NewAccounts Receivable Representative I Hospital for Special SurgeryAccounts Receivable Representative INew York, NYThe salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. Maintains Documentation & Manages Information - Maintains tracking logs Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items.
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.
RCM Coordinator - Claims Resolution Metrocare ServicesRCM Coordinator - Claims ResolutionHillside, New YorkThe RCM Coordinator – Claims Resolution serves as a key financial liaison within the Revenue Cycle Management team, responsible for ensuring the integrity of claim submission, payment accuracy, and denial prevention across multiple service lines including primary care, behavioral health, intellectual and developmental disability (IDD) services, early childhood intervention (ECI), applied behavior analysis (ABA) therapy, and LIDDA programs. In addition to behavioral health care, Metrocare provides primary care centers for adults and children, services for veterans and their families, accessible pharmacies, housing, and supportive social services.
Revenue Integrity Analyst Hunterdon HealthRevenue Integrity AnalystFlemington, NJPositionSummary The Revenue Integrity Analyst (RIA), reporting directly to the Chief Revenue Officer will serve as a critical leader of the revenue cycle operation team and be responsible for performing in-depth analysis of patient clinical and billing data to identify contractual, documentation, and denial prevention opportunities with the focus on creating process improvement initiatives. 2. Performs ad hoc consultative research and coordination on current issues of Revenue Cycle regulatory risk including medical necessity denials; identifies a framework of continuous improvement to accomplish programmatic goals; facilitates meetings both internal and external; works collaboratively with system compliance leadership to coordinate and manage RAC and payer audit appeals.
Professional Coder I Iconma LLCProfessional Coder INewark, NJRequirements: Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist, P from the American Health Information Management (AHIMA). Support the collection and distribution of documentation and coding improvement tools for designated practice units as applicable.
Senior Certified Coder Abstractor St. Joseph's Healthcare SystemSenior Certified Coder AbstractorPaterson, NJThis role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices. Strong knowledge of: CPT, ICD-10-CM, and HCPCS coding guidelines, E/M coding (including 2021+ E/M guidelines if applicable),CMS and major payer regulations, Provider education and relationship management.
Certified Coder St. Joseph's Healthcare SystemCertified CoderPaterson, NJThe combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care". This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices.
Documentation Review Nurse Hunterdon HealthDocumentation Review NurseFlemington, NJQualifications Minimum Education: Required: Registered Nurse (RN) with an active and unencumbered license Preferred: Bachelor of Science in Nursing (BSN) preferred Minimum Years of Experience (Amount, Type and Variation): Required: Minimum of three (3) years clinical nursing experience Preferred: Previous nursing experience in an emergency department License, Registry or Certification: Required: RN certification Preferred: Knowledge, Skills and/or Abilities: Required: Strong understanding of ICD-10, CPT and HCPCS coding principles Knowledge of Medicare reimbursement and coding structures/systems Preferred: Experience in clinical documentation improvement (CDI), coding or utilization review is highly desirable/preferred Excellent analytical, organizational and communication skills Proficient in electronic health records (EHRs) and clinical documentation systems High level creativity, judgment and initiative, tempered with flexibility to deal with rapidly changing healthcare environment and expanding technology Ability to maintain concentration with attention to detail even in areas containing multiple levels of distraction Self-motivated, well organized and possess confidence and ability to wor work independently and deal with ambiguity and ask critical questions to problem solve issues as required. Primary Position Responsibilities Clinical Documentation Review: Assess emergency department documentation using Emergency Department E/M and Critical Care Facility Charge Assessment tool to ensure the patient documentation accurately reflects the patients clinical presentation, diagnoses, and captures all treatment and services provided.
Medical Coder LaSante Health CenterMedical CoderBrooklyn, NYLaSante Health Center is seeking a detail-oriented in-person Medical Coder to ensure accurate coding and abstraction of patient encounters. The ideal candidate will possess strong analytical skills, attention to detail, and expertise in coding conventions.
