JobotNewOutpatient Medical Coder (CPC) - Surgical - Temp to Perm Opportunity - Hybrid JobotOutpatient Medical Coder (CPC) - Surgical - Temp to Perm Opportunity - HybridIsland Park, NY$32–$35 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This is a fantastic temp-to-perm opportunity in the Revenue Cycle Department - you'll be working HYBRID out of any office in Long Island, Manhattan, Jersey, or Staten.
VNS HealthAdvanced Practice Clinician (Bilingual Chinese required) VNS HealthAdvanced Practice Clinician (Bilingual Chinese required)Brooklyn, NY$109,900–$146,500Manages and provides comprehensive, advanced nursing care, including post-discharge aftercare visits, annual comprehensive assessment visits, palliative care-care management program onboarding, and change in condition assessment visits (including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing). Provides care in one or more care settings based on the clinical requirements: virtually, telephonically or travels to patients’ homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options.
Progressive Spine and Orthopaedics LLCNewPersonal Injury Billing and Collections Representative Progressive Spine and Orthopaedics LLCPersonal Injury Billing and Collections RepresentativeClifton, NJAttorney & Lien Follow-Up: - Maintain consistent communication with attorney offices regarding open cases, lien status, settlement timelines, and payment updates. - Ensure accurate billing for injury-related services, including orthopedic, neuro spine, pain management, chiropractic, podiatry, and surgical services.
AxelonNewProfessional Coder AxelonProfessional CoderNewark, NJ$34.80–$39.56 / hourThis position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business. Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist, P from the American Health Information Management (AHIMA).
ProKatchersCertified Medical Coder ProKatchersCertified Medical CoderBrooklyn, NY$40–$41 / hourExperience with 3M/HDS coding applications and Encoder systems. Strong knowledge of CPT-4, ICD-9 CM, coding guidelines, and federal billing guidelines.
Progressive Spine and Orthopaedics LLCNewInsurance Verification Representative Progressive Spine and Orthopaedics LLCInsurance Verification RepresentativeClifton, NJThis position requires strong attention to detail, excellent communication skills, and the ability to work closely with patients, insurance carriers, attorneys, adjusters, employers, surgical coordinators, and billing teams. The ideal candidate will have experience verifying commercial insurance benefits, out-of-network benefits, personal injury claim information, attorney representation, workers’ compensation claim status, and patient financial responsibility.
ECLARONewJr. Programmer ECLAROJr. ProgrammerNew York, NY$42–$50 / hourBasic experience through coursework, internships, academic projects, or personal projects using Microsoft technologies such as C#, NET, ASP.NET, Angular, or SQL Server. Position Overview: A motivated Entry-Level Programmer join our development team and support the design, development, testing, and maintenance of