NewMedical Coding Specialist Ensemble Health PartnersMedical Coding SpecialistBethlehem, PARemote$20.45–$24.70Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. We are seeking candidates with experience in multiple pro-fee specialties: Hem/Onc, Interventional Radiology, CVTS, Ortho, Podiatry, Wound Care, Rad/ONC, General Surgery, Allergy and ENT, OBGYN, Radiology and Urology.
NewNetwork Coordinator, Coding Audit & Education St. Luke's Health Network, Inc.Network Coordinator, Coding Audit & EducationAllentown, PAFull timeMust 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.
Claims and Denial Coding Analyst St. Luke's Health Network, Inc.Claims and Denial Coding AnalystAllentown, PAFull timeIndividually 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.
Inpatient Coding Specialist (Remote – Full Time | PA & NJ Candidates) St. Luke's Health Network, Inc.Inpatient Coding Specialist (Remote – Full Time | PA & NJ Candidates)Allentown, PARemoteFull timeIndividually 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. If candidate is RHIA, RHIT, CCS and/or CPC -eligible or possess no credentials, then candidate will be expected to obtain their AHIMA/AAPC credential within one year of hire date to retain position with St.
Emergency Department Medical Coder - per diem (PA/NJ) St. Luke's Health Network, Inc.Emergency Department Medical Coder - per diem (PA/NJ)Allentown, PAPart timeIndividually 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. 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.
Accounts Receivable Specialist- Professional Radiology Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist- Professional Radiology BillingAllentown, PARemoteFull timeIndividually 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. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
Accounts Receivable Specialist- Hospital Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist- Hospital BillingAllentown, PAFull timeIndividually 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. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
Accounts Receivable Specialist - Hospital Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist - Hospital BillingAllentown, PAFull timeIndividually 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. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
NewEmergency Department Coder St. Luke's Health Network, Inc.Emergency Department CoderAllentown, PAFull timeIndividually 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. 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 (Radiology exp preferred) St. Luke's Health Network, Inc.Professional Fee Coder (Radiology exp preferred)Allentown, PAFull timeIndividually 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. 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) St. Luke's Health Network, Inc.Professional Fee Coder(Remote PA/NJ)Allentown, PARemotePart timeIndividually 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. 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.
Per Diem Professional Fee PA/NJ Remote Coder St. Luke's Health Network, Inc.Per Diem Professional Fee PA/NJ Remote CoderAllentown, PARemotePart timeIndividually 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. 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.
Site Administrator, Multispecialty, Clinton NJ St. Luke's Health Network, Inc.Site Administrator, Multispecialty, Clinton NJClinton, NJ$84,000–$134,400 / yearFull timeMaintains strong collaboration and connectivity with Access Center operations and centralized functions (e.g., POD, Capacity Management, etc.) to enable seamless operations and optimal patient/employee experiences (e.g., transfers, triage protocols, template changes, huddles, POD/practice connectivity, etc.). 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.
Accounts Receivable Specialist (On Site) St. Luke's Health Network, Inc.Accounts Receivable Specialist (On Site)Sellersville, PARemoteFull timeIndividually 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. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
NewHealth Info Abstractor St. Luke's Health Network, Inc.Health Info AbstractorAllentown, PAPart timeIndividually 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. Occasionally may be required to us upper extremities to lift up to 10 lbs; stoop, bend or reach to retrieve resource materials and/or paper records in accordance with downtime policy.
Manager, Practice Operations, Quakertown/Harleysville Pediatrics St. Luke's Health Network, Inc.Manager, Practice Operations, Quakertown/Harleysville PediatricsQuakertown, PAFull timeMaintains strong collaboration and connectivity with Access Center operations and centralized functions (e.g., POD, Capacity Management, etc.) to enable seamless operations and optimal patient/employee experiences (e.g., transfers, triage protocols, template changes, huddles, POD/practice connectivity, etc. Ensures operational readiness for clinical and administrative operations (e.g., developing employee schedules; maintaining supply inventory, office equipment and furnishings, cleanliness; facilitating daily huddles; updating time management systems; maintaining Point of Care licensing, etc.).
