Senior Software Development Engineer CVS Health CorpSenior Software Development EngineerNY$83,430–$222,480 / yearCVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world. Currently, we are seeking a Senior Software Development Engineer with deep expertise in Java/JEE, Spring Boot, RESTful microservices, and Kafka to lead the design and development of scalable, secure cloud-native solutions.
Certified Coding Specialist ONS MSO LLCCertified Coding SpecialistStamford, CTThis role directly impacts revenue integrity by ensuring optimal CPT/ICD-10 coding, minimizing denials, and supporting provider's documentation improvement. Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors: Review coding-related denials (medical necessity, bundling, documentation).
Associate Director of Billing & Coding ONS MSO LLCAssociate Director of Billing & CodingStamford, CTThe Associate Director actively reviews coding trends, resolves escalations, conducts audits, provides education and partners with clinical and operational leaders to reduce denials, prevent revenue leakage, and strengthen documentation practices. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
NewClinical Research Reimbursement Compliance Analyst - Cardiology Mount Sinai Health SystemClinical Research Reimbursement Compliance Analyst - CardiologyNew York, NY$65,885–$98,827 / yearBachelor's degree in Health Information Management (HIM), Healthcare Administration, Medical Coding, Business Administration, Public Administration, Healthcare Management, or related field with coursework relating to healthcare operations includes the following topics: Medical Terminology, Human Anatomy and Physiology, ICD-10 Coding, and CPT Coding, or closely related courses. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Billing Manager DocGo IncBilling ManagerNY$75,000–$85,000 / yearDocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. About DocGo: DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services.
SAP Cloud Security Engineer (GoLang / Policy-as-Code) Computer Task Group, IncSAP Cloud Security Engineer (GoLang / Policy-as-Code)NYRemote$65–$70 / hourAbout CTG CTG, a Cegeka company, delivers IT and business solutions that enhance clients' digital agility, empowering them to seize new opportunities and overcome any challenge. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, market factors, and where applicable, licensure or certifications obtained.
Offsite Billing Coordinator- Multispecialty, Bronx, New York, Full Time, Days Mount Sinai Health SystemOffsite Billing Coordinator- Multispecialty, Bronx, New York, Full Time, DaysNY$20–$28.98 / hourWe are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Patient Navigator/Front Office HealogicsPatient Navigator/Front OfficeEdison, New JerseyLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
Senior Analyst Medical Data NewYork-PresbyterianSenior Analyst Medical DataNew York, NY$54.35–$62.35 / hourWith newly opened offices in the heart of Manhattan and expanded work-from-home options, Health Information Management is reaching new levels of flexibility and innovation. At NewYork-Presbyterian, you'll collaborate closely with leading physicians and documentation improvement nurses, supported by our innovative specialty coding model.
AI Code Engineering Lead MadhiveAI Code Engineering LeadNew York, New YorkMadhive’s platform provides the unique ability to reach local audiences at national scale, with premium supply partnerships and end-to-end tools for planning, targeting, and measuring full-funnel campaign outcomes. Whether it’s taking ideas from previous lives and applying them in different ways or creating something completely new, we are all trail-blazing team players who think big and want to make an impact.
Associate Project Manager - Code and Complaince Schindler Holding LtdAssociate Project Manager - Code and ComplainceNY$90,300–$112,900 / yearYou will track and report on key performance indicators such as confirmation of periodic safety inspections, resolution of non-conformances, and adherence to regulatory deadlines, helping deliver safe, reliable, and compliant service to customers. Once sold, coordinate and schedule test dates with third parties (e.g., fire testing), schedule CAT1 inspections with mechanics, and/or arrange repairs while maintaining constant communication with Superintendents and sales reps.
Test And Code Compliance Coordinator KONE Inc.Test And Code Compliance CoordinatorNew York, NY$63,000–$82,740 / yearAs our Test and Code Compliance Coordinator, you will manage local and district processes for scheduling, and interface with Service/Repair Supervisors, customers, 3rd party inspection companies and local regulatory bodies to schedule testing and inspections. For Branches not on ATI Tender Creation, create billable tenders for testing and inspections for customers, follow-up to obtain approval, create Billable Service Orders and requisition parts as required.
