NewManager, Professional Coding Quality & Education, Health Information Management, Full Time The Valley HospitalManager, Professional Coding Quality & Education, Health Information Management, Full TimeRidgewood, NJ$108,784–$135,990.40 / yearThis role is responsible for leading coding education and quality operations across the physician enterprise and partners closely with physician leadership, operational leaders, Compliance, Finance, Revenue Cycle, Clinical Departments, Information Technology, Clinical Documentation Integrity (CDI), and outsourced coding vendors to ensure accurate, timely, and compliant coding practices that support quality care, regulatory compliance, and optimal reimbursement. The Manager develops and implements coding education, oversees coding quality and audit programs, provides coding guidance to providers and operational leaders while promoting coding excellence through provider education, coding quality improvement, audit readiness, performance analytics, and technology optimization.
Scratch & Intro to Coding Teaching Opportunities Concorde EducationScratch & Intro to Coding Teaching OpportunitiesNew York, NY$50–$100 / hourSome programs provide established lesson plans and project guides, while others allow instructors flexibility to incorporate age-appropriate coding activities and creative projects that align with assignment objectives and school expectations. Assignment offers remain contingent upon factors including program availability, instructor qualifications, school partner approval, scheduling compatibility, successful completion of any legally required background review or clearance process, and final written assignment confirmation.
Medical Billing and Coding Associate DocGoMedical Billing and Coding AssociateRidgewood, 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.
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.
Medical Billing & Coding Instructor American InstituteMedical Billing & Coding InstructorClifton, New Jersey$24–$27 / hourOther skills and abilities - ability to inspire students to meet career goals by tying course curriculum to potential career outcomes, Learning Management Systems, Student Information Systems, synchronous instructional tools. You collaborate closely with program leaders and other departments to enhance student success, foster retention, support certification, celebrate graduation milestones, and facilitate successful career placements.
Senior Compliance Specialist NYU Langone HealthSenior Compliance SpecialistNew York, NY$84,577.92–$142,767.54Full timeConducts risk assessments to define audit priorities by evaluating previous audit findings, management priorities, ICD, APC and DRG utilization patterns, national normative data, CMS and PEPPER initiatives, OIG work plans and advisories, and healthcare industry best practices. The Senior Compliance Specialist (Hospital Billing Auditor) will support the Manager of Hospital Billing Compliance and the Director of Billing Compliance in the development and implementation of the Hospital Billing Compliance program at NYU Langone Health System to ensure adherence with federal and state billing regulations.
Health and Information Management/Patient Registrar Axelon Services CorporationHealth and Information Management/Patient RegistrarNew York, NY$18–$25 / hourPre-register patients in the hospital's online system and obtain hospital medical record numbers when necessary. Proficiency in telephone, computer, keyboard, effective communication, and customer service skills (Required).
Medical Billing and Coding Specialist Saint Peter's Healthcare System IncMedical Billing and Coding SpecialistNew Brunswick, NJPerform billing activities in a timely manner, i.e. surgical billing, physician billing and coding; may assist with chart audits to identify areas for improvement and resolve as appropriate. May assist with the education and training of office staff on processing office and surgery claims, managing the Athena hold buckets, IngeniousMed tasks, precertifications, and other billing related functions.
Medical Billing Specialist Integrated Health Administrative ServicesMedical Billing SpecialistMamaroneck, New YorkIn this position you are responsible for both administrative functions, client relations and billing processes and will work with the team to ensure the revenue cycle is handled effectively and efficiently. Investigate, correct and resubmit claim denials from third-party payers to ensure billing and coding accuracy.
Mammography Technologist UnitedHealth Group IncMammography TechnologistMount Kisco, 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. You will find our team working in local clinics surgery centers and urgent care centers within care models focused on managing risk higher quality outcomes and driving change through collaboration and innovation.
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.
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.
NewOutpatient Coding Auditor, Health Information, Management, Full Time, Day The Valley HospitalOutpatient Coding Auditor, Health Information, Management, Full Time, DayRidgewood, NJ$33.99–$42.49 / hourThis role supports coding accuracy, education, and process improvement through detailed review of encounters, identification of trends and variances, and communication with coding staff and leadership. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Morristown, NJIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
STEM & Coding Teaching Opportunities Concorde EducationSTEM & Coding Teaching OpportunitiesUniondale, NY$50–$100 / hourPreferred qualifications include: • At least 60 college credits, where required by the applicable assignment or site; • Experience with coding, programming, computer science, or related technology subjects; • Experience teaching, tutoring, coaching, mentoring, or leading activities with school-age students; • Strong communication, organization, and classroom facilitation skills; • Availability to provide services for the accepted assignment schedule and communicate schedule issues as soon as reasonably practicable; and. Payment for completed services is generally made by direct deposit on the fifteenth day of the month following the month in which services were completed, unless otherwise stated in the accepted assignment terms or required by applicable law.
