NewAssociate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteNew York, NYRemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
NewDirector, Healthcare - Forensics Litigation Bdo ConsultingDirector, Healthcare - Forensics LitigationNew York, NY$160,000–$260,000 / yearThe ideal candidate brings a proven track record of expert testimony, deep subject matter expertise in Medicare Severity Diagnosis-Related Groups (MS-DRGs) and inpatient billing practices, and the ability to lead complex engagements while developing junior staff in a highly leveraged consulting model. Provides subject matter leadership on MS-DRG classification systems, grouper logic, ICD-10-CM/PCS coding frameworks, Medicare IPPS rules, CMS regulatory guidance, and commercial payer reimbursement policies impacting inpatient claims.
NewSenior Full Stack Developer – AVP BarclaysSenior Full Stack Developer – AVPWhippany, NJTo be successful as a Senior Full Stack Developer - AVP, you should have experience with: Programming – Core Java, Collections, Multi-Threading and Concurrency, OOPS concepts, Exception Handling, JVM Concepts, Spring Framework (Spring Boot, Spring Batch, Spring Integration), SQL. Working hands-on, you will help develop a cutting-edge, client-facing user portal that integrates seamlessly with multiple external systems to deliver a streamlined and efficient user experience.
NewSenior GenAI and Python Developer – AVP BarclaysSenior GenAI and Python Developer – AVPWhippany, NJExtensive AWS experience, including services such as Amazon EKS, Amazon Bedrock, Knowledge Bases, CloudWatch, AgentCore, Strands SDK, Auto Scaling Groups, Load Balancers, API Gateway, Lambda, Step Functions, AWS Glue, PostgreSQL, and Amazon RD. To be successful as a Senior GenAI and Python Developer – AVP, you should have: Practical development experience with Python 3.12+ and ample proficiency in LangChain, machine learning frameworks, the Amazon Bedrock SDK, and related AI/ML technologies.
NewVP, Workplace Automation Lead (Power Platform) Jefferies LlcVP, Workplace Automation Lead (Power Platform)Jersey City, NJ$160,000–$175,000 / yearDevelop pipelines and data integrations across cloud services (e.g., Azure) to incorporate data from multiple sources into unified analytics solutions (Power BI dashboards, Fabric-style unified data environment). Platform & Cloud Integration: Lead end-to-end development of solutions that leverage Microsoft Power Platform (Power Apps, Power Automate, Power BI, Copilot Studio) and Azure cloud services.
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.
Medical Coding Specialist Capital Rx, Inc.Medical Coding SpecialistNew York, NY$70,000–$85,000 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Professional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA AL Capital HealthProfessional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA ALNJRemote$29.27–$38.25 / hourFrequent physical demands include: 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, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion, Taste or Smell, Talk or Hear. When 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.
Medical Coding Specialist Capital Rx LLCMedical Coding SpecialistNew York, NY$70,000–$85,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
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.
Medical Coding Specialist Therapymatch, Inc.Medical Coding SpecialistNY$60,520–$89,000 / yearA notice to Headway applicants: To protect yourself against phishing and recruitment fraud, please note that Headway only accepts applications through our official careers page at https://headway.co/careers . Determine whether a flagged finding is accurate - confirming genuine documentation and coding errors, and identifying findings that were flagged incorrectly so they can be corrected and escalated.
Billing & Coding Specialist-BI-FT Days Mount Sinai Health SystemBilling & Coding Specialist-BI-FT DaysNew York, NY$58,661–$81,675 / 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.
Medical Coding / Billing - Optometry Sew Eyes IncMedical Coding / Billing - OptometryWayne, NJFull timeWe are looking for someone that has worked specifically or has experience in Optical coding / billing to join our team in a fast paced working environment. Lens Lab has been serving New York for over forty years and has a deep history of promoting from within which is exactly what we plan on doing for this role.
Coding and Billing Manager-Certified Coder Rockhill Orthopaedic, PCCoding and Billing Manager-Certified CoderSummit, New JerseyWhile this is intended to be accurate reflections of the current job, management reserves the right to revise the job or to require that other or different tasks to performed when circumstances change (i.e., emergencies, changes in personnel, workload, rush jobs, or technological developments). Rockhill Orthopaedic Professional Corporation CODING AND BILLING MANAGER-CERTIFIED CODER Position Description: The employee in this full-time position (40-50 hours per week) is responsible for overseeing the coders, as well as coding and data entry for office and surgical charges as needed.
DRG Coding Auditor - MS-DRG and APR-DRG Elevance Health IncDRG Coding Auditor - MS-DRG and APR-DRGNew York, NY$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Coding Auditor - Ambulatory/Professional Coding/Profee Huron Consulting GroupCoding Auditor - Ambulatory/Professional Coding/ProfeeNew York, NY$26.44–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
Medical 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.
Operatory Surgical Coding Specialist West End Orthopaedic Clinic IncOperatory Surgical Coding SpecialistWestchester, NY$24.23–$36.35 / hourOrthoVirginia is seeking an Operatory Surgical Charge Capture Specialist who understands what happens during a surgical case-from the procedure performed to the implants, instruments, and supplies used-and can translate that activity into accurate charges, coding, and reimbursement. With 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.
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.