NewRevenue Integrity Analyst, Epic Revenue Cycle Analyst, Mt. Laurel VIRTUARevenue Integrity Analyst, Epic Revenue Cycle Analyst, Mt. LaurelMount Laurel, NJIncumbent must develop close working relationships with management and staff in Revenue Integrity, Finance, Information Technology and Revenue and Clinical Operations allowing them to perform deep-dive analysis and reviews assisting with the identification of trends, solutions and potential corrective action steps. Work with Revenue Integrity Team, Clinical Operations and Patient Financial Services staff to implement corrective actions to ensure compliant charges, prevent future rejections/denials and accurate and reimbursement.
Hospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding RemoteNJRemote$64,625.60–$84,448 / yearHospital Coder Inpatient Senior Coder is an expert-level coding professional responsible for accurately reviewing and coding complex inpatient medical records using ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and appropriate MS-DRG/APR-DRG grouping methodologies. This role serves as a subject matter expert within the coding department, performing second level reviews, mentoring staff, and collaboration with Clinical Documentation Improvement (CDI), quality, and revenue cycle teams to ensure optimal reimbursement and compliance with regulatory guidelines.
Professional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA AL Capital HealthProfessional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA ALPARemote$29.27–$38.25 / hourFrequent 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, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion, Taste or Smell, Talk or Hear. When 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.
Medical Billing & Coding Instructor American InstituteMedical Billing & Coding InstructorToms River, New Jersey$26–$28 / hourOther skills and abilities - ability to inspire students to meet career goals by tying course curriculum to potential career outcomes, Learning Management Systems, Student Information Systems, synchronous instructional tools. You collaborate closely with program leaders and other departments to enhance student success, foster retention, support certification, celebrate graduation milestones, and facilitate successful career placements.
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.
Coding and Billing Manager-Certified Coder Rockhill Orthopaedic, PCCoding and Billing Manager-Certified CoderSummit, New JerseyWhile this is intended to be accurate reflections of the current job, management reserves the right to revise the job or to require that other or different tasks to performed when circumstances change (i.e., emergencies, changes in personnel, workload, rush jobs, or technological developments). Rockhill Orthopaedic Professional Corporation CODING AND BILLING MANAGER-CERTIFIED CODER Position Description: The employee in this full-time position (40-50 hours per week) is responsible for overseeing the coders, as well as coding and data entry for office and surgical charges as needed.
Sr. Medical Coding Analyst Temple University Health SystemSr. Medical Coding AnalystPhiladelphia, PAAnalyze and report to physicians all outstanding documentation/reports and any deficiency that requires additional information and/or addendums in order to properly status and submit billing accordingly. Ensures procedural dictations are appropriately documented and timely in various TUHS application systems, including but not limited to EPIC, Provation and/or Cupid.
Compliance Consultant IV - Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV - Medical Coding - Risk AdjustmentPennsylvania, PACompletes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
Director of Billing and Coding (Full Time ) PRIMARY HEALTH NETWORK, INC.Director of Billing and Coding (Full Time )Mercer County, NJReviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency. We envision a future where healthcare is a transformative, personalized journey that embodies a comprehensive approach marked by unwavering integrity, respect for all individuals, continuous innovation, and a relentless commitment to quality.
Compliance Consultant IV, Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV, Medical Coding - Risk AdjustmentPennsylvania, PACompletes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
Hospital Inpatient Coder Certified - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coder Certified - FT - Day - HIM Facility Coding RemoteNJRemote$28.70–$37.32 / hourAssigns and properly sequences accurate ICD-10-CM diagnosis and ICD-10-PCS procedure codes in accordance with Official Coding Guidelines, UHDDS definitions, Coding Clinic guidance and CMS to a full range of inpatient services including cases with a high complexity level. Ensures accurate capture of Major Comorbid Conditions (MCC)/Comorbid Conditions (CC), Present on Admission (POA) indicators, Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Severity of Illness (SOI) and Risk of Mortality (ROM).
OASIS Review and Coding Specialist Non-Clinical Bayada Home Health Care, Inc.OASIS Review and Coding Specialist Non-ClinicalPennsauken, NJRemoteProvide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. Responsibilities: Review clinical information for appropriateness, congruency, and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines.
OASIS Review and Coding Specialist RN / PT / OT / SLP Bayada Home Health Care, Inc.OASIS Review and Coding Specialist RN / PT / OT / SLPPennsauken, NJRemote$77,000–$80,000 / yearProvide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. Active State RN Nursing License, Physical (PT), Occupational (OT) or Speech (SLP) Therapists with required certifications with a minimum of 2 years clinical experience.
Service Line Coding Administrator (40 Hrs/Days/Hybrid)(Temple Health) Temple University Health SystemService Line Coding Administrator (40 Hrs/Days/Hybrid)(Temple Health)Philadelphia, PASecond, the Administrator is directly responsible for the organization and management of the point of care coding documentation improvement program for their individual service line. As such, the Administrator must possess an expert knowledge of the documentation issues that impact service line metrics and create strategies to optimize performance.
HIM Inpatient Coding Specialist I Penn MedicineHIM Inpatient Coding Specialist IPhiladelphia, PAPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Refers charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation.
HIM Inpatient Coding Specialist III Penn MedicineHIM Inpatient Coding Specialist IIIPhiladelphia, PAPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Refers charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation.
HIM Coding Specialist Penn MedicineHIM Coding SpecialistPhiladelphia, PAPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Act as a Coding Quality Specialist by referring charts that require clarification of vague or unclear documentation for accurate coding to the physician for the needed documentation.
Coding & Reimbursement Specialist New Jersey ManufacturersCoding & Reimbursement SpecialistTrenton, New JerseyProvide concise and clear audit reports, including rationale for denials and/or reductions, citing relevant resources and supplying supporting documentation, when necessary. The department is seeking an individual that can be a team player while accurately and efficiently auditing medical bills by applying the correct medical, coding, and regulatory guidelines.
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.
Associate Director Revenue Cycle & Coding Cooper University Health CareAssociate Director Revenue Cycle & CodingCamden, NJThe 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.