IT and Computing: Hardware, Software, Coding- Workforce Development Instructor (Pooled Position) County College of Morris FoundationIT and Computing: Hardware, Software, Coding- Workforce Development Instructor (Pooled Position)Randolph, NJJob Summary Instruction in non-credit continuing professional education courses in one or more of the following areas: IT certifications - A Net Security, Cisco CCNA, AWS coding, programming, and related subject areas. Posting Number: F200P Number of Vacancies: 6 Posting Date: Full Consideration Date: Closing Date: Open Until Filled: Yes Quick Link for Posting: https://jobs.ccm.edu/postings/1964 .
Claude Code Architect (1272) Axtria, Inc.Claude Code Architect (1272)Berkeley Heights, NJ$119,500–$163,875 / yearOur cloud-based platforms - Axtria DataMax, Axtria InsightsIQ, Axtria SalesIQ, and Axtria MarketingIQ - enable clients to efficiently manage data, leverage data science to deliver insights for sales and marketing planning, and manage end-to-end commercial operations. These agents will be the backbone of next-generation Commercial Data Platform, automating complex workflows across data ingestion, transformation, insight generation, CRM integration, and commercial analytics for pharmaceutical clients.
Staff Software Engineer, Developer Productivity CI/CD - Claude Code Anthropic PBCStaff Software Engineer, Developer Productivity CI/CD - Claude CodeNew York City, NY$405,000–$485,000 / yearThis 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. You''ll shape the CI and repository topology that best serves our velocity, build AI-assisted review that keeps confidence high as PR volume grows, and partner closely with platform, security, and delivery infrastructure teams on the substrate underneath.
Senior Inpatient Coder Westchester Medical Center Health NetworkSenior Inpatient CoderValhalla, NY$39.66–$49.86 / hourJob Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of Diseases (ICD10 CM/PCS codes) and entering coded information into an automated grouper system. Job Category Job Category Allied Health Prof/Technical Clerical/Administrative Support clerical/Administrative Supportc Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades.
Insurance Verification Auth Specialist MultiCare Health SystemInsurance Verification Auth SpecialistNY$23.20–$33.38 / hourThe Insurance Verification Auth Specialist is responsible for securing financial clearance and completing pre-authorization for patients undergoing complex, high-dollar inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services. Responsibilities: Secure pre-authorizations from insurance companies for a broad range of complex, high dollar healthcare services including inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services.
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.
Product Manager, Claude Code Model Performance Anthropic PBCProduct Manager, Claude Code Model PerformanceNew York City, NY$305,000–$460,000 / yearAs a Product Manager on Claude Code''s model performance team, you will drive model launches end-to-end, build evals that measure what matters, and partner directly with researchers and product engineers to translate model improvements into developer-facing outcomes. 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.
NewElementary Teacher Grade 2 NJDOE Cert Endorsement Code #1000 #1001 #1013 Required Trenton Public SchoolsElementary Teacher Grade 2 NJDOE Cert Endorsement Code #1000 #1001 #1013 RequiredFranklin, NJ$71,525–$117,475 / yearid='p9440_'>Elementary Teacher Grade 2 NJDOE Cert Endorsement Code #1000 #1001 #1013 Required JobID: 9440. All certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE).
AI Architect Claude Code Senior Developer BluZincAI Architect Claude Code Senior DeveloperRemote USA, AnyRemoteWe are conducting a confidential search for an experienced AI Business, Solutions and Technical Architect to join a scaled, high-growth US consumer digital business. This role is for a former senior software engineer who now designs and builds production-grade, agentic AI systems.
ESL Teacher NJDOE Endorsement Code #1475 Required Trenton Public SchoolsESL Teacher NJDOE Endorsement Code #1475 RequiredHarrison, 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.
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").
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)Croton On Hudson, 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").
Urgent Care - Partner Veterinarian - Morristown , {State_Code UsvtaUrgent Care - Partner Veterinarian - Morristown , {State_CodeMorristown, 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.
Staff Software Engineer, Developer Productivity Dev Environments - Claude Code Anthropic PBCStaff Software Engineer, Developer Productivity Dev Environments - Claude CodeNew York City, NY$405,000–$485,000 / yearThis 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. Research shows that people who identify as being from underrepresented groups are more prone to experiencing imposter syndrome and doubting the strength of their candidacy, so we urge you not to exclude yourself prematurely and to submit an application if you''re interested in this work.
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.
Medical Billing Associate NJ PEDIATRIC NEUROSCIENCE INSTITUTEMedical Billing AssociateMorristown, NJ$21–$28 / hourFull timeMaintains current knowledge of, and complies with established policies and procedures including patient confidentiality/patient rights, government, insurance and third-party payer regulations. NJPNI Billers and Coding/ Collection Staff members are expected to maintain all licenses and credentials required by state and federal law.