NewTest and Code Compliance Coordinator KONE CorpTest and Code Compliance CoordinatorNew York, NY$63,000–$82,740 / yearAs our Test and Code Compliance Coordinator, you will manage local and district processes for scheduling, and interface with Service/Repair Supervisors, customers, 3rd party inspection companies and local regulatory bodies to schedule testing and inspections. For Branches not on ATI Tender Creation, create billable tenders for testing and inspections for customers, follow-up to obtain approval, create Billable Service Orders and requisition parts as required.
NewMedical billing/collections Goldstar StaffingMedical billing/collectionsWoodmere, New YorkReview and analyze medical records and claims to ensure accurate coding and billing- Utilize knowledge of medical terminology, ICD-9, ICD-10, and DRG systems to assign appropriate codes- Verify insurance coverage and obtain necessary authorizations for medical procedures- Communicate with healthcare providers, patients, and insurance companies to resolve billing issues- Follow up on unpaid claims and appeal denials as necessary- Maintain patient confidentiality and comply with HIPAA regulations. ```Skills```- Strong understanding of medical office procedures and practices- Proficiency in medical coding and billing systems- Knowledge of ICD-9, ICD-10, and DRG coding principles- Familiarity with medical terminology and procedures- Excellent attention to detail and accuracy in data entry- Strong communication skills to interact effectively with healthcare professionals, patients, and insurance companies- Ability to work independently and prioritize tasks in a fast-paced environment.
NewMedical Billing/Collections Full TIme Goldstar StaffingMedical Billing/Collections Full TImeWoodmere, New YorkReview and analyze medical records and claims to ensure accurate coding and billing- Utilize knowledge of medical terminology, ICD-9, ICD-10, and DRG systems to assign appropriate codes- Verify insurance coverage and obtain necessary authorizations for medical procedures- Communicate with healthcare providers, patients, and insurance companies to resolve billing issues- Follow up on unpaid claims and appeal denials as necessary- Maintain patient confidentiality and comply with HIPAA regulations. ```Skills```- Strong understanding of medical office procedures and practices- Proficiency in medical coding and billing systems- Knowledge of ICD-9, ICD-10, and DRG coding principles- Familiarity with medical terminology and procedures- Excellent attention to detail and accuracy in data entry- Strong communication skills to interact effectively with healthcare professionals, patients, and insurance companies- Ability to work independently and prioritize tasks in a fast-paced environment.
Billing Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician Practice Hackensack Meridian HealthBilling Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician PracticeHackensack, New JerseyFull timeThis position 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 the 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.
Claims Manager Normann StaffingClaims ManagerRye Brook, NY$70,000–$110,000 / yearManage auto estimating processes, auto service management, auto body repair coordination, water damage restoration assessments, mold remediation evaluations, construction inspection reports, and automotive repair claims. This position offers an engaging opportunity for professionals experienced in insurance claim management who are committed to excellence in customer service while ensuring regulatory compliance across diverse claim types including workers' compensation, automotive repairs, medical billing, and property restoration projects.
NewEPIC Physician Billing Analyst KLM CareersEPIC Physician Billing AnalystHicksville, New York3. Do you have 3+ years of experience and expertise in Epic's Professional Billing module, including charge router, work queue configuration, collection agency workflows, statement processing, benefit engine, and estimates. Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
Billing Specialist ONS MSO LLCBilling SpecialistStamford, CTHeadquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care.
Medical Coder Phaxis LLCMedical CoderBrooklyn, NY$38–$40 / hourIdeal Candidate: Detail-oriented, knowledgeable, and experienced in hospital coding workflows with the ability to thrive in a fast-paced acute care environment. Our hospital client is seeking an experienced Medical Coder with strong inpatient and Emergency Department coding experience to join their team!
