AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote 61st Street Service CorpAR Follow-Up Specialist III - Coding and Complex Denials #Full Time #RemoteFort Lee, NJRemote$28.72–$36.92 / hourThe AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and resolving complex coding-related denials and appeals in addition to following up on unpaid accounts with insurance companies and third parties. The Specialist III assists the unit supervisor and manager with complex cases, supports training efforts, and identifies denial trends to inform process improvements.
Inpatient Medical Coding Manager Huron Consulting GroupInpatient Medical Coding ManagerNew York, NY$90,000–$130,000 / yearREQURIED SKILLS: Effective and efficient organization and planning skills with the proven ability to manage complex multi-workstream performance improvement projects or multiple concurrent client engagements, while delegating and overseeing the work of junior team members. is directly responsible for the daily oversight of coding operational processes and workflow, including but not limited to delivering timely and accurately coded cases for facility billing and for reporting hospital and provider quality metrics.
Inpatient Coding Data Quality Auditor/Educator University Hospital, Newark NJInpatient Coding Data Quality Auditor/EducatorNewark, New Jersey$118,941–$142,009 / yearFull timeAs the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation. University Hospital considers multiple factors when determining compensation, including (but not limited to) the scope and responsibilities of the position, the candidate’s relevant work experience, education and training, key skills, internal equity, market data, and organizational needs.
Inpatient Coding Manager Huron Consulting Group IncInpatient Coding ManagerNew York City, NY$90,000–$130,000 / yearREQURIED SKILLS: Effective and efficient organization and planning skills with the proven ability to manage complex multi-workstream performance improvement projects or multiple concurrent client engagements, while delegating and overseeing the work of junior team members. is directly responsible for the daily oversight of coding operational processes and workflow, including but not limited to delivering timely and accurately coded cases for facility billing and for reporting hospital and provider quality metrics.
Manager - H.I.M. Operations and Coding Episcopal Health Services IncManager - H.I.M. Operations and CodingGarden City, NY$100,000–$115,000 / yearThe Manager serves as a key operational leader within Revenue Cycle and partners closely with CDI, Revenue Integrity, Patient Financial Services, Patient Access, Compliance, Information Technology, Medical Staff Services, and clinical departments to ensure timely, accurate, and compliant documentation, coding, billing, and record management practices. Additionally, St. Johns is proud to be redesignated as a Baby-Friendly Hospital by Baby-Friendly USA - the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States.
EPIC Physician Billing Analyst Hicksville, NY ESRhealthcare and EXEC STAFF RECRUITERSEPIC Physician Billing Analyst Hicksville, NYHicksville, New YorkExperience level: Mid-senior Experience required: 5 Years Education level: Bachelors degree Job function: Accounting/Auditing Industry: Computer Software Compensation: View salary Total position: 1 Relocation assistance: No Visa sponsorship eligibility: No. Technical Skills: Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
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.
Building Code Plan Examiner - MEP Specialist LaBella AssociatesBuilding Code Plan Examiner - MEP SpecialistWhite Plains, NY$110,000–$125,000 / yearThe ideal candidate possesses extensive knowledge of mechanical, electrical, plumbing, and energy code requirements, is comfortable working independently, and enjoys collaborating with design professionals, building departments, and fellow code specialists. Our benefit offerings cover the must-haves (healthcare and retirement), the just-in-cases (insurances and employee assistance programs), and the cherry-on-tops (fitness reimbursements, year-end incentive pay, and tuition assistance).
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.
Medical Office Manager - Brooklyn/ Manhattan The Dermatology SpecialistsMedical Office Manager - Brooklyn/ ManhattanBrooklyn, New York2 years’ + experience in Hospitality or Medical management as a minimum; Experience in managing a team; Ability to give direction with confidence; Hard-working and willing to be part of a team; Desire to grow with the practice; Flexible availability; and. Knowledge of health insurance policies, guidelines- including copays, coinsurances, referrals, verification of insurances; handling patients' records discretely, updating demographic and financial information; Protecting and securing medical records.