Senior Manager, Practice Operations - Pulmonary St. Luke's Health Network, Inc.Senior Manager, Practice Operations - PulmonarySellersville, PAFull timeMaintains strong collaboration and connectivity with Access Center operations and centralized functions (e.g., POD, Capacity Management, etc.) to enable seamless operations and optimal patient/employee experiences (e.g., transfers, triage protocols, template changes, huddles, POD/practice connectivity, etc.). Ensures operational readiness for clinical and administrative operations (e.g., developing employee schedules; maintaining supply inventory, office equipment and furnishings, cleanliness; facilitating daily huddles; updating time management systems; maintaining Point of Care licensing, etc.).
NewNetwork 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.
HIM Data Specialist - FT - Day - HIM Facility Coding Pennington NJ Capital HealthHIM Data Specialist - FT - Day - HIM Facility Coding Pennington NJPennington, NJ$23.09–$30.01 / hourEffectively and continuously communicates information to HIM leadership and other CH leadership and departments on status of Physician Queries, Operative reports, ER Notes, Pathology reports and other pertinent documents to assist in management of DNFB and timeliness of overall HIM operations. Frequent 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.
Medical Billing and Coding Specialist Saint Peter's Healthcare System IncMedical Billing and Coding SpecialistNew Brunswick, NJPerform billing activities in a timely manner, i.e. surgical billing, physician billing and coding; may assist with chart audits to identify areas for improvement and resolve as appropriate. May assist with the education and training of office staff on processing office and surgery claims, managing the Athena hold buckets, IngeniousMed tasks, precertifications, and other billing related functions.
Scratch & Intro to Coding Teaching Opportunities Concorde EducationScratch & Intro to Coding Teaching OpportunitiesAllentown, PA$50–$100 / hourSome programs provide established lesson plans and project guides, while others allow instructors flexibility to incorporate age-appropriate coding activities and creative projects that align with assignment objectives and school expectations. Assignment offers remain contingent upon factors including program availability, instructor qualifications, school partner approval, scheduling compatibility, successful completion of any legally required background review or clearance process, and final written assignment confirmation.
Claims and Denial Coding Analyst St. Luke's University Health NetworkClaims and Denial Coding AnalystAllentown, PAProfessional Fee Radiology Coding and Billing Experience required 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. Relevel TCM service when not supported by the documentation or TCM has been rendered during another TCM 30-day period Attends coding conferences, workshops, and in house sessions to receive updated coding information and changes in coding and/or regulations Assists with training new staff in all aspects of the Analyst role.
Inpatient Coding Specialist (Remote - Full Time | PA & NJ Candidates) St. Luke's University Health NetworkInpatient Coding Specialist (Remote - Full Time | PA & NJ Candidates)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. If candidate is RHIA, RHIT, CCS -eligible or possess no credentials, then candidate will be expected to obtain their AHIMA/AAPC credential within three years of hire date to retain position with St.
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.
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.
Summer Camp Coding, Digital Arts, or Game Development Assistant Teacher Black Rocket ProductionsSummer Camp Coding, Digital Arts, or Game Development Assistant TeacherDoylestown, PA$13–$14 / hourStrong technology skills are preferred, such as 3D modeling, coding, game creation or design, animation, robotics, modifying games, video editing, digital arts, competitive gaming, significant knowledge of Minecraft or Roblox, etc. 2. No specific formal experience required to apply: We train teachers, college students and content area experts on technology and instruction: You provide the desire to work with children using technology and creativity.
IT and Computing: Hardware, Software, Coding- Workforce Development Instructor (Pooled Position) County College of Morris FoundationIT and Computing: Hardware, Software, Coding- Workforce Development Instructor (Pooled Position)Randolph, NJJob Summary Instruction in non-credit continuing professional education courses in one or more of the following areas: IT certifications - A Net Security, Cisco CCNA, AWS coding, programming, and related subject areas. Posting Number: F200P Number of Vacancies: 6 Posting Date: Full Consideration Date: Closing Date: Open Until Filled: Yes Quick Link for Posting: https://jobs.ccm.edu/postings/1964.
