Associate Director Revenue Cycle & Coding Cooper University HospitalAssociate Director Revenue Cycle & CodingCamden, New JerseyFull timeThe Associate Director leads revenue cycle initiatives across multiple surgical specialties, utilizing data analytics and process improvement methodologies to improve key performance indicators while supporting exceptional patient and provider experiences. Monitor and improve key performance metrics including charge capture, coding accuracy, accounts receivable, denial rates, clean claim rate, reimbursement, lag days, and cash collections.
Supervisor, Education/Audit, Physician Billing Hackensack Meridian HealthSupervisor, Education/Audit, Physician BillingEdison, New JerseyRemoteFull timeUnder the general direction of the Physician Billing (PB) Director of Coding and Manager of Education and Audit, the Supervisor, Education/Audit, Physician Billing will supervise the Coding Education and Audit team and conducts audits for medical provider documentation while adhering to Centers for Medicare and Medicaid Services (CMS) and Office of Inspector General (OIG) guidelines for Hackensack Meridian Health (HMH). The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Physician Educator III University HealthCare AlliancePhysician Educator IIINewark, New Jersey$44.13–$57.36 / hourProvides on-site specialty specific training to individuals or groups of clinicians regarding documentation of services and appropriate coding of level of service, diagnoses, and procedures; including tips and techniques to help clinicians work more efficiently in Epic. Educates and guides healthcare providers and staff on accurate clinical documentation and coding practices, particularly concerning Hierarchical Condition Categories (HCCs) and risk adjustment methodologies.
Charge Master Analyst Sutter HealthCharge Master AnalystTrenton, NJ$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
NewCharge Audit Analyst Sutter HealthCharge Audit AnalystNJ$42.41–$63.62 / hourPosition Overview: Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate charging and coding in compliance with policies. Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record.
Supervisor of Revenue Cycle and Credentialing Henry J. Austin Health Center IncSupervisor of Revenue Cycle and CredentialingTrenton, NJ$65,400–$94,200 / yearThe Supervisor monitors billing, collections, audits, credentialing, recredentialing, payer enrollment, denial trends, Medicaid WRAP activity, LOA (NJ state letter of agreement) billing processes, and reimbursement performance while supporting workflow optimization within Dental and Medical EMR or software platforms Working collaboratively with Patient Access, Clinical Operations, Finance, IT, and external partners, the Supervisor identifies and resolves operational and reimbursement issues, promotes data integrity and reporting accuracy, and supports continuous process improvement to enhance organizational performance and revenue outcomes. The Supervisor of Revenue Cycle and Credentialing works under the direction of the Director of Revenue Cycle and Credentialing to oversee daily revenue cycle and provider credentialing operations, ensuring accurate billing, timely payer enrollment, reimbursement integrity, and compliance with federal, state, payer, HRSA, and NCQA requirements.
Coding Specialist Job DetailsCoding SpecialistFort Lee, New Jersey$62,400–$78,600 / yearReview clinical documentation in 3M and Epic to assign accurate ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for Radiology and Interventional Radiology procedures in accordance with official coding guidelines. Independently code Interventional Radiology procedures, including complex multi-component cases, and apply appropriate evaluation and management (E/M) consultation codes as needed.
Billing Supervisor PRIMARY HEALTH NETWORK, INC.Billing SupervisorMercer County, NJEssential Function: Ensures the activities of the billing operations within the Network are conducted in a manner that is consistent with overall department protocol, and are in compliance with federal, state, and payer regulations, guidelines and requirements. The mission of Primary Health Network is to enhance the health and well-being of the communities we serve by fostering trust and ensuring inclusive and equitable access to healthcare that is both compassionate and exceptional.
Supervisor of Revenue Cycle and Credentialing Henry J Austin Health CenterSupervisor of Revenue Cycle and CredentialingTrenton, NJ$65,400–$94,200 / yearThe Supervisor monitors billing, collections, audits, credentialing, recredentialing, payer enrollment, denial trends, Medicaid WRAP activity, LOA (NJ state letter of agreement) billing processes, and reimbursement performance while supporting workflow optimization within Dental and Medical EMR or software platforms Working collaboratively with Patient Access, Clinical Operations, Finance, IT, and external partners, the Supervisor identifies and resolves operational and reimbursement issues, promotes data integrity and reporting accuracy, and supports continuous process improvement to enhance organizational performance and revenue outcomes. The Supervisor of Revenue Cycle and Credentialing works under the direction of the Director of Revenue Cycle and Credentialing to oversee daily revenue cycle and provider credentialing operations, ensuring accurate billing, timely payer enrollment, reimbursement integrity, and compliance with federal, state, payer, HRSA, and NCQA requirements.
