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.
RCM Sr Manager Client Executive Veradigm IncRCM Sr Manager Client ExecutiveNY$84,520–$117,483 / yearWorks collaboratively with various departments within RCMS and Allscripts to resolve client concerns or requests and ensures that solutions are effectively implemented throughout the applicable team(s) by working with the relevant RCM Management. Effectively interacts with RCMS cross-functional teams in delivering high-quality work products under set timelines, creating work plans to direct the work of RCM Managers to meet client requirements/KPI's.
Regional Director, Field Patient Access (Northeast) COMPASS Pathways PlcRegional Director, Field Patient Access (Northeast)New York, NY$200,000–$250,000 / yearThis leader will hire, manage, train, and develop a team of Patient Access Liaisons (PALs) while serving as a hands-on, field-based expert to support treatment sites, patients, and caregivers navigating the complex access, reimbursement, and operational pathways required to deliver COMP360 therapy. This role requires strong collaboration across Patient Engagement, Market Access, Commercial, Medical Affairs, Legal, and Compliance to ensure that patients and providers are supported with accurate, appropriate, and compliant access education and resources.
Medical Office Associate - Per Diem, Days, AMG Multispecialty - Multiple Locations Atlantic Health System IncMedical Office Associate - Per Diem, Days, AMG Multispecialty - Multiple LocationsSummit, NJAtlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania.
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.
Executive Director, Enterprise Billing Strategy, Bureau of Office of Chief Medical Officer City of New YorkExecutive Director, Enterprise Billing Strategy, Bureau of Office of Chief Medical OfficerQueens, NYA master's degree from an accredited college in hospital administration, public health, community health, health administration, emergency preparedness planning/management, emergency medical services, fire safety, law enforcement, homeland security, project management, public administration, business administration, management, or administration and three years of full-time satisfactory experience in a health services setting such as a laboratory, hospital, or other patient care facility, or in a public health, community health, environmental health, school health, social services, or mental hygiene program, of which at least 18 months of experience must have been in a managerial or administrative capacity requiring independent decision-making concerning program management, planning, evaluation for quality improvement and assurance, allocation of resources, and the scheduling and assignment of work; or. The Executive Director must bring a demonstrated, hands-on track record of personally standing up billing infrastructure for non-traditional provider types community health workers, doulas, peer specialists, and health educators in a Medicaid-dominant payer environment, from initial design through first revenue generation, with measurable financial results.
Document Review Analyst KLDiscovery IncDocument Review AnalystNYRemoteThis role is ideal for individuals who want an environment where they are respected and valued and who are interested in gaining hands‑on experience with Cyber Incident Response. Document Review Analysts will review documents for Personal Identifiable Information (PII), Protected Health Information (PHI), and other sensitive data using various electronic review platforms.
Medical Office Associate II, Full Time, Days, AMG Thoracic Surgery, Morristown Medical Center Atlantic Health SystemMedical Office Associate II, Full Time, Days, AMG Thoracic Surgery, Morristown Medical CenterMorristown, NJAtlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania.
Co-Founder & CEO - AI Clinical Documentation Compliance FutureSightCo-Founder & CEO - AI Clinical Documentation ComplianceNew York, NY$80–$85 / hourYou’ll co-create with a proven studio team, led by John Carbrey (4x entrepreneur, $100M ARR), Krista LaRiviere (3x exited, E&Y Top Women Entrepreneur), Alan Smith (Strategyzer co-founder, $120M in products built), Prathna Ramesh (former MD of Maple Leaf Angels, $275M in follow-on capital), and Johnny Tong (0-to-1 builder, acquired by SAP and Stripe) bring a rare combination of operator exits, institutional investing, and AI product depth. The market signal is incredibly strong: Unprompted Product Pull: Every single lead described the exact product we want to build: a pre-billing, real-time, EHR-integrated flagging layer that checks documentation against payer-specific rules before claims are submitted.
NewMedical Office Associate II, Full Time, Days, AMG Hematology/Oncology, Sparta, NJ Atlantic Health System IncMedical Office Associate II, Full Time, Days, AMG Hematology/Oncology, Sparta, NJSparta, NJWe are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania. Atlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time.
NewVice President, Chief Revenue Cycle Officer Atlantic Health System IncVice President, Chief Revenue Cycle OfficerMorristown, NJ$511,524–$708,513 / yearAtlantic Health is seeking an accomplished and visionary Vice President, Chief Revenue Cycle Officer (CRCO) to lead the full spectrum of revenue cycle operations across our growing network of hospitals, physician practices, ambulatory centers, and specialty services. As a key member of the senior leadership team, the CRCO will work closely with clinical, operational, and financial executives to support organizational growth, strengthen reimbursement, and ensure Atlantic Health remains a high‑performing and financially resilient healthcare organization.
