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.
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.
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.
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.
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.
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.
Profee Coding Consultant - Full Time DatavantProfee Coding Consultant - Full TimeNew York City, NY$20–$28 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. The estimated base pay range per hour for this role is: $20—$28 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.
Profee Coding Consultant - PRN DatavantProfee Coding Consultant - PRNNew York City, NY$20–$28 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. The estimated base pay range per hour for this role is: $20—$28 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.
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.
DRG Coding Auditor - Ms-Drg And Apr-Drg Elevance HealthDRG 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.
NewPrincipal Product Manager, Healthcare AI - Autonomous Coding Oracle CorpPrincipal Product Manager, Healthcare AI - Autonomous CodingNY$92,900–$209,500 / yearOracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. We are seeking an experienced AI Product Manager with a vision and experience in healthcare revenue cycle for improving medical coder's productivity and developing AI products that reduce their burnout.
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.
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.
Product Safety Data Coordinator and Coding Associate LancesoftProduct Safety Data Coordinator and Coding AssociateNutley, NJRemote$25Computer proficiency required, including data entry of adverse event information. Description of Responsibilities: Code and enter information into the Product Safety database for Adverse Events.
Professional Coding Provider Educator RWJ Barnabas Health Medical IncProfessional Coding Provider EducatorOceanport, NJRemote$68,700–$106,600 / yearJob Summary: Our Professional Coding Audit and Education team partners with physicians, advanced practice professionals, and operational leaders to strengthen provider documentation, professional-fee coding accuracy and compliance across a large multispecialty health system. Analyze a high volume of questions from providers, practice and regional managers, and senior executives; identify the core issue and provide guidance or engage the appropriate organizational team.
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.
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.
Outpatient Coding Consultant - Remote Datavant LLCOutpatient Coding Consultant - RemoteNYRemote$20–$28 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
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.