Senior Director, Clinical Development Daiichi Sankyo, Inc.Senior Director, Clinical DevelopmentBasking Ridge, NJ$280,350–$467,250 / yearFull timeMay contribute to addressing questions about medical decisions, clinical data review, protocol deviations, etc., and/or scientific aspects of the study during FDA, MHRA, EMA, and PMDA interactions, such as pre-submissions, end of phase 1/2, and inspections. With a legacy of innovation since 1899, a presence in more than 30 countries, and more than 19,000 employees, we are advancing breakthrough therapies in oncology, cardiovascular disease, rare diseases, and immune disorders.
Billing 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.
Claims and Denial Coding Analyst St. Luke's University Health NetworkClaims and Denial Coding AnalystAllentown, PAIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network.
Vice President, Transformation Services - Coding & CDI Med-Metrix, LLCVice President, Transformation Services - Coding & CDIParsippany-Troy Hills, NJServing as the executive transformation lead and strategic advisor to Coding Leadership, CDI Leadership, operational stakeholders, and executive teams, this role partners closely with operational leaders to assess current-state performance, identify opportunities for improvement, and develop transformational solutions that enhance operational effectiveness, documentation integrity, compliance, reimbursement accuracy, and financial outcomes. Partner with Coding, CDI, HIM, Revenue Cycle, Compliance, Quality, Provider, Technology, Analytics, and executive leadership to assess current-state performance, identify operational and financial opportunities, and develop strategies focused on revenue integrity, documentation improvement, compliance, quality, efficiency, and sustainability.
NewCoding Auditor- Remote Med-Metrix, LLCCoding Auditor- RemoteParsippany-Troy Hills, NJRemotePhysical 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. Complete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance.
Certified Outpatient Coding Specialist (Per Diem) St. Luke's University Health NetworkCertified Outpatient Coding Specialist (Per Diem)Allentown, PAIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Certified Outpatient Coding Specialist codes and abstracts all pertinent patient medical information according to AHA ICD-10-CM/PCS and AMA CPT-4 Coding conventions, UHDDS guidelines and CMS directives.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Morristown, NJIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Network Coordinator, Coding Audit & Education St. Luke's University Health NetworkNetwork Coordinator, Coding Audit & EducationAllentown, PAEDUCATION: Must maintain and be credentialed in at least ONE of the following AHIMA and/or AAPC recognized Professional Coding Certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Reviews and validates coded medical records to assess coding accuracy, documentation integrity, compliance risk, and reimbursement impact related to ICD-10-CM/PCS, CPT/HCPCS, DRG/APC assignment, modifiers, and applicable payment methodologies.
Coding and Documentation Coordinator Hunterdon HealthCoding and Documentation CoordinatorFlemington, NJPositionSummary The Coding and Documentation Coordinator monitors financial and operational reports to facilitate the timely and accurate submission of inpatient and outpatient claims in an unbilled or billed status in order to maintain weekly Diagnosis Not Final Bill (DNFB) and Billing Rejections benchmarks. Assists with the query resolution and reporting procedures Logs and tracks clinical validation audits and outcome Assists with the resolution of HIM and Coding related edits Assists with assigning accounts and providing necessary documentation (e.g., via imaging, faxing) to internal coders and external vendors.
Inpatient Coding Specialist (Remote - Full Time | PA & NJ Candidates) St. Luke's University Health NetworkInpatient Coding Specialist (Remote - Full Time | PA & NJ Candidates)Allentown, PARemoteWith annual net revenue in excess of $4 billion, the Network's service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. Luke's University Health Network (SLUHN) is a fully integrated, regional, non-profit network of more than 23,000 employees providing services at 16 campuses and 350+ outpatient sites.
Coding Instructor Code NinjasCoding InstructorGreen Brook, New JerseyWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Coding Instructor Cognito LLCCoding Instructorgreen brook, NJWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Marketing Director, Biomarkers PhotocureMarketing Director, BiomarkersPrinceton, NJ$180,000–$200,000 / yearThis role will initially focus on commercialization of centralized laboratory-developed testing (LDT) services while supporting the long-term strategic transition toward distributed FDA-regulated in vitro diagnostic (IVD) products. Partner effectively across Global Marketing, Sales, Medical Affairs, Clinical Affairs, Regulatory Affairs, Research & Development, Market Access, Laboratory Operations, Quality, Finance, and Executive Leadership.
Medical Billing Associate Nj Pediatric Neuroscience InstituteMedical Billing AssociateMorristown, New Jersey$21–$28 / hourWe believe that by working together, with patients and their families, our neurosurgeons, neurologists, ancillary healthcare providers, therapists, and orthotists deliver the best care in the world. We seek to improve a child’s health and quality of life by delivering expeditious and accurate diagnoses along with a comprehensive array of surgical and nonsurgical therapeutic options.
Medical Billing Representative - Hospital Billing St. Luke's University Health NetworkMedical Billing Representative - Hospital BillingAllentown, PAJOB DUTIES AND RESPONSIBILITES: Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner, performing all associated duties to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
Clinical Billing Integrity Lead Analyst GeneDX LLCClinical Billing Integrity Lead AnalystNJRemote$100,000–$120,000 / yearThe lead analyst will work closely with claims, coding, appeals, billing and other internal clinical teams to ensure adherence to payer policies and regulatory guidelines, mitigating the risk of claim denials and improving success of appeals to ensure accurate reimbursement. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world's largest, rare disease data sets.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistMorristown, NJ$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Senior Consultant - Clinical Documentation Specialist DeloitteSenior Consultant - Clinical Documentation SpecialistMorristown, NJ$95,600–$188,400 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Professional Fee Coder St. Luke's University Health NetworkProfessional Fee CoderAllentown, PAIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. JOB DUTIES AND RESPONSIBILITIES: Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
Professional Fee Coder (Remote PA/NJ) (Per diem) St. Luke's University Health NetworkProfessional Fee Coder (Remote PA/NJ) (Per diem)Allentown, PARemoteIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. JOB DUTIES AND RESPONSIBILITIES: Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.