Computer Teacher NJDOE Endorsement Code #1810 Preferred Trenton Public SchoolsComputer Teacher NJDOE Endorsement Code #1810 PreferredHolland, NJAll certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE). PERFORMANCE RESPONSIBILITIES: Develops and implements written instructional plans that meet the diverse needs, abilities, and interests of all students.
ESL Teacher NJDOE Endorsement Code #1475 Required Trenton Public SchoolsESL Teacher NJDOE Endorsement Code #1475 RequiredFranklin, NJAll certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE). id='p9375_'>ESL Teacher NJDOE Endorsement Code #1475 Required JobID: 9375.
STEM & Coding Teaching Opportunities Concorde EducationSTEM & Coding Teaching OpportunitiesAllentown, PA$50–$100 / hourPreferred qualifications include: • At least 60 college credits, where required by the applicable assignment or site; • Experience with coding, programming, computer science, or related technology subjects; • Experience teaching, tutoring, coaching, mentoring, or leading activities with school-age students; • Strong communication, organization, and classroom facilitation skills; • Availability to provide services for the accepted assignment schedule and communicate schedule issues as soon as reasonably practicable; and. Payment for completed services is generally made by direct deposit on the fifteenth day of the month following the month in which services were completed, unless otherwise stated in the accepted assignment terms or required by applicable law.
Claude Code Architect (1272) Axtria, Inc.Claude Code Architect (1272)Berkeley Heights, NJFull timeOur cloud-based platforms - Axtria DataMax™, Axtria InsightsIQ™, Axtria SalesIQ™, and Axtria MarketingIQ™ - enable clients to efficiently manage data, leverage data science to deliver insights for sales and marketing planning, and manage end-to-end commercial operations. These agents will be the backbone of next-generation Commercial Data Platform, automating complex workflows across data ingestion, transformation, insight generation, CRM integration, and commercial analytics for pharmaceutical clients.
Urgent Care - Partner Veterinarian - Morristown , {State_Code UsvtaUrgent Care - Partner Veterinarian - Morristown , {State_CodeMorristown, New JerseyAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Partner Veterinarian to provide leadership, superior patient and client care, and financial ownership in the hospital. The ideal leader for this hospital is a veterinarian who is prepared to manage a team of doctors and medical staff and successfully oversee the clinical direction of the practice while building equity.
Accounts Receivable Specialist- Physician Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist- Physician BillingAllentown, PARemoteFull timeIndividually 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. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
NewMedical Billing Specialist AtriumMedical Billing SpecialistSomerset, NJ$25–$28 / hourThe ideal candidate is detail-oriented, proactive, and confident in managing the billing cycle, especially EOB interpretation, follow-up/denials, and working across multiple insurance payers (including out-of-network scenarios). This is a newly created role reporting to the Billing Manager, with the opportunity to help strengthen day-to-day billing operations for a high-volume pain management/spine practice.
Medical Billing Associate NJ PEDIATRIC NEUROSCIENCE INSTITUTEMedical Billing AssociateMorristown, NJ$21–$28 / hourMaintains current knowledge of, and complies with established policies and procedures including patient confidentiality/patient rights, government, insurance and third-party payer regulations . NJPNI Billers and Coding/ Collection Staff members are expected to maintain all licenses and credentials required by state and federal law.
Medical Billing Associate Nj Pediatric Neuroscience InstituteMedical Billing AssociateMorristown, New JerseyWe 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 Specialist Mi Familia & Summit Home Health and HospiceMedical Billing SpecialistBethlehem, PARemote$58,000–$74,000The Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services.
Billing Specialist - Radiation Oncology - Hopewell - Full-Time - DAYS Capital HealthBilling Specialist - Radiation Oncology - Hopewell - Full-Time - DAYSHopewell, NJ$21.33–$27.73 / hourWhen 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. 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.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorNJ$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Inpatient DRG Reviewer Zelis Healthcare, Inc.Inpatient DRG ReviewerMorristown, NJ$79,000–$99,750 / yearRN or LVN required • Inpatient Coding Certification required (CCS, CIC) within 4 - 6 months of hire date • 1 -3 years reviewing and or auditing ICD-10 CM, MS-DRG and APPR-DRG claims preferred • Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs • Experience performing readmission reviews, including evaluating relatedness, preventability, and compliance with readmission policies • Understanding of hospital coding and billing rules • Clinical skills to evaluate appropriate Medical Record Coding • Experience conducting root cause analysis and identifying solutions • Strong organization skills with attention to detail • Outstanding verbal and written communication skills. • Using the revised codes, regroup the claim using provided software to determine the 'new DRG' • Where the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review • Document all aspects of audits including uploading all provider communications, clinical rationale, and/or financial research • Identify new DRG coding concepts to expand the DRG product.
