DRG Clinical Validation Nurse MedReviewDRG Clinical Validation NurseManhattan, NY$85,000–$95,000 / yearSolid understanding of anatomy and physiology, diagnostic and surgical procedures developed from specialized training and extensive experience with ICD-10-PCS code assignments. Here is what we are searching for: Responsibilities: Perform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical record.
Systems Analyst I The Stamford HospitalSystems Analyst IStamford, CTCollaborate with cross-functional stakeholders, including revenue cycle, clinical, operational, IT teams, and external partners, to ensure alignment of workflows, system functionality, and organizational goals; support knowledge sharing and cross-training across application teams. Lead and support projects and enhancements, including new functionality implementation, upgrades, vendor changes, and workflow redesign initiatives, while adhering to organizational project management (PMO) methodologies.
Systems Analyst I Stamford HealthSystems Analyst IStamford, CTCollaborate with cross-functional stakeholders, including revenue cycle, clinical, operational, IT teams, and external partners, to ensure alignment of workflows, system functionality, and organizational goals; support knowledge sharing and cross-training across application teams. Lead and support projects and enhancements, including new functionality implementation, upgrades, vendor changes, and workflow redesign initiatives, while adhering to organizational project management (PMO) methodologies.
DRG Reviewer MachinifyDRG ReviewerNY$90,000–$115,000 / yearAs part of the Complex Payment Solutions Team, you will, as a DRG Reviewer, be a key contributor responsible for conducting thorough DRG payment validation reviews, including clinical and coding assessments, of medical records and related documentation in accordance with contract-specific review criteria. Qualifications: Inpatient claims auditing, quality assurance or recovery auditing experience of 2 years or more required, and/or Inpatient Clinical Documentation Integrity experience of 2 years or more required.
DRG QA and Trainer MachinifyDRG QA and TrainerNY$85,000–$95,000 / yearThis position plays a key role in auditing the work of both new hires and current staff while conducting training to ensure team members are equipped with the knowledge and skills needed to succeed. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise.
Senior Outpatient Coder Westchester Medical Center Health NetworkSenior Outpatient CoderValhalla, NY$30.46–$38.29 / hourJob Details: Job Summary: The Senior Outpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD 10CM), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS), and entering coded information into an automated grouper system. Job Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades.
Dentist ( Pediatric Experience Required) - Exams Only - Queens PDS Management Services, LLCDentist ( Pediatric Experience Required) - Exams Only - QueensQueens, NY$4,000–$10,000 / hourPart timeWe offer a comprehensive range of services, including:Pediatric DentistryOrthodonticsLaser SurgeryConscious SedationOutpatient CareWe also provide specialized training programs to help you enhance your expertise and grow your career within our innovative organization. PDS Management Services is seeking skilled Pediatric Dentists or General Dentists with Pediatric Experience to provide exceptional oral healthcare to children at our Queens, NY location.
NewMgr Multi Facility CDI SMNJ Medical Records FAC#1 Prime Healthcare Services IncMgr Multi Facility CDI SMNJ Medical Records FAC#1Newark, NJCombining state-of-the-art technology, the latest diagnostic and therapeutic procedures, leading-edge research, and a network of highly qualified physicians, nurses, and allied health professionals, the hospital provides top-quality health care services delivered with compassionate care. Established by the Franciscan Sisters of the Poor in 1867, Saint Michael''s Medical Center is a 358-bed regional tertiary-care, teaching, and research center in the heart of Newark''s business and educational district and is accredited by The Joint Commission.
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.
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.
Medical Coder - Inpatient (DRG Reviewer) Acentra HealthMedical Coder - Inpatient (DRG Reviewer)NY$29.19–$36 / hourMinimum of 2 years of progressive hands-on experience in acute care inpatient coding, clinical documentation improvement (CDI), medical scribing, DRG auditing/review, or related healthcare documentation experience. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Clinical Research Scientist NovoCure LtdClinical Research ScientistNY$125,000–$185,000 / yearBeyond contributing to protocol development, clinical strategy, and data interpretation, youll build meaningful partnerships with investigators, participate in study-related site activities, and help ensure the successful execution of clinical trials from concept through completion. Working at the intersection of science and operations, youll collaborate with cross-functional teams across Clinical Development, Clinical Operations, Medical Affairs, Data Management, Regulatory Affairs, Safety, and Device Support Specialists.