Supervisor Of Revenue Cycle And Credentialing Henry J Austin Health CenterSupervisor Of Revenue Cycle And CredentialingTrenton, NJ$65,400–$94,200 / yearThe Supervisor monitors billing, collections, audits, credentialing, recredentialing, payer enrollment, denial trends, Medicaid WRAP activity, LOA (NJ state letter of agreement) billing processes, and reimbursement performance while supporting workflow optimization within Dental and Medical EMR or software platforms Working collaboratively with Patient Access, Clinical Operations, Finance, IT, and external partners, the Supervisor identifies and resolves operational and reimbursement issues, promotes data integrity and reporting accuracy, and supports continuous process improvement to enhance organizational performance and revenue outcomes. The Supervisor of Revenue Cycle and Credentialing works under the direction of the Director of Revenue Cycle and Credentialing to oversee daily revenue cycle and provider credentialing operations, ensuring accurate billing, timely payer enrollment, reimbursement integrity, and compliance with federal, state, payer, HRSA, and NCQA requirements.
SIU Investigator Centene Corporation GroupSIU InvestigatorNJ$56,200–$101,000 / yearCollaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.
Special Investigation Unit Investigator Centene Corporation GroupSpecial Investigation Unit InvestigatorNJ$56,200–$101,000 / yearEducation/Experience: Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience (or) An Associates or Bachelor's degree in criminal justice or a related field; (or) employment as an investigator in the MMCO's SIU on or before the effective date of this SubPart required. Minimum of five (5) years in healthcare field working in fraud, waste and abuse investigations and audits, (or) five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) seven years of professional investigation experience involving economic or insurance related matters.
Billing Coordinator RWJ Barnabas Health Medical IncBilling CoordinatorNewark, NJ$18.82–$26.58 / hourFrom reviewing daily revenue capture and coding documentation to coordinating insurance authorizations, managing denials, and helping patients understand their financial responsibilities, you'll help ensure services are accurately billed and patients are prepared for their care. Preferred qualifications include experience obtaining and following up on insurance authorizations, working accounts receivable (A/R) and insurance denials, including researching and disputing denials, and experience with EPIC.
Director, Clinical Data Management PTC TherapeuticsDirector, Clinical Data ManagementWarren, NJ$200,700–$252,600 / yearThe Director, Clinical Data Management provides strategic and operational leadership and oversight of data management activities to ensure the quality, integrity, consistency and inspection readiness of clinical databases for subsequent analysis, reporting and regulatory submissions. Participate in cross functional team meetings, as requested, and communicate with all departments regarding project statuses/issues, provide ongoing feedback on data management workflows to increase efficiency and provide feedback to CRAs.
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.
Director, Coding Axia Women's HealthDirector, CodingVoorhees Twp, New JerseyPartners with and maintain positive relationships with internal customers, including physicians, advanced practice providers, care center managers, RCM, regional operations, and third-party coding/billing vendor. Develops and oversees an effective coding function within the organization that provides the ideal service to our providers, ensuring best practices, efficiencies, quality outcomes and maximized revenue.
NewBilling And Coding Compliance Analyst Hunterdon HealthBilling And Coding Compliance AnalystFlemington, NJPositionSummary Responsible for application and maintenance of medical necessity software, insuring compliance relating to Medicare billing requirements, conducting internal audits relating to medical necessity, analyzing medical necessity denials, communicating and updating staff on changes as they relate to HCPCS and revenue code updates, additions and deletions as it relates to medical necessity. Preferred: License, Registry or Certification: Required: Medical coding certification, one of the following CCA,CCS,CPC in good standing Preferred: Billing Compliance, CDM experience, CPAT, CPAM preferred Knowledge, Skills and/or Abilities: Required: Demonstrates strong analytical skills.
Product Safety Data Coordinator and Coding Associate ESRhealthcare and EXEC STAFF RECRUITERSProduct Safety Data Coordinator and Coding AssociateNew JerseyRemoteThe individual will be responsible for verifying the accuracy and completeness of information for each adverse event report for which he/she is assigned in conjunction with the source documents and ensuring that the activities are performed in a manner consistent with SOPs. Description of Responsibilities: Code and enter information into the Product Safety database for Adverse Events reported in association with Client Marketed and investigational products.
Associate Product Manager- Denials AI Med-Metrix, LLCAssociate Product Manager- Denials AIParsippany-Troy Hills, NJPhysical 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. Orient new hires and provide in-services and training, continuing education, and development related to those functional areas of responsibility.
Sr Charge Master Analyst Remote Cooper University Health CareSr Charge Master Analyst RemoteCamden, NJRemoteAdvises and instructs providers, department managers, end users regarding billing and documentation policies, procedures and regulations; interacts with Cooper University Health Care staff regarding incorrect charging, conflicting coding, ambiguous documentation, obtaining clarification of same and educate in regard to changes and measuring compliance. Responsibilities include: Oversee Chargemaster maintenance for CUH to ensure proper revenue generation and reimbursement, improvement to all aspects of revenue cycle operation (coding, charge capture, and work processes), while maintaining compliance with third party and government requirements.