Billing Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician Practice Hackensack University Medical CenterBilling Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician PracticeHackensack, 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.
Certified Coding Specialist Spire Orthopedic PartnersCertified Coding SpecialistStamford, CTThis role directly impacts revenue integrity by ensuring optimal CPT/ICD-10 coding, minimizing denials, and supporting provider's documentation improvement. Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors: Review coding-related denials (medical necessity, bundling, documentation).
Outpatient Auditor III ExlService Holdings IncOutpatient Auditor IIINYRemote$70,000–$90,000 / yearAs a Remote Certified Outpatient Facility Auditor, you will apply your in‑depth knowledge of CPT/HCPCS coding, APC payment methodologies, and outpatient regulatory guidelines to audit UB‑04 facility claims only, ensuring accurate APC assignment, proper packaging, and compliant facility billing. Conduct audits across infusion therapy, outpatient surgeries, imaging, and interventional radiology, such as: Verifying correct APC assignment for chemotherapy and non-chemotherapy infusions, hydration services, and observation-related services.
Audit Coordinator II (Repricing), Healthcare ExlService Holdings IncAudit Coordinator II (Repricing), HealthcareNYRemote$21.63–$26.44 / hourJoin our growing team as an Audit Coordinator II - Repricing, where you'll play a critical role in ensuring accurate claim payments, maximizing savings, and supporting top-tier healthcare clients. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Medical Office Assistant/Medical Biller EXPRESS IT OF TOMS RIVER LLCMedical Office Assistant/Medical BillerHazlet, NJPart timeJoin EXPRESS IT OF TOMS RIVER LLC as a Medical Office Assistant/Medical Biller in Hazlet, NJ, where you will play a crucial role in supporting our healthcare team. Our commitment to providing quality healthcare services is matched by our focus on creating a supportive and rewarding work environment for our employees.
Medical Billing Specialist - Denials Sonic Healthcare USA IncMedical Billing Specialist - DenialsHicksville, NY$18–$24 / hourUse established protocols to contact providers and clients to resolve discrepancies in processed, partially paid and unpaid claims with timely appropriate follow up action. We offer Medical, Vision and Dental Insurance | Short Term and Long-Term disability | Voluntary term life | 401-K plus match | Paid Time Off| Paid holidays.
Billing Coordinator II - Urology NYU Langone Medical CenterBilling Coordinator II - UrologyMineola, NY$66,300–$72,345 / yearCertified 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.
HIM Coder - OP Atlantic Health SystemHIM Coder - OPPompton Plains, NJAtlantic Medical Group, comprised of 1,000 physicians and advanced practice providers, represents one of the largest multi-specialty practices in New Jersey and includes finance, legal, marketing, human resources, talent acquisition, ISS and more. Atlantic Health scored four “A” grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm.
Nurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)New York City, New York$2,400–$10,000 / yearPer diemAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.
Vice President - Senior Data Engineer BarclaysVice President - Senior Data EngineerWhippany, NJTo be successful as a Vice President - Senior Data Engineer, you should have: Considerable Python experience for data engineering and service development, leveraging frameworks and libraries such as FastAPI, PySpark, Pydantic, and asyncio. In this role, you will contribute to building a greenfield data and intelligence platform for Equities, playing a key role in defining the architecture, selecting tooling, and setting the strategic direction of a modern data ecosystem.
Medical Billing Manager | Brooklyn, NY · $80,000–$100,000 - 2437 BhiredMedical Billing Manager | Brooklyn, NY · $80,000–$100,000 - 2437Brooklyn, New YorkThis full-time, on-site role blends front-end claims management with team leadership, ideal for someone who wants to build efficient processes and drive real results in collections and compliance. About the Role A growing medical supply company is looking for a hands-on Medical Billing Manager to take ownership of its billing department from the ground up.
NewStaff Software Engineer, Code RL Anthropic PBCStaff Software Engineer, Code RLNew York City, NY$405,000–$625,000 / yearYou''ll be part of a team solving the engineering side of research efforts such as embedding with research teams, getting up to speed on their systems and needs, and designing the frameworks, APIs, and infrastructure that let researchers move faster, then rotating off, leaving behind well-oiled systems those teams can understand, own, and maintain themselves. This research continues many of the directions our team worked on prior to Anthropic, including: GPT-3, Circuit-Based Interpretability, Multimodal Neurons, Scaling Laws, AI & Compute, Concrete Problems in AI Safety, and Learning from Human Preferences.
Manager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditIselin, NJ$115,020–$207,216 / yearPreferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments.
