Clinical Documentation Specialist RN Hackensack Meridian HealthClinical Documentation Specialist RNHackensack, New JerseyFull timeObtains and promotes appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to ensure clinical documentation reflects the level of service rendered to patients is complete and accurate. Responsibilities: A day in the life of a Clinical Documentation Specialist RN at Hackensack Meridian Health includes: Facilitates appropriate clinical documentation to ensure the level of services and acuity of care are accurately reflected in the medical record.
Advanced Practice Provider - Neurology Service Catholic HealthAdvanced Practice Provider - Neurology ServiceRoslyn, New York$74.67–$93 / hourEnhance the body of knowledge to the APP profession or other areas of specialization through exchange of ideas and knowledge in professional organizations, oral presentations, posters, research activities, and written publications. Job Details: Our programs and services are overseen by a dedicated and compassionate team of award-winning physicians, nurses and supporting medical professionals who put the health needs and safety of our patients first.
Director, Provider Education & Risk Adjustment Metropolitan Jewish Health SystemDirector, Provider Education & Risk AdjustmentNew York, New YorkFull timeThey are responsible for implementation of strategic plans and coordination of all aspects of provider and practice education, including but not limited to scheduling, tracking, follow-up, workflow integration, medical record documentation, coding, and electronic health records. • Analyze medical record documentation and coding through a chart review process that identifies incorrect coding, coding lacking supporting documentation, and missed opportunities to capture risk adjustment diagnoses and associated revenue.
Referrals Specialist I - Bilingual English/Spanish Urban Health Plan IncReferrals Specialist I - Bilingual English/SpanishBronx, NYAbout Urban Health Plan: At Urban Health Plan (UHP) our mission is to continuously improve the health of communities and the quality of life of the people we serve by providing affordable, comprehensive, quality, primary and specialty health care and by assuring the performance and advancement of innovative best practices. At UHP, our commitment to provide patient-centered, holistic, quality health care, is part of a tradition started by our founder, Dr. Richard Izquierdo, more than 50 years ago.
Risk Adjustment Revenue Cycle Analysis and Solutions AnewHealthRisk Adjustment Revenue Cycle Analysis and SolutionsNJRemoteActing as a strategic partner, the Client Service Liaison collaborates closely with PACE program financial teams to interpret Medicare payment data, identify variances or risks, and support accurate and timely premium payments in the Medicare revenue cycle for PACE programs. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly.
Mgr - Multi-Facility CDI - SMNJ Medical Records FAC#1 Saint Michaels Medical CenterMgr - Multi-Facility CDI - SMNJ Medical Records FAC#1Newark, New JerseyFull timeCombining state-of-the-art technology, the latest diagnostic and therapeutic procedures, leading-edge research, and a network of highly qualified physicians, nurses, and allied health professionals, the hospital provides top-quality health care services delivered with compassionate care. Established by the Franciscan Sisters of the Poor in 1867, Saint Michael's Medical Center is a 358-bed regional tertiary-care, teaching, and research center in the heart of Newark's business and educational district and is accredited by The Joint Commission.
Community Pharmacy Team Lead (Thursday to Saturday, 10:00AM - 6:30PM ET) AnewHealthCommunity Pharmacy Team Lead (Thursday to Saturday, 10:00AM - 6:30PM ET)NJRemoteAbility to communicate effectively and professionally through written, verbal (e.g., face-to-face, telephonically and/or virtual communication platforms), and interpersonal skills as applied when interacting with employees, patients, healthcare professionals, clients, or agency representatives; successfully conveying and exchanging information at an appropriate level and in a positive and timely manner. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly.
NewRisk Adjustment Analyst I HealthCare Partners, MSORisk Adjustment Analyst IGarden City, NY$65,000–$75,000 / yearThis position serves as a bridge between data-driven insights and operational execution, helping to identify and resolve gaps in clinical documentation, monitor data integrity, and inform strategies that enhance risk score accuracy and regulatory compliance. The Analyst will work collaboratively with both internal teams and external partners, including health plans and vendors, to execute projects, improve processes, and ensure accurate data submissions.
Benefit Operations Specialist Capital Rx LLCBenefit Operations SpecialistNew York, NY$95,000–$100,000 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. Position Summary: Join our first-of-its-kind Integrated Benefits team as a Benefit Operations Specialist, where you will play a pivotal role in delivering comprehensive medical and pharmacy benefit programs for Judi Health clients.
Risk Adjustment Expert - Fully Remote MercorRisk Adjustment Expert - Fully RemoteNew York, New YorkRemote5+ years of experience in risk adjustment coding , HCC coding , or Medicare Advantage coding operations , with at least 2 years in a leadership role. Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid , and ACA risk adjustment programs.
CDI Specialist Episcopal Health Services IncCDI SpecialistNYAdditionally, St. Johns is proud to be redesignated as a Baby-Friendly Hospital by Baby-Friendly USA - the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States. The hospital is a recipient of the Gold-Plus Get with the Guidelines-Stroke Quality Achievement Award and the Gold-Plus Get with the Guidelines-Heart Failure Quality Achievement Award from the American Heart Association.