Risk Adjustment Coding Specialist VNS HealthRisk Adjustment Coding SpecialistNew York, New York$33.88–$42.35 / hourFull timeMinimum two years of payor work experience with medical records, including ICD-10-CM or current coding system and medical record systems required Working knowledge of medical terminology, provider reimbursement, ICD-10, HCPCS and CPT-4 coding, coordination of benefits required Additional years of experience/specialized certification/training may be considered in lieu of educational requirements required Knowledge of medical terminology, physiology, pharmacology, and disease processes and related procedures required Strong knowledge of claims processing procedures and systems, State, Federal and Medicare Regulations and Coordination of Benefits applications required Strong planning, organizational, interpersonal, verbal and written communication skills required Must be PC literate and possess a strong understanding of Microsoft applications required Ability to handle multiple priorities and meet deadlines required Knowledge of HIPAA, understanding a commitment to Privacy, Security and Confidentiality of all medical chart documentation required Ability to work both in a fast-paced environment and/or be independently self-driven to complete day to day tasks required Ability to switch gears and independently collaborate with other departments for all ad lib projects as necessary required. Provider Engagement, Audit, Training and Support and supports supervisor in preparing internal presentations, knowledge libraries, coding guidelines, and summary reports of coding review for department infrastructure, maintains professional communication with provider engagement team by assisting with analysis, trending, and presentation of audit/review findings, outcomes, and issues.
Billing Coordinator I - Reproductive Specialists - Wall Street & Bethpage NYU Langone HealthBilling Coordinator I - Reproductive Specialists - Wall Street & BethpageBethpage, NY$66,300Full timeCertified Coding Specialist Certification (CCS) or Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Coder (CPC), Certified Outpatient Coding (COC) preferred. Collaborate 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.
Lead - Healthcare - Coding Quality Auditor Sutherland GlobalLead - Healthcare - Coding Quality AuditorClifton, NJThis role evaluates coding accuracy, identifies documentation deficiencies, conducts audits, provides education to coding staff and providers, and supports revenue cycle integrity while minimizing compliance risk. The Medical Coding Auditor is responsible for keeping Sutherland coders in compliance by reviewing medical records and coding practices to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS Level II codes in compliance with federal, state, payer, and organizational guidelines.
Clinical Trials Medicare Coverage Analyst VitaliefClinical Trials Medicare Coverage AnalystNew Brunswick, NJRemote$75,000–$100,000 / yearTHE ROLE We are seeking a full-time, fully benefited Vitalief employee to serve as a Clinical Trials Medicare Coverage Analyst in a fully remote capacity, supporting Vitalief’s client, a leading academic clinical research center in the Chicago area. KEY RESPONSIBILITIES Conduct Medicare Coverage Analyses (MCA) for a mixture of oncology and non-oncology clinical trial protocols identifying which procedures and services are billable to Medicare versus those considered research related.
Lead Full Stack Developer with Code Modernization & GitHub Copilot - 100% Remote The Dignify Solutions, LLCLead Full Stack Developer with Code Modernization & GitHub Copilot - 100% RemoteJersey City, NJRemoteThe candidate will be responsible for modernizing legacy applications, driving engineering best practices, leveraging Al-powered development tools to improve productivity, and leading end-to- end full-stack development efforts. The ideal candidate should have strong expertise in Code Modernization, Al-assisted development tools such as GitHub Copilot, and experience leading development teams through large-scale digital transformation initiatives.
Research Scientist R37 Lab, R1 RCMResearch ScientistNew 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. The Company’s employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
Test And Code Compliance Coordinator KONE Inc.Test And Code Compliance CoordinatorNew York, NY$63,000–$82,740 / yearAs our Test and Code Compliance Coordinator, you will manage local and district processes for scheduling, and interface with Service/Repair Supervisors, customers, 3rd party inspection companies and local regulatory bodies to schedule testing and inspections. For Branches not on ATI Tender Creation, create billable tenders for testing and inspections for customers, follow-up to obtain approval, create Billable Service Orders and requisition parts as required.
Engineering Manager R37 Lab, R1 RCMEngineering ManagerNew York, New York$140,000–$300,000 / yearPhare 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.
Test and Code Compliance Coordinator KONE CorpTest and Code Compliance CoordinatorNew York, NY$63,000–$82,740 / yearAs our Test and Code Compliance Coordinator, you will manage local and district processes for scheduling, and interface with Service/Repair Supervisors, customers, 3rd party inspection companies and local regulatory bodies to schedule testing and inspections. For Branches not on ATI Tender Creation, create billable tenders for testing and inspections for customers, follow-up to obtain approval, create Billable Service Orders and requisition parts as required.
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.