Urgent Care - Partner Veterinarian - Freehold , {State_Code UsvtaUrgent Care - Partner Veterinarian - Freehold , {State_CodeFreehold, New JerseyAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Partner Veterinarian to provide leadership, superior patient and client care, and financial ownership in the hospital. The ideal leader for this hospital is a veterinarian who is prepared to manage a team of doctors and medical staff and successfully oversee the clinical direction of the practice while building equity.
Remote | Medical Billing & Claims Operations Consultant — Up to $60/hour 24-MagRemote | Medical Billing & Claims Operations Consultant — Up to $60/hourNew York, New YorkRemoteWe are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in medical billing, claims submission, payer billing requirements, clearinghouse workflows, billing compliance, claim edits, electronic transactions, and revenue cycle operations. Selected professionals will apply billing and claims expertise to evaluate AI-generated billing outputs, review claim edits and payer requirements, identify compliance or submission issues, and provide structured feedback based on detailed project criteria.
Hospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding RemoteNJRemote$64,625.60–$84,448 / yearHospital Coder Inpatient Senior Coder is an expert-level coding professional responsible for accurately reviewing and coding complex inpatient medical records using ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and appropriate MS-DRG/APR-DRG grouping methodologies. This role serves as a subject matter expert within the coding department, performing second level reviews, mentoring staff, and collaboration with Clinical Documentation Improvement (CDI), quality, and revenue cycle teams to ensure optimal reimbursement and compliance with regulatory guidelines.
Hospital Inpatient Coder Certified - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coder Certified - FT - Day - HIM Facility Coding RemoteNJRemote$28.70–$37.32 / hourAssigns and properly sequences accurate ICD-10-CM diagnosis and ICD-10-PCS procedure codes in accordance with Official Coding Guidelines, UHDDS definitions, Coding Clinic guidance and CMS to a full range of inpatient services including cases with a high complexity level. Ensures accurate capture of Major Comorbid Conditions (MCC)/Comorbid Conditions (CC), Present on Admission (POA) indicators, Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Severity of Illness (SOI) and Risk of Mortality (ROM).
Coding Quality Auditor Hackensack Meridian HealthCoding Quality AuditorNeptune, New JerseyFull timeResponsibilities: A day in the life of a Coding Quality Auditor at Hackensack Meridian Health includes: Reviews Diagnosis Related Group (DRG) assignment for selected Medicare/Medicaid inpatients, Hospital-acquired condition (HAC), Patient Safety Indicators (PSI) and Healthgrade target diagnoses, mortalities and dual diagnosis (dx) for principal diagnosis (Pdx) for the purpose of reimbursement, research and statistics in compliance with federal regulations according to ICD-10 coding classification systems. The Coding Quality Auditor is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to insure appropriate reimbursement and to support public reporting and various initiatives as directed by Hackensack Meridian Health (HMH) Network.
Appian Engineer (Low Code) - Remote First American Financial CorpAppian Engineer (Low Code) - RemoteNJRemoteFirst American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements. Our inclusive, people-first culture has earned our company numerous accolades, including being named to the Fortune 100 Best Companies to Work For list for eleven consecutive years.
Bilingual Elementary Teacher Grade 1 NJDOE Endorsement Code #1000, #1001 or #1013 Required Trenton Public SchoolsBilingual Elementary Teacher Grade 1 NJDOE Endorsement Code #1000, #1001 or #1013 RequiredTrenton, NJ$71,525–$117,475 / yearid='p9402_'>Bilingual Elementary Teacher Grade 1 NJDOE Endorsement Code #1000, #1001 or #1013 Required JobID: 9402. All certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE).
Anticipated Vacancy Kindergarten Teacher NJDOE Endorsement Code #1000 #1001 #1013 Required Cert Preferred Trenton Public SchoolsAnticipated Vacancy Kindergarten Teacher NJDOE Endorsement Code #1000 #1001 #1013 Required Cert PreferredTrenton, NJid='p9376_'>Anticipated Vacancy Kindergarten Teacher NJDOE Endorsement Code #1000 #1001 #1013 Required Cert Preferred JobID: 9376. All certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE).
School Psychologist NJDOE Endorsement Code #3100 Required Trenton Public SchoolsSchool Psychologist NJDOE Endorsement Code #3100 RequiredTrenton, NJ$71,525–$117,475 / yearPERFORMANCE RESPONSIBILITIES: Develops and implements written instructional plans that meet the diverse needs, abilities, and interests of all students. All certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE).
ESL Teacher NJDOE Endorsement Code #1475 Required Trenton Public SchoolsESL Teacher NJDOE Endorsement Code #1475 RequiredTrenton, NJAll certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE). PERFORMANCE RESPONSIBILITIES: Develops and implements written instructional plans that meet the diverse needs, abilities, and interests of all students.
