Senior Quantitative Scientist, Commercial-Facing Verana Health IncSenior Quantitative Scientist, Commercial-FacingNew York, NYRemote$141,441–$212,161 / yearBuilt on the values of continuous learning, cross-functional collaboration, and rigorous scientific research, the Data & Science team strives to improve patient care by innovating at the intersection of real world data, clinical context, and methodology with our partners to ensure all available data is being used to in the most efficient, data-driven way possible. Verana Health, a digital health company that delivers quality drug lifecycle and medical practice insights from an exclusive real-world data network, recently secured a $150 million Series E led by Johnson & Johnson Innovation - JJDC, Inc. (JJDC) and Novo Growth, the growth-stage investment arm of Novo Holdings.
Sr. Security Engineer IntenseyeSr. Security EngineerNew York, NY$160,000–$200,000 / yearThat's why we're building the world's most advanced AI-powered platform for industrial environments, designed to help organizations move from reactive programs to proactive risk prevention across safety, operations, and quality management. Deep hands-on expertise in cloud security (GCP strongly preferred): network security, IAM, secrets management, container security (Kubernetes/Docker), and cloud-native threat detection.
NewRisk 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.
NewExecutive Director of Risk Adjustment UnitedHealth Group IncExecutive Director of Risk AdjustmentNew York, NY$134,600–$230,800 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. This leader partners closely with provider organizations, clinical leadership, coding teams, and enterprise stakeholders to embed risk capture into clinical workflows while maintaining regulatory compliance and audit readiness.
Procedural Billing Specialist II-MSW-FT Days Mount Sinai Health SystemProcedural Billing Specialist II-MSW-FT DaysNew York, NY$59,895–$89,843 / yearWe 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. 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.
Salesforce Developer OneStream Software LLCSalesforce DeveloperNYRemote$100,000–$128,500 / yearThe Salesforce Developer designs, builds, and maintains custom solutions on the Salesforce platform, working across Apex, Lightning Web Components, Flow, and platform integrations to extend the system beyond its out-of-the-box capabilities. This person partners with business stakeholders and the broader Business Systems team to translate requirements into scalable technical solutions, follows secure coding and release management practices, and serves as a technical resource for other Salesforce team members.
NewMedical Coding Reviewer - Risk Adjustment GuideWell Mutual Holding CorpMedical Coding Reviewer - Risk AdjustmentNY$28–$45 / hourManager Risk Adjustment Audit, the Risk Adjustment Coder is responsible for reviewing medical records to apply appropriate diagnosis coding in compliance with International Classification of Diseases, Tenth Revision (ICD-10) coding guidelines for the purposes of risk adjustment. Review and validate provider-submitted and/or vendor-submitted medical record documentation and ICD-10 diagnosis codes to identify and correct any inaccuracies or discrepancies to ensure accuracy and compliance of risk adjustment.
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.
Medical Coding Mgr EisaiMedical Coding MgrNutley, NJ$99,900–$131,100 / yearThe Manager reviews study protocols in order to support the study design, database build and planned analyses utilizing the dictionary coding and contributes to the development and maintenance of coding process documents, e.g. The Medical Coding Manager provides medical coding expertise to clinical teams by coding/recoding of adverse events, concomitant medications and other data points using MedDRA and WHO Drug dictionaries.
Medical Coding Mgr Eisai IncMedical Coding MgrNY$99,900–$131,100 / yearThe Manager reviews study protocols in order to support the study design, database build and planned analyses utilizing the dictionary coding and contributes to the development and maintenance of coding process documents, e.g. The Medical Coding Manager provides medical coding expertise to clinical teams by coding/recoding of adverse events, concomitant medications and other data points using MedDRA and WHO Drug dictionaries.
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.
Operatory Surgical Coding Specialist West End Orthopaedic Clinic IncOperatory Surgical Coding SpecialistWestchester, NY$24.23–$36.35 / hourWith more than 159 physicians in over 35 locations-including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads-OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. In this role, you will ensure accurate posting of surgical cases, proper billing of supplies and implants, and correct CPT/HCPCS coding in collaboration with surgeons, clinical staff, and the Operatory Director.