Appeal Analyst RN I Integrated Resources, IncAppeal Analyst RN IHopewell, NJ$40–$42 / hourStrong knowledge of medical terminology, anatomy and physiology, disease processes, treatment protocols, procedural drug therapies, ancillary services, and diagnostic procedures. Additionally, the role provides guidance and education to stakeholders regarding ICD-10-CM coding, DRG assignment, payment methodologies, and audit processes.
Emergency Department Medical Coder - per diem (PA/NJ) St. Luke's University Health NetworkEmergency Department Medical Coder - per diem (PA/NJ)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. 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.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistNJ$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.
Inpatient DRG Sr. Reviewer Zelis Healthcare, Inc.Inpatient DRG Sr. ReviewerMorristown, NJ$95,000–$120,650 / yearWhat You'll Bring to Zelis: Registered Nurse licensure preferred Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT) 5+ years reviewing and/or auditing ICD-10 CM, MS-DRG, and APR-DRG claims preferred Solid understanding of audit techniques, identification of revenue opportunities, and financial negotiation with providers Experience and working knowledge of Health Insurance, Medicare guidelines, and various healthcare programs Strong understanding of hospital coding and billing rules Clinical and critical thinking skills to evaluate appropriate coding Strong organization skills with attention to detail Excellent communication skills both verbal and written, and skilled at developing and maintaining effective working relationships Demonstrated thought leadership and motivation skills, a self-starter with an ability to research and resolve issues. As part of the Price Optimization division, this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings achieved for Zelis clients.
Clinical Data Scientist/ Methodologist SanofiClinical Data Scientist/ MethodologistBridgewater, NJ$100.50–$145.17 / hourMinimum 4-5 years for Master's degree holder or 2-4 years for Doctoral degree holder of relevant experience in real-world data, commercial analytics, real-world evidence, health outcomes research, fit-for-purpose feasibility assessment, data quality assessment or a related field within the pharmaceutical, biotech, or health technology industry. This role serves as a methodological authority and RWD data domain expert, ensuring best-in-class data selection and optimal data usage to generating reliable insights or evidence to better understanding gaps in patient care and healthcare providers involved in patient care.
Accounts Receivable Specialist- Hospital Billing St. Luke's University Health NetworkAccounts Receivable Specialist- Hospital BillingAllentown, 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: Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
Accounts Receivable Specialist- Professional Radiology Billing St. Luke's University Health NetworkAccounts Receivable Specialist- Professional Radiology BillingAllentown, 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: Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorNJ$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Team Lead Accounts Receivable Follow Up SchuylkillTeam Lead Accounts Receivable Follow UpAllentown, PennsylvaniaFinally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region.
Revenue Cycle Specialist – Full Cycle Management MAX Surgical Specialty ManagementRevenue Cycle Specialist – Full Cycle ManagementParsippany, New JerseyPost denials within required timeframe accurately into each practice management system -Analyze and resolve insurance claim denials, including underpayments and rejections -Track and document all actions taken on denied claims within the billing system -Communicate with leadership, patients, and insurance representatives to clarify billing discrepancies -Identify trends and provide feedback to improve claim submission processes and reduce denials -Communicate with healthcare providers, patients, and insurance representatives to clarify billing discrepancies -Manage claim denials related to authorization, medical record . -High School Diploma required, Medical Billing and/or Coding Certification highly preferred -3+ years of hands-on experience in healthcare revenue cycle management, with a proven track record of optimizing processes -1 year experience using Dental Software Network (DSN) -Proficient in all Microsoft Office applications as well as medical office software -Proven experience in healthcare billing -Sound knowledge of health insurance providers -Strong interpersonal and organizational skills -Excellent customer service skills -The ability to work in a fast-paced environment .