ESL TEACHER (3) NJDOE Endorsement Code #1475 Required Trenton Public SchoolsESL TEACHER (3) NJDOE Endorsement Code #1475 RequiredTrenton, NJAll certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE). PERFORMANCE RESPONSIBILITIES: Develops and implements written instructional plans that meet the diverse needs, abilities, and interests of all students.
Elementary Teacher Gr. 6 NJDOE Endorsement Code #1013 or #1001 Required Trenton Public SchoolsElementary Teacher Gr. 6 NJDOE Endorsement Code #1013 or #1001 RequiredTrenton, NJAll certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE). PERFORMANCE RESPONSIBILITIES: Develops and implements written instructional plans that meet the diverse needs, abilities, and interests of all students.
Software Engineer II, Ad Code - Ad Audience RaptiveSoftware Engineer II, Ad Code - Ad AudienceNew York, New York$120,000–$180,000 / yearRaptive combines its position as the world’s largest ad management platform with a comprehensive suite of monetization, audience and business solutions that enable creators to turn their passions and talents into thriving independent companies and enduring brands. Ability to independently deliver moderately complex work that spans multiple components, while identifying risks and communicating clearly.
NewSenior Code Specialist 2 (DSO) Metropolitan Transportation AuthoritySenior Code Specialist 2 (DSO)New York, NY$84,893–$106,117 / yearAs part of the Metropolitan Transportation Authority, the largest transportation network in North America, C&D plays a key role in modernizing and expanding services that support 15.3 million residents across New York City, Long Island, southeastern New York State, and Connecticut. Pursuant to the New York State Public Officers Law & the MTA Code of Ethics, all employees who hold a policymaking position must file an Annual Statement of Financial Disclosure (FDS) with the NYS Commission on Ethics and Lobbying in Government (the "Commission").
Billing Specialist Atlantic Eye PhysiciansBilling SpecialistEatontown, New JerseyWe’re proud to have been voted Best Eye Care Clinic in Monmouth County three years in a row and recognized as a Best Place to Work last year, reflecting both the exceptional care we provide our patients and the supportive culture we create for our team. Overview: The Billing Specialist at Atlantic Eye is responsible for managing the billing processes to ensure accurate and timely submission of claims, processing payments, and resolving billing issues.
Medical Coder Phaxis LLCMedical CoderBrooklyn, NY$38–$40 / hourIdeal Candidate: Detail-oriented, knowledgeable, and experienced in hospital coding workflows with the ability to thrive in a fast-paced acute care environment. Our hospital client is seeking an experienced Medical Coder with strong inpatient and Emergency Department coding experience to join their team!
Billing Specialist - Radiation Oncology - Hopewell - Full-Time - DAYS Capital HealthBilling Specialist - Radiation Oncology - Hopewell - Full-Time - DAYSHopewell, NJ$21.33–$27.73 / hourWhen 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. 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.
Billing Manager DocGo IncBilling ManagerNY$75,000–$85,000 / yearDocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. About DocGo: DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services.
Billing Manager DocGoBilling ManagerRidgewood, New YorkDocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services.
Billing Supervisor PRIMARY HEALTH NETWORK, INC.Billing SupervisorMercer County, NJEssential Function: Ensures the activities of the billing operations within the Network are conducted in a manner that is consistent with overall department protocol, and are in compliance with federal, state, and payer regulations, guidelines and requirements. The mission of Primary Health Network is to enhance the health and well-being of the communities we serve by fostering trust and ensuring inclusive and equitable access to healthcare that is both compassionate and exceptional.
Medical Records & Billing Administrator Ophelia Health IncMedical Records & Billing AdministratorNYRemoteIn order to prevent pay disparities and reduce time spent in negotiations, we take a "first and best" offer approach: this means we're not holding any compensation back from our candidates, and you can feel confident that our pay is fair and does not vary based on the strength of someone's negotiation skills. We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America.
NewDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)New York, NY$86,560–$155,808 / 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. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
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.
Site Administrator, Multispecialty, Clinton NJ St. Luke’s University Health NetworkSite Administrator, Multispecialty, Clinton NJClinton, New JerseyMaintains strong collaboration and connectivity with Access Center operations and centralized functions (e.g., POD, Capacity Management, etc.) to enable seamless operations and optimal patient/employee experiences (e.g., transfers, triage protocols, template changes, huddles, POD/practice connectivity, etc.). Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
RCM Business Development Manager - NJ - On Site Vensure Employer ServicesRCM Business Development Manager - NJ - On Site[Edison, NJ, 08837], NJ$75,000–$125,000 / yearYou will be responsible for identifying new market opportunities, securing high-value partnerships, and expanding our footprint in the Revenue Cycle Management sector. Market Intelligence: Stay ahead of industry shifts including regulatory changes, payer trends, and AI-driven billing technologies to keep our offerings competitive.
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.