engine, R37 Lab , bringing Phare’s frontier clinical reasoning technology together with one of the largest healthcare platforms in the U.S. At R37 and Phare, we are building the first AI-native Healthcare Revenue Operating System : a connected platform that reasons over full medical records, payer logic, and financial workflows to automate medical coding, billing, and follow-up. 3+ years of experience hiring and leading teams as an engineering manager; with expertise in recruiting exceptional talent to build high-performing teams that deliver outcome-driven solutions.
Senior DRG Auditor Disputes Cohere Health Technologies LLCSenior DRG Auditor DisputesNYRemote$85,000–$100,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
NewRevenue Cycle Billing Specialist - FT - Day - MSO/Centralized Billing Lawrenceville NJ CAPITAL HEALTH SERVICESRevenue Cycle Billing Specialist - FT - Day - MSO/Centralized Billing Lawrenceville NJPrinceton, NJ$19.32–$24.13 / weekPHYSICAL DEMANDS AND WORK ENVIRONMENT Frequent physical demands include: Standing, Walking, Talk or HearOccasional physical demands include: Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviationContinuous physical demands include: Sitting, Pinching/fine motor activities, Keyboard use/repetitive motionLifting Floor to Waist 20 lbs. Range:**$19.32 - $24.13**Scheduled Weekly Hours:**40**Position Overview**Responsible for all aspects of claim submission for services rendered at Capital Health through the Revenue Cycle life cycle to all payers, including but not limited to pre and post claim review, claim (277) rejections, denial review, and claim resubmission.
NewClinical Research Reimbursement Compliance Analyst - Cardiology Mount Sinai Health SystemClinical Research Reimbursement Compliance Analyst - CardiologyNew York, NY$65,885–$98,827 / yearBachelor's degree in Health Information Management (HIM), Healthcare Administration, Medical Coding, Business Administration, Public Administration, Healthcare Management, or related field with coursework relating to healthcare operations includes the following topics: Medical Terminology, Human Anatomy and Physiology, ICD-10 Coding, and CPT Coding, or closely related courses. We 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.
NewProspective Auditor The Jacobson GroupProspective AuditorNew York, NYJob DescriptionThis role supports an ongoing Medicare and Medicare Advantage risk adjustment initiative, focused on validating diagnosis codes to the highest level of specificity. Active coding certification required (one of the following): CPC, CRC, CPMA, CDEO, CCS, CCS‑P, RHIA, RHIT, or CCDS.Strong attention to detail and documentation review skills.
Full Stack Developer Axelon Services CorporationFull Stack DeveloperJersey City, NJ$81–$85 / hour6-8 years of expertise in application design and development using technologies and frameworks such as Spring, Spring Boot, Java, Hibernate. Partner with multiple management teams to ensure appropriate integration of functions to meet goals and identify system enhancements for new products and process improvements.
ProFee Audit Specialist- PRN Datavant LLCProFee Audit Specialist- PRNNYRemote$35–$45 / hourWhat We're Looking For: As a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided 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.
NewRemote Market Access Director Major Accounts LantheusRemote Market Access Director Major AccountsBrooklyn, NYRemote$172,000–$287,000 / yearSummary Of RoleThe National Accounts Market Access Director will partner with key academic centers, large Integrated Delivery Networks (IDN) and large groups to ensure favorable portfolio access in support of Lantheus' broader market access strategy. The successful candidate will engage with key decision makers to implement and pull through market access strategies while also serving as an integral part of the site setup process for adopting Lantheus' potential new products with several upcoming launches.
AI Engineer Joyful HealthAI EngineerNew York City, New YorkThe 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. We're looking for a talented and ambitious machine learning engineer with 5+ years of experience building production AI systems who's excited to solve one of the toughest challenges in healthcare - automatically resolving claim denials.
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.).