NewHealth Information Management Technician 1 (Kingsboro ATC) New York State Thruway AuthorityHealth Information Management Technician 1 (Kingsboro ATC)Brooklyn, NY$53,132–$67,990 / yearTo be eligible for 70.1 transfer, candidates must have one year of permanent competitive or 55-b/55-c service in a qualifying title within two salary grades of the SG-13 level and must be currently certified by the American Health Information Management Association as a Registered Health Information Administrator (RHIA) or as a Registered Health Information Technician (RHIT). The mission of the New York State Office of Addiction Services and Supports (OASAS) is to provide, support, and oversee a data-driven continuum of addiction services delivered with equity, dignity, compassion, and respect.
Manager,Network Rev Integrity Westchester Medical Center Health NetworkManager,Network Rev IntegrityValhalla, NY$120,220–$152,172 / yearJob Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. Company Company Bon Secours Charity Medical Group Bon Secours Community Hospital Good Samaritan Hospital HealthAlliance Hospital Margaretville Hospital MidHudson Regional Hospital Mountainside Residential Care Center NorthEast Provider Solutions Inc.
Employed Optometrist- New York, NY- LensCrafters EssilorLuxottica SAEmployed Optometrist- New York, NY- LensCraftersNew York, NY$65.19–$91.39 / hourIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email EmployeeRelations@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
Clinical Nurse Reviewer Zelis Healthcare, Inc.Clinical Nurse ReviewerMorristown, NJ$59,000–$75,050 / yearThe Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Ed Business Associate | Full-Time Day Shift E/O Weekend (25516) Bergen New Bridge Medical CenterEd Business Associate | Full-Time Day Shift E/O Weekend (25516)Paramus, New JerseyArranges for the efficient and orderly admission of patients presenting to the Emergency Department, ensuring that all required patient information pertinent to registration is obtained and accurately entered into the EMR per EMTALA and HIPAA compliance regulations. Admits, discharges and transfers patients to and from units such as Emergency Room, Skilled Nursing Facility, Psychiatric Services, SDS, etc.
Ed Business Associate | Full-Time Night Shift E/O Weekend (25517) Bergen New Bridge Medical CenterEd Business Associate | Full-Time Night Shift E/O Weekend (25517)Paramus, New JerseyArranges for the efficient and orderly admission of patients presenting to the Emergency Department, ensuring that all required patient information pertinent to registration is obtained and accurately entered into the EMR per EMTALA and HIPAA compliance regulations. Admits, discharges and transfers patients to and from units such as Emergency Room, Skilled Nursing Facility, Psychiatric Services, SDS, etc.
NewEmployed Optometrist- Yonkers, NY- LensCrafters at Ridge Hill EssilorLuxottica SAEmployed Optometrist- Yonkers, NY- LensCrafters at Ridge HillYonkers, NY$65.19–$91.39 / hourIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email EmployeeRelations@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
Emergency Dept. Business Associate - Per-Diem (25199) Bergen New Bridge Medical CenterEmergency Dept. Business Associate - Per-Diem (25199)Paramus, New JerseyArranges for the efficient and orderly admission of patients presenting to the Emergency Department, ensuring that all required patient information pertinent to registration is obtained and accurately entered into the EMR per EMTALA and HIPAA compliance regulations. Admits, discharges and transfers patients to and from units such as Emergency Room, Skilled Nursing Facility, Psychiatric Services, SDS, etc.
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.
IBR Senior Analyst Zelis Healthcare, Inc.IBR Senior AnalystNJ$79,000–$99,750 / yearThis is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture. The Itemized Bill Review Senior Analyst will be responsible for analyzing hospital claims for adherence to proper billing guidelines and will work closely with Expert Claims Review staff to efficiently adhere to policies and procedures for claims processing.
Registered Nurse (RN) - Home Visits Help at Home LLCRegistered Nurse (RN) - Home VisitsForest Hills, NYOverview\n \nAs the nation's leading provider of high-quality home care services, we empower our clients to live independently, safely, and with dignity in their own homes. One year of nursing experience.\n \nThe above statements are intended to describe the general nature and level of work being performed by people assigned to this classification.