Medical Biller Specialist I Urban Health Plan, IncMedical Biller Specialist IBronx, NeRemoteAbout Urban Health Plan: At Urban Health Plan (UHP) our mission is to continuously improve the health of communities and the quality of life of the people we serve by providing affordable, comprehensive, quality, primary and specialty health care and by assuring the performance and advancement of innovative best practices. The Billing Specialist will review medical documentation to property bill services and treatment provided and submit claims to the payers following ICD-10, CPT coding and insurance guidelines.
Facility-Fee Emergency Department Medical Coder Sutherland Global Services IncFacility-Fee Emergency Department Medical CoderClifton, NJThe Facility-Fee Emergency Department Medical Coder is responsible for the accurate review, abstraction, and assignment of ICD-10-CM, CPT, HCPCS, facility-specific charging methodologies, and applicable modifiers for Emergency Department (ED) facility encounters. The coder will review clinical documentation, emergency department records, physician documentation, nursing notes, ancillary reports, and charging information to accurately capture facility services rendered during emergency department visits.
NewReferrals Specialist I- Hybrid- Bilingual English/Spanish Urban Health Plan, IncReferrals Specialist I- Hybrid- Bilingual English/SpanishBronx, NYAbout Urban Health Plan: At Urban Health Plan (UHP) our mission is to continuously improve the health of communities and the quality of life of the people we serve by providing affordable, comprehensive, quality, primary and specialty health care and by assuring the performance and advancement of innovative best practices. At UHP, our commitment to provide patient-centered, holistic, quality health care, is part of a tradition started by our founder, Dr. Richard Izquierdo, more than 50 years ago.
BioMed Engineer I PHS Bio-Medical ServicesBioMed Engineer IDenville, New Jersey$26–$35.10 / hourFull timeResponsibilities: Provide technical assistance and support for proper utilization and maintenance of all Prime Healthcare Management, Inc.’s medical equipment including equipment used in the Emergency Room (open 24 hours a day, every day of the year), equipment for heart treatments such as EKG, doppler, cardiac catheterization, angioplasty, open-heart surgical devices, equipment used in cardiac rehabilitation and exercise conditioning programs, equipment used for occupational and physical therapy, equipment used for in-patient and out-patient surgical techniques including laser surgery, arthroscopy and laparoscopic procedures, MRI machines, CT Scanners, Ultrasound equipment, Echo/Vascular equipment, Nuclear Medicine equipment, Mammography machines, and equipment used in our Intensive Care Unit. Overview: Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
Engineering Manager-Technical Product Owner PwCEngineering Manager-Technical Product OwnerNew York, NY$114,000–$132,000 / yearAt least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Product Management for each missing year of college is required. In this capacity, you will help lead and coordinate end-to-end execution of technology initiatives-driving disciplined project planning, proactive stakeholder communication, and consistent service delivery across cross-functional engineering teams.
Clinical Data Abstractor - GWTG - Part Time Carta HealthcareClinical Data Abstractor - GWTG - Part TimeNew York City, NYRemoteCarta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity. In addition, we have found and strongly believe that diverse teams are higher-performing, and we embrace the varied perspectives that our team members share with each other.
Field Reimbursement Liaison - MidAtlantic Crinetics Pharmaceuticals IncField Reimbursement Liaison - MidAtlanticNJ$162,000–$203,000 / yearThe FRL interfaces with healthcare professionals, including their ancillary staff, nurse case managers (NCMs), HUB coordinators, Market Access team, and various Channel Partners on complex access and reimbursement cases by providing education on Crinetics sponsored patient programs and process guidance in response to prior authorizations, resubmissions, and denials. Candidates are strongly preferred to reside within the MidAtlantic region, including Pennsylvania, West Virginia, New Jersey, Washington DC, Maryland, or Delaware, to support timely and consistent engagement with healthcare providers, patient access stakeholders, and key accounts across this high priority territory.
Dental Receptionist CbDental ReceptionistManhasset, New YorkHighly Trained Dental Professionals At Smile Services of New York Dental Clinic, our team of dental professionals comprises highly skilled and trained individuals who have dedicated their lives to providing the best possible dental care for their patients. State-of-the-Art Facilities At Smile Services of New York Dental Clinic, we are committed to providing our patients with the latest technology and state-of-the-art facilities.
Physician Assistant Observation Medicine Fellowship – Long Island, NY Emergency Care PartnersPhysician Assistant Observation Medicine Fellowship – Long Island, NYLong Island, NYMonthly Didactic sessions which will cover definition of services, administrative design, development of protocols, staffing, physical design, PI/QA, coding/billing/reimbursement, clinical diagnosis and pathways, and all other aspects of observation medicine. The Observation Fellowship (OF) at Progressive Emergency Physicians (PEP) is a 1- year fellowship based out of the observation units operated by Progressive Emergency Physicians.