Claims Manager Normann StaffingClaims ManagerRye Brook, NY$70,000–$110,000 / yearManage auto estimating processes, auto service management, auto body repair coordination, water damage restoration assessments, mold remediation evaluations, construction inspection reports, and automotive repair claims. This position offers an engaging opportunity for professionals experienced in insurance claim management who are committed to excellence in customer service while ensuring regulatory compliance across diverse claim types including workers' compensation, automotive repairs, medical billing, and property restoration projects.
NewMedical Billing Specialist (GSD) ConnectAmerica LLCMedical Billing Specialist (GSD)NJThe purpose of the Medical Billing Specialist role is to: Support our life-saving Lifeline products by using your medical billing and collecting experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers. With the easy-to-use personal emergency response, remote patient monitoring and medication management systems, Connect America/Lifeline processes more than 250,000 emergency signals and data transmissions each month and has protected more than 1 million lives.
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!
Special Investigations Unit Clinical Certified Coder Metroplus Health Plan IncSpecial Investigations Unit Clinical Certified CoderNew York, NY$100,000–$110,000 / yearMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics.
Offsite Billing Coordinator- Multispecialty, Bronx, New York, Full Time, Days Mount Sinai Health SystemOffsite Billing Coordinator- Multispecialty, Bronx, New York, Full Time, DaysBronx, NY$20–$28.98 / hourWe 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.
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.
Medical Coder Westchester Community Health CenterMedical CoderWhite Plains, NY$35,000–$45,000 / yearWestchester Community Health Center is a 501(c)(3) non-profit organization that provides high-quality primary, preventative, and affordable healthcare and support services in an atmosphere of humane care, dignity, and respect to improve the health and lives of adults, teens, and children in Westchester County and the Bronx, New York. For more information about our job openings, please contact us at: Westchester Community Health Center 107 West Fourth Street Mount Vernon, NY 10550 phone: (914) 699-7200 email: info@wchchealth.org.
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.
NewBilling Manager – NYC Ophthalmology Practice Vitreous-Retina-Macula Consultants of New York PCBilling Manager – NYC Ophthalmology PracticeNew York, NYFull timeThe ideal candidate has deep experience in ophthalmology/retina billing, strong knowledge of Medicare billing rules and reimbursement, advanced analytical and reporting skills, and the ability to synthesize complex data into actionable insights for leadership. Vitreous Retina Macula Consultants of New York (VRMNY) is one of the nation’s leading retina practices, known for world‑class physicians, cutting‑edge treatments, and a commitment to exceptional patient care.
Remote | Healthcare Revenue Integrity & Charge Capture Consultant — Up to $65/hour 24-MagRemote | Healthcare Revenue Integrity & Charge Capture Consultant — Up to $65/hourNew York, New YorkRemoteWe are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in charge capture, charge integrity, revenue integrity, charge description master management, billing compliance, charge audits, revenue leakage analysis, and healthcare financial operations. This role supports current and upcoming remote consulting opportunities focused on AI-assisted revenue integrity evaluation, charge capture workflow review, billing compliance assessment, and high-quality project execution.
Medicaid Billing Administrator - Intern (Unpaid) Neuropath Healthcare SolutionsMedicaid Billing Administrator - Intern (Unpaid)Union, New JerseyThe Medicaid Billing Administrator Internship at Neuropath Behavioral Healthcare is designed to provide students and recent graduates with practical training and exposure to healthcare billing processes. Interns will gain hands-on experience in Medicaid claims processing, billing compliance, and healthcare administration while working under the direct supervision of experienced billing professionals.
Certified Professional Coder (Accounts Receivable) Accounts ReceivableCertified Professional Coder (Accounts Receivable)Fort Lee, New JerseyThe salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department.
NewMedical Billing Clerk AculabsMedical Billing ClerkEast Brunswick, New JerseyJob Summary: Aculabs is currently looking for individuals who are excited about billing and coding to join our team in East Brunswick, New Jersey. Posting insurance payments, investigating denials and follows up with insurance companies for non-payment.
Diagnosis-Related Group (DRG) Trainer ExlService Holdings IncDiagnosis-Related Group (DRG) TrainerNY$60,100–$110,000 / yearThe DRG Trainer partners closely with Quality Analysts, Auditors, and Subject Matter Experts to ensure training content remains current, relevant, and aligned with evolving coding requirements and audit expectations, while driving timely progression through training and successful graduation to operations. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates.
Medical Biller ANNA K IMPERATO MD PLLCMedical BillerMANHASSET, NYFull timeAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Medical HOME HEALTHCARE Billing Specialist / Office duty Personnel Kind Loyal Service RN Healthcare Services PLLCMedical HOME HEALTHCARE Billing Specialist / Office duty PersonnelNew Rochelle, NYFull timeCompensation is determined based on factors such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity. This role is responsible for managing billing, collections, and third-party reimbursement processes while ensuring accuracy and compliance, and is NOT limited to regular office staff duties.
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.