NewMedical Claims Processor GlobalchannelmanagementMedical Claims ProcessorParamus, New JerseyPartner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. Medical Claims Processor duties: Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
AI Model Engineer - Remote/Nationwide Signature Performance, Inc.AI Model Engineer - Remote/NationwideNewark, NJRemoteDocument architectural approaches, model behaviors, and best practices for internal knowledge growthMinimum Requirements:Education & Experience- Bachelor's or Master's degree in Computer Science, AI/ML, Engineering, Applied Mathematics, or related field (or equivalent experience).- 3--7+ years of hands-on experience designing, training, or deploying machine learning or deep learning models.- 2+ years of direct experience with large language models, transformer architectures, or agentic AI systems. In the role of AI Model Engineer, you will design, fine-tune, evaluate, and deploy large language models (LLMs), multimodal models, retrieval systems, and agentic frameworks that support high-volume medical coding, billing, claims processing, health insurance discovery, eligibility verification, customer service support, EDI ingestion, and enterprise automation.-
NewHealth Economics Manager, Peripheral Vascular Stryker CorporationHealth Economics Manager, Peripheral VascularWhite Plains, NYRemote$118,000–$196,700 / yearThe Area HEMA Manager works independently, supporting the reimbursement and market access development to improve access for patients, providers, and payors to the organization's technology and product portfolio, as well as the primary expert in the field in all areas related to reimbursement of the company's products. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
Senior Medical Biller M&D Capital Premier BillingSenior Medical BillerRichmond Hill, New YorkThe ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Benefits: M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance.
Clinical Data Scientist/ Methodologist SanofiClinical Data Scientist/ MethodologistMorristown, 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.
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.
Chinese Speaking Medical Biller NY Otolaryngology PLLCChinese Speaking Medical BillerFlushing, NYFull timeAs a Medical Biller, you will be working closely with patients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from patients. You will also assist and follow-up inquiries to patients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
NewMedical Office Manager The Cardiovascular Care GroupMedical Office ManagerClifton, NJOversee revenue cycle activities, including coding accuracy, charge capture, prior authorizations, claim submissions, denials management, collections, and collaboration with billing teams. Manage clinical and patient support functions, including prescription refills, patient clinical inquiries, disability forms, CT/MRI authorizations, and weekly chart preparation.
Medical Billing Specialist Integrated Health Administrative ServicesMedical Billing SpecialistMamaroneck, New YorkIn this position you are responsible for both administrative functions, client relations and billing processes and will work with the team to ensure the revenue cycle is handled effectively and efficiently. Investigate, correct and resubmit claim denials from third-party payers to ensure billing and coding accuracy.
Office Manager (Yonkers) Cordial HealthOffice Manager (Yonkers)Yonkers, New YorkThe Office Manager will oversee both front-office and back-office functions, ensuring efficient patient flow, accurate billing, compliant operations, and a positive experience for patients and providers. We are seeking an experienced and highly organized Office Manager to lead daily operations for a fast-growing Neurology and Psychiatry medical practice in Yonkers, New York.
NewDirector, Pre-Bill DRG Review - Quality Assurance, Training & Education CorroHealth IncDirector, Pre-Bill DRG Review - Quality Assurance, Training & EducationNJThis role is responsible for designing, implementing, and continuously improving the quality assurance framework that governs pre-bill coding review, as well as building and leading the training and education infrastructure that supports coding staff, clinical documentation integrity (CDI) specialists, and auditors. The Director partners closely with HIM leadership, CDI, Compliance, Revenue Cycle, and Physician Advisors to reduce DRG mismatches, denials, and revenue leakage while maintaining strict adherence to Official Coding Guidelines, CMS regulations, and payer-specific requirements.
Inpatient Medical Coder – PRN – Up to $1,000 Sign on Bonus DatavantInpatient Medical Coder – PRN – Up to $1,000 Sign on BonusNew York City, NYRemote$32–$42 / hourThe estimated base pay range per hour for this role is: $32—$42 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. Guided 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.
Inpatient Medical Coder – FT – Up to $5,000 Sign on Bonus DatavantInpatient Medical Coder – FT – Up to $5,000 Sign on BonusNew York City, NYRemote$32–$42 / hourThe estimated base pay range per hour for this role is: $32—$42 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. Guided 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.
Medical Records Associate The Cardiovascular Care GroupMedical Records AssociateNJConsistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Effective communication skills facilitate collaboration with healthcare providers and administrative personnel to resolve documentation issues and support quality patient care.
