NewCPC Investigator Horizon Healthcare ServicesCPC InvestigatorNewark, New JerseyThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. $70,500 - $94,395 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.
Medical Claims Processor GlobalchannelmanagementMedical Claims ProcessorParamus, New JerseyPartner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. Medical Claims Processor duties: Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
NewMedical Office Associate I, Per Diem, Varied Shifts, AMG-Cardiology & Medical Specialties, Multiple Locations. Atlantic Health System IncMedical Office Associate I, Per Diem, Varied Shifts, AMG-Cardiology & Medical Specialties, Multiple Locations.Livingston, 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.
NewMedical Office Associate I, Per Diem, Days, 8Am-4Pm, AMG Breast Surgery, Morristown, NJ Atlantic Health SystemMedical Office Associate I, Per Diem, Days, 8Am-4Pm, AMG Breast Surgery, Morristown, NJMorristown, NJResponsible for providing day-to-day support operations by performing administrative tasks and ensuring high-quality customer service to patients. Medical office associate manages both the front and back of the office, including billing support, scheduling, coding, patient communication, and filing.
NewMedical Office Associate I, Per Diem, Days, 8Am-4Pm, AMG Head Neck Surgery, Morristown, NJ Atlantic Health SystemMedical Office Associate I, Per Diem, Days, 8Am-4Pm, AMG Head Neck Surgery, Morristown, NJMorristown, NJResponsible for providing day-to-day support operations by performing administrative tasks and ensuring high-quality customer service to patients. Medical office associate manages both the front and back of the office, including billing support, scheduling, coding, patient communication, and filing.
Medical Director, General Surgery - Remote UnitedHealth Group IncMedical Director, General Surgery - RemoteNew York, NYRemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Behavioral Health Quality Analyst ExlService Holdings IncBehavioral Health Quality AnalystNYRemote$60,100–$98,700 / yearEXL 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. 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.
NewHospital Price Transparency Analyst Med-Metrix, LLCHospital Price Transparency AnalystParsippany-Troy Hills, NJThe Hospital Price Transparency Analyst will work to maintain and optimize automated processes related to the pricing transparency tool, including but not limited to, analyzing hospital claims data, auditing the results for data integrity, and resolving identified data issues. Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Radiology Scheduler Call Center UnitedHealth Group IncRadiology Scheduler Call CenterMount 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. Performs certain follow-up services for patients in a prompt and courteous manner such as scheduling specialist appointments scheduling follow-up appointments and obtaining copies lab results or specialist reports.
Clinical Documentation Quality Improvement Specialist II-Mount Sinai Brooklyn - Full-time - Day Mount Sinai Health SystemClinical Documentation Quality Improvement Specialist II-Mount Sinai Brooklyn - Full-time - DayBrooklyn, NY$79,720–$108,709 / yearThe Clinical Documentation Quality Improvement Specialist II is responsible for improving the overall quality and completeness of clinical documentation; facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to ensure that documentation reflects complete and accurate level of service rendered to patients. We 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.
(Remote) Manager, Account Follow-Up Services Harris Computer Systems(Remote) Manager, Account Follow-Up ServicesFlorida, PRRemoteAs a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms.
Principal, Medical Economics Evergreen Nephrology LLCPrincipal, Medical EconomicsNY$135,000–$150,000 / yearThis role will help ensure the integrity of claims data flowing into enterprise datasets, enable more sophisticated economic and impact modeling, and connect cost insights with clinical and risk stratification efforts to support value-based care performance. Partner with data, actuarial, and analytics teams to validate healthcare claims data structures, ensure data is accurately represented in enterprise datasets, and resolve discrepancies affecting downstream reporting and analysis.
Senior Analyst, Payment Integrity Oscar Health IncSenior Analyst, Payment IntegrityNew York, NYRemote$64,832–$85,092 / 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. Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah.
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.
Orthotist EnovisOrthotistUSA, NJIncludes American Board for Certification (ABC) Certified Orthotist (CO), Certified Prosthetist Orthotist (CPO), Board of Certification (BOC) Certified Orthotist (BOCO), National Board Certification for Occupational Therapy (NBCOT) Registered Occupational Therapist (OTR), or Federation of State Boards of Physical Therapy (FSBPT) Licensed Physical Therapist. This is an incredible opportunity to work in a fast-moving, patient-focused setting amongst extraordinarily talented professionals dedicated to making life-changing innovation possible in orthopedics and beyond with brands such as DonJoy, Aircast, ProCare and Exos.
Quality Analyst - Clinical Validation Audit ExlService Holdings IncQuality Analyst - Clinical Validation AuditNYRemote$85,000–$100,000 / yearResponsible for reviewing the accuracy and consistency of clinical DRG auditing auditors to ensure audits are appropriately marked for findings and no findings. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.
Clinical Documentation Integrity Specialist Episcopal Health ServicesClinical Documentation Integrity SpecialistFar Rockaway, New YorkAdditionally, St. John's is proud to be redesignated as a Baby-Friendly® Hospital by Baby-Friendly USA – the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States. The hospital is a recipient of the Gold-Plus Get with the Guidelines®-Stroke Quality Achievement Award and the Gold-Plus Get with the Guidelines®-Heart Failure Quality Achievement Award from the American Heart Association.
Integration Developer Seton Hall University, New JerseyIntegration DeveloperSouth Orange, New JerseyIntegrations can include file transfers, real time API integrations, data loads and extractions into and out of databases and data warehouses, ETL design and processing, and data transfers to and from internal and external sources. This can include feed files, real time APIs, ETL, database query, insertion, and extraction, data warehouse processing, ERP integrations, identity feeds, and a variety of other integration.
Security Engineer / Analyst Clojure Required Ladder Financial IncSecurity Engineer / Analyst Clojure RequiredNYRemote$122,000–$144,000 / yearBecause our backend infrastructure runs heavily on Clojure, you won''t just be running automated scanners, you will actively look at code and leverage your functional programming experience to strengthen our shift-left security philosophy. Beyond AppSec, you will wear multiple hats: monitoring our cloud infrastructure and responding to alerts, conducting security risk reviews, supporting compliance audits, and ensuring our day-to-day workspace remains locked down.
Senior Product Manager, Coding Data Platform DatavantSenior Product Manager, Coding Data PlatformNew York, NY$170,000–$200,000 / yearYou will understand how clinical data flows from payer to retrieval to coding; how it gets ingested, transformed, and structured and you will have direct influence over how the underlying platform infrastructure is optimized for downstream consumption by AI models, reporting tools, and client-facing products. The estimated total cash compensation range for this role is: $170,000—$200,000 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.