NewForward Deployed Engineer MachinifyForward Deployed EngineerNew York, NY$90,000–$115,000 / yearCertification (at Least One Of The Following Is Required)RHIA – Registered Health Information AdministratorRHIT – Registered Health Information TechnicianCCDS – Certified Clinical Documentation SpecialistCDIP – Clinical Documentation Improvement PractitionerCCS – Certified Coding SpecialistCIC – Certified Inpatient CoderQualificationsInpatient claims auditing, quality assurance or recovery auditing experience of 2 years or more required, and/or Inpatient Clinical Documentation Integrity experience of 2 years or more required. About The OpportunityAs part of the Complex Payment Solutions Team, you will, as a DRG Reviewer, be a key contributor responsible for conducting thorough DRG payment validation reviews, including clinical and coding assessments, of medical records and related documentation in accordance with contract-specific review criteria.
Medical Billing - Workforce Development Instructor - (Pooled Position) County College of Morris FoundationMedical Billing - Workforce Development Instructor - (Pooled Position)NJExperience • Knowledge of navigation of healthcare industry rules and regulations including HIPAA, False Claims Act, Fair Debt Collections Act, and an understanding of the life cycle of a medical billing claim and how to improve the revenue cycle. Posting Summary Position Title: Medical Billing - Workforce Development Instructor - Pooled Position Job Category: WFD Salary Range: Position Type: Instructor Department: Workforce Development - Instructional.
Dentist ( Pediatric Experience Required) -FT Exams Only - Queens PDS Management Services, LLCDentist ( Pediatric Experience Required) -FT Exams Only - QueensQueens, NY$3,000–$4,000Full timePDS Management Services is seeking skilled Pediatric Dentists or General Dentists with Pediatric Experience to provide exceptional oral healthcare to children at our Queens, NY location. Perform comprehensive dental exams and develop personalized treatment plans for pediatric patients.
Billing & Accounts Receivable Specialist Release RecoveryBilling & Accounts Receivable SpecialistRye, NY$65,000–$75,000 / yearThis individual will work closely with the Director of Business Operations and Director of Revenue Operations to ensure that cash pay invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. Manage extension requests and contracts, including communication with clients and guarantors regarding billing questions and account needs.
Vice President, Quantitative Sciences & Development SK Life Science, Inc.Vice President, Quantitative Sciences & DevelopmentParamus, New Jersey$325,000–$375,000 / yearFull timeOverview: The Vice President, Quantitative Sciences & Developmentprovides strategic, scientific, and operational leadership for the company's Clinical Pharmacology, Pharmacometrics, Toxicology, DMPK, Biostatistics, Statistical Programming, and Clinical Data Management functions across all phases of drug development. This executive is responsible for developing and overseeing execution of integrated quantitative strategies that support efficient translation from non-clinical development, clinical development, regulatory submissions, and evidence generation while ensuring delivery of high-quality, inspection-ready clinical data and statistical analyses.
Salesforce Developer DealerOn IncSalesforce DeveloperNYRemote$77,500–$114,900 / yearWorking closely with business stakeholders and technical teams, the Salesforce Developer evaluates business processes, recommends technical solutions, configures declarative functionality, develops custom applications and integrations, and ensures the platform remains secure, scalable, and aligned with business objectives. This role combines hands-on Salesforce administration with custom application development to deliver scalable business solutions across Sales Cloud, Service Cloud, Experience Cloud, Revenue Cloud, Billing, Marketing Cloud Account Engagement (Pardot), and other integrated technologies.
Android Engineer II Fox CorporationAndroid Engineer IINew York, NY$114,000–$132,000 / yearUnder the FOX banner, we produce and distribute content through some of the world's leading and most valued brands, including: FOX News Media, FOX Sports, FOX Entertainment, FOX Television Stations and Tubi Media Group. You'll collaborate closely with product managers, designers, backend engineers, and fellow Android developers to deliver scalable, reliable, and engaging experiences for millions of users.
Manager Patient Accounts (Commercial & Government) University Hospital, Newark NJManager Patient Accounts (Commercial & Government)Newark, New Jersey$120,522–$144,628 / yearFull timeAs the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation. University Hospital considers multiple factors when determining compensation, including (but not limited to) the scope and responsibilities of the position, the candidate’s relevant work experience, education and training, key skills, internal equity, market data, and organizational needs.
Surgical Coder - Spine Specialty ONS MSO LLCSurgical Coder - Spine SpecialtyStamford, CTHeadquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. Who we are: Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future.