NewMedical Office Associate II, Full Time, Days, AMG Hematology/Oncology, Sparta, NJ Atlantic Health System IncMedical Office Associate II, Full Time, Days, AMG Hematology/Oncology, Sparta, NJSparta, NJWe are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania. Atlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time.
Manager, Electrophysiology - Physician Practice Hackensack Meridian HealthManager, Electrophysiology - Physician PracticeHackensack, New JerseyFull timeResponsibilities: A day in the life of a Manager of Electrophysiology at Hackensack Meridian Health includes: Oversees all areas of patient's non-clinical experience including telephone communications, patient scheduling, patient reception, patient check-in and check-out, pre-certifications, referrals, and managing the EMR. 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.
DRG Clinical Validation Lead Elevance HealthDRG Clinical Validation LeadNew York, NY$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Medical Assistant - Urology UnitedHealth Group IncMedical Assistant - UrologyLake Success, NYClinical › Corporate and business operations › Customer and support services › Early careers› Sales and account management › Technology and data› Physicians› Advanced practice clinicians› Pharmacy› Behavioral health› Nursing› Medical coding› Clinical support› U.S. › Ireland & UK › India › Philippines › Culture of Belonging› Employee Benefits› Blog. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
NewCoder Northwell Health IncCoderLake Success, NYWhen determining a team members base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment.
Patient Services Representative UnitedHealth Group IncPatient Services RepresentativeWest Nyack, NYConsider number of unauthorized or unscheduled absences a pattern of before and after-weekend absences tardiness and early departures and long meal periods in accordance with the policy Promotes a positive work attitude fostering teamwork and acceptance of management decisions Supports on-site training initiative for new Patient Services employees Assist co-workers whenever possible to achieve office goals and patient satisfaction Works independently takes initiative in completing assignments and does so without reminder Completes all miscellaneous work assigned by Director Assistant Director Manager Supervisor Team Leader or Physician accurately and in a timely manner Opens office as needed turns on copiers terminals and printers and updates computer for current days session Communicate with clinical staff to keep patient informed of appointment status Verifies insurance eligibility and coverage by phone independent website RTE or EPIC at time of service Verifies patient demographic and insurance information at time of visit. Act on notations and complete the check in process successfully Schedules Cancels Reschedules patient appointments as ordered by the physician adhering to scheduling policies and procedures Obtains HMO insurance referrals as required for maximum reimbursement of services rendered Notifies management or other departments appropriately using Clerical Templates for various issuesrequestsreasons Maintains supply inventories and equipment necessary for the effective performance of the job communicates supply needs to the office supervisor in a timely manner Maintains a neat organized orderly environment in the reception and waiting room areas including physician business cards brochures signage etc Closes office as needed ensuring all patients accounted for and discharged.
(Remote) Manager, Account Follow-Up Services Harris Computer Systems(Remote) Manager, Account Follow-Up ServicesFlorida, PRRemoteAs a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms.
Inpatient Audit Specialist PRN 1,000 Sign on Bonus DatavantInpatient Audit Specialist PRN 1,000 Sign on BonusNew York City, NYRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. The estimated base pay range per hour for this role is: $35—$45 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.
Inpatient Audit Specialist FT DatavantInpatient Audit Specialist FTNew York City, NYRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. The estimated base pay range per hour for this role is: $35—$45 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.
Inpatient Audit Specialist FT- 2,500 Sign on Bonus DatavantInpatient Audit Specialist FT- 2,500 Sign on BonusNew York City, NYRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. The estimated base pay range per hour for this role is: $35—$45 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.
Coder III - Physician Practice Hackensack Meridian HealthCoder III - Physician PracticeEdison, New JerseyFull timeThe Physician Coder III is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. 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.
Consultant, Outcomes Research Stats Analyst Artech LLCConsultant, Outcomes Research Stats AnalystFlorham Park, NJRemote$84.84 / hourBachelors, Master or post-graduate degree (eg, PhD, DrPH, PharmD) in Health Economics, Biostatistics, Health Services Research, Public Health, Epidemiology, Pharmacy Administration, or other relevant discipline, with experience in coding and developing analytical datasets and conducting statistical analysis. • Extensive work experience with large US insurance claims databases, electronic medical records, registry databases for health outcomes research (e.g., Premier, IBM-marketscan, THIN European database, Humedica, IMSPharmetrics +, GEhealth, Flatiron, OMNY etc.).