Document Improvement Specialist, Fulltime The Stamford HospitalDocument Improvement Specialist, FulltimeStamford, CTImprove physician documentation compliance with criteria required under the Inpatient Prospective Payment System (IPPS), in order to eliminate payment errors on Medicare discharges caused by incomplete/inaccurate physician documentation; as well as ensure clear and concise documentation to meet the requirements of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and applicable federal and state law. Having a through knowledge of DRG's and coding guidelines, the Documentation Improvement Coordinator will: Work with case managers, physicians and coders to establish appropriate documentation for correct coding.
Vice President, Quantitative Sciences & Development SK Life Science, Inc.Vice President, Quantitative Sciences & DevelopmentParamus, New Jersey$325,000–$375,000 / yearFull timeOverview: The Vice President, Quantitative Sciences & Developmentprovides strategic, scientific, and operational leadership for the company's Clinical Pharmacology, Pharmacometrics, Toxicology, DMPK, Biostatistics, Statistical Programming, and Clinical Data Management functions across all phases of drug development. This executive is responsible for developing and overseeing execution of integrated quantitative strategies that support efficient translation from non-clinical development, clinical development, regulatory submissions, and evidence generation while ensuring delivery of high-quality, inspection-ready clinical data and statistical analyses.
Health Information Management Technician 1 (NY HELPS), Creedmoor Psychiatric Center, P27911 New York State Thruway AuthorityHealth Information Management Technician 1 (NY HELPS), Creedmoor Psychiatric Center, P27911Queens Village, NY$50,844–$65,061 / yearIf appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid. Minimum Qualifications Candidates from outside State Service can be considered for hire under the Hiring for Emergency Limited Placement - Statewide (HELPS) program if they have a current certification by the American Health Information Management Association as a Registered Health Information Administrator (RHIA) or as a Registered Health Information Technician (RHIT).
NewManager, Data Mining - Payment Integrity Oscar HealthManager, Data Mining - Payment IntegrityNew York, NY$111,780–$146,711 / yearThe Manager of Data Mining leads a team of individual contributors, ensuring the team is meeting savings and recovery targets in the payment integrity space. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week.
NewFinancial Advocate Advocate Health and Hospitals CorporationFinancial AdvocatePort Washington, WashingtonHeadquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.
Senior Data Analyst MachinifySenior Data AnalystNY$140,000–$170,000 / yearWe''re seeking a Senior Data Analyst to join our Data Engineering team who brings three things together: deep healthcare domain expertise that lets you engage health plan clients directly on payment and process questions; the ability to quickly learn and work across Machinify''s internal products - from data ingestion through claims adjudication; and a drive to develop and build AI-driven workflows that continuously raise the bar on what our analyst function can do. Write and maintain complex analytical SQL against large-scale claims datasets: window functions, CTEs, multi-table joins, query optimization, and production-quality logic that runs reliably at scale.
NewBilling Specialist TeemaGroupBilling SpecialistWhite Plains, NY$70,000–$80,000This position serves as a key liaison between clinical teams, insurance payers, and patients, ensuring services are authorized, accurately billed, and compliant with regulatory and payer requirements. The Prior Authorization & Billing Specialist plays a critical role in ensuring timely access to mental health services by managing insurance authorizations, billing processes, and reimbursement workflows.
Coordinator Purchasing Prime Healthcare Services IncCoordinator PurchasingDenville, NJ$15.49–$18.84 / hourHigh School Graduate or Equivalent AA Degree preferred Previous hospital purchasing experience preferred Minimum of one-year of general office experience Knowledge involving the acquisition of equipment, supplies and policies & procedures Knowledge of computer-based inventory systems Ability to utilize Material Management Information system (MMIS) and EDI Strong communication skills. Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.