Application Security Analyst Sound Inpatient Physicians Holdings, LLCApplication Security AnalystNY$75,000–$110,000 / yearCategorySelectAccountable Care OrgAccounting & PayrollAdvisory ServicesAnesthesiologyBusiness DevelopmentClinical SupportCritical CareData & AnalyticsEmergency MedicineFinanceHospital MedicineInformation TechnologyNursingOperationsPeople TeamPost Acute / Transitional CareRevenue CycleSite AdministrationTelemedicine. Integrate security controls and automated checks into CI/CD pipelines, including Static Application Security Testing (SAST), Dynamic Application Security Testing (DAST), Software Composition Analysis (SCA), secret scanning, container security scanning, and Infrastructure-as-Code (IaC) validation.
Certified Prosthetist Orthotist Mobility Ideal Health CareCertified Prosthetist OrthotistEdison, NJThe ideal candidate will demonstrate expertise in patient care, fabrication, and fitting of custom devices, documenting all care and properly and ethically coding correctly along with a strong commitment to enhancing patient mobility and independence. Position Summary: The Certified Prosthetist Orthotist (CPO) will be responsible for evaluating, designing, and fitting prosthetic and orthotic devices for patients with limb loss, disabilities, or musculoskeletal issues.
Senior Technical Program Manager, Data Platform Komodo HealthSenior Technical Program Manager, Data PlatformNew York, NYRemote$173,000–$215,000 / yearThis Senior TPM owns programs that span multiple teams and directly shape how and when new capabilities reach customers, with particular depth on the data platform that the entire product portfolio is built on, so the programs you run set the pace for everything downstream. Across the healthcare ecosystem, we're helping our clients unlock critical insights to track detailed patient behaviors and treatment patterns, identify gaps in care, address unmet patient needs, and reduce the global burden of disease.
Senior Associate - AI Engineer New York Life Insurance CoSenior Associate - AI EngineerNew York, NY$114,401–$142,900 / yearBecause delivering AI solutions to production requires multiple skill sets, our team includes product managers, data scientists, AI engineers, program managers, model validation and governance professionals, and communications and development specialists. Our diverse business portfolio creates opportunities to make a difference across industries and communities-inviting bold thinking, collaborative problem-solving, and purpose-driven innovation.
[REMOTE] Senior Platform Software Engineer- Oracle Clinical Digital Assistant Oracle Corp[REMOTE] Senior Platform Software Engineer- Oracle Clinical Digital AssistantNY$92,500–$209,500 / yearOracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. Collaborate closely with AI researchers, software developers, product managers, UX designers, and healthcare domain experts to define and deliver innovative solutions.
Medical Coder Westchester Community Health CenterMedical CoderWhite Plains, NY$35,000–$45,000 / yearWestchester Community Health Center is a 501(c)(3) non-profit organization that provides high-quality primary, preventative, and affordable healthcare and support services in an atmosphere of humane care, dignity, and respect to improve the health and lives of adults, teens, and children in Westchester County and the Bronx, New York. For more information about our job openings, please contact us at: Westchester Community Health Center 107 West Fourth Street Mount Vernon, NY 10550 phone: (914) 699-7200 email: info@wchchealth.org.
Medical Coder Stony Brook Community Medical, PCMedical CoderCommack, New YorkQuantitative analysis - Performs a comprehensive review of the record to ensure the presence of all component parts, such as patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports that appear to be indicated by the nature of the treatment rendered. Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete.
Senior Compliance Specialist NYU Langone HealthSenior Compliance SpecialistNew York, NY$84,577.92–$142,767.54Full timeConducts risk assessments to define audit priorities by evaluating previous audit findings, management priorities, ICD, APC and DRG utilization patterns, national normative data, CMS and PEPPER initiatives, OIG work plans and advisories, and healthcare industry best practices. The Senior Compliance Specialist (Hospital Billing Auditor) will support the Manager of Hospital Billing Compliance and the Director of Billing Compliance in the development and implementation of the Hospital Billing Compliance program at NYU Langone Health System to ensure adherence with federal and state billing regulations.
NewEPIC Physician Billing Analyst Hicksville, NY ESRhealthcare and EXEC STAFF RECRUITERSEPIC Physician Billing Analyst Hicksville, NYHicksville, New YorkExperience level: Mid-senior Experience required: 5 Years Education level: Bachelors degree Job function: Accounting/Auditing Industry: Computer Software Compensation: View salary Total position: 1 Relocation assistance: No Visa sponsorship eligibility: No. Technical Skills: Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
Certified Professional Coder (Accounts Receivable) Accounts ReceivableCertified Professional Coder (Accounts Receivable)Fort Lee, New JerseyThe salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department.
Medical Records & Billing Administrator Ophelia Health IncMedical Records & Billing AdministratorNYRemoteIn order to prevent pay disparities and reduce time spent in negotiations, we take a "first and best" offer approach: this means we're not holding any compensation back from our candidates, and you can feel confident that our pay is fair and does not vary based on the strength of someone's negotiation skills. We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America.
Professional Coder - FT - Day - Physician Professional Coders Remote (NJ, PA, AL) Capital HealthProfessional Coder - FT - Day - Physician Professional Coders Remote (NJ, PA, AL)NJRemote$25.49–$33.16 / 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. Responsible for accurately reviewing and assigning Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and ICD-10-CM codes for professional claims billed by Capital Health Medical Group (CHMG) for hospital and outpatient procedures.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)NY$86,560–$155,808 / 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. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Senior Compliance Specialist New York University School of MedicineSenior Compliance SpecialistNY$84,577.92–$142,767.54 / yearConducts risk assessments to define audit priorities by evaluating previous audit findings, management priorities, ICD, APC, and DRG utilization patterns, national normative data, CMS, and PEPPER initiatives, OIG work plans and advisories, and healthcare industry best practices. The Senior Compliance Specialist (Hospital Billing Auditor) will support the Manager of Hospital Billing Compliance and the Director of Billing Compliance in the development and implementation of the Hospital Billing Compliance program at NYU Langone Health System to ensure adherence with federal and state billing regulations.
Sr. Director - Revenue Integrity (Remote) Stanford Health CareSr. Director - Revenue Integrity (Remote)NYRemote$100.03–$132.51 / hourOperating as a key leader within the Mid-Revenue Cycle, the Senior Director partners closely with executive leaders, clinical department chairs, clinical leadership, finance, School of Medicine partners, Supply Chain, Pharmacy, Strategic Pricing and IT teams. This individual is responsible for leading multiple functional teams, managing substantial budgets, developing long-range planning, and ensuring that strategic initiatives align with Stanford Health Care priorities for patient care, teaching, research, and financial stewardship.
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.
Diagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)New York, NY$86,560–$155,808 / 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. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
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.-
Denials Coordinator - Hospital Billing Patient Financial Services - Corporate 42nd Street - Full-Time - Days Mount Sinai Health SystemDenials Coordinator - Hospital Billing Patient Financial Services - Corporate 42nd Street - Full-Time - DaysNY$65,885–$98,827 / yearKey responsibilities include analyzing claim denial reasons, identifying denial trends, sharing trends and findings with owner areas, coordinating the appeals process, collaborating with departments to prevent future denials, maintaining documentation including issue logs with updates, denied dollars and resolutions, and acting as a resource for staff regarding denial-related issues and payer rules. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
NewRevenue Cycle Denials Analyst Richmond University Medical CenterRevenue Cycle Denials AnalystStaten Island, NY$60,000–$70,000 / yearFamiliarity with UB-04 facility billing, payer remits, CARC/RARC codes, and OPPS/APC/DRG methodologies strongly preferred. Works with Patient Access, Coding, Utilization Review, Billing, Managed Care, and clinicians to reduce denial root causes.
IMG for chart review CROSS COUNTY MEDICAL CAREIMG for chart reviewBELLEROSE, NYPart timeCross County Medical Care is a trusted healthcare provider serving the Bellerose, NY community with a commitment to high-quality, patient-centered care. This is a fantastic opportunity for a medically trained professional to contribute their clinical knowledge in a detail-oriented, documentation-focused role.