ACO Risk Coding Specialist (Hybrid) Essen Medical AssociatesACO Risk Coding Specialist (Hybrid)Bronx, New YorkFull timeQualifications: Qualifications : - Strong working knowledge of CMS‑HCC risk adjustment model (required for accurate coding and compliance) - Solid understanding of ICD‑10‑CM coding guidelines - Ability to accurately identify and code chronic conditions requiring annual recapture - Experience reviewing face‑to‑face encounters and validating provider documentation - Skilled in retrospective and/or prospective chart reviews - Experience with provider education or documentation improvement initiatives Knowledge, Skills, & Abilities : - Deep understanding of chronic disease processes (e.g., CHF, CKD, COPD, diabetes with complications) - Familiarity with hierarchical logic and exclusion rules in HCC coding - Strong analytical, organizational, and problem‑solving skills, especially in Excel - Ability to research and resolve coding discrepancies independently - Effective written and verbal communication with clinical and non‑clinical staff - Team-based orientation with ability to manage and report out KPIs - Cultural sensitivity and ability to work with diverse team members, both US-based and offshore, and with medical providers - Consistent ability to meet productivity and quality benchmarks Education : - High School Diploma or equivalent (required) - International Medical Graduate (preferred) - Certified Risk Adjustment Coder (CRC) - Certified Professional Coder (CPC) or CCS / RHIT / RHIA (AAPC or AHIMA) Compensation & Benefits. They will become experts in HCC-based risk adjustment (prior experience preferred, but not necessary), they will conduct medical chart reviews to identify suspect conditions, and they will design and manage workflows to ensure that providers are made aware of suspect conditions, so that they can evaluate the patient thoroughly and correctly document the patient’s risk factors.
Revenue Integrity Coding Specialist LifeStance Health IncRevenue Integrity Coding SpecialistNY$27.50–$33 / hourLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its 550+ clinics nationwide and through its digital health telemedicine offering. As one of the nation's largest providers of outpatient mental health care, LifeStance Health's mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare.
NewPS 297 Activity Instructor- Robotics/Coding/ STEM Good Shepherd ServicesPS 297 Activity Instructor- Robotics/Coding/ STEMBrooklyn, NYRobotics & Coding: Instruct and support students in designing, programming robots using coding platform Vex Go and various STEM tools, and VR system equipment. Prepare and develop age, and skill-appropriate curriculum, lesson plans, activities, and special projects that fuse the arts and academic competencies to be reviewed by supervisors before being taught.
Associate Project Manager - Code and Complaince Schindler Holding LtdAssociate Project Manager - Code and ComplainceNew York, NY$90,300–$112,900 / yearYou will track and report on key performance indicators such as confirmation of periodic safety inspections, resolution of non-conformances, and adherence to regulatory deadlines, helping deliver safe, reliable, and compliant service to customers. Once sold, coordinate and schedule test dates with third parties (e.g., fire testing), schedule CAT1 inspections with mechanics, and/or arrange repairs while maintaining constant communication with Superintendents and sales reps.
Billing Coordinator RWJ Barnabas Health Medical IncBilling CoordinatorNewark, NJ$18.82–$26.58 / hourFrom reviewing daily revenue capture and coding documentation to coordinating insurance authorizations, managing denials, and helping patients understand their financial responsibilities, you'll help ensure services are accurately billed and patients are prepared for their care. Preferred qualifications include experience obtaining and following up on insurance authorizations, working accounts receivable (A/R) and insurance denials, including researching and disputing denials, and experience with EPIC.
Medical Biller Affinity Med SolutionsMedical Billerpark ridge, NJFull timeAffinity Med Solutions a leader in out of network billing is seeking a detail-oriented and organized Medical Biller to join our team. The ideal candidate will be responsible for managing billing processes mainly calling insurance companies and following up on claims to complete resolution.
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.
NewAssociate, Payment Integrity IBR Oscar HealthAssociate, Payment Integrity IBRNew York, NY$91,908–$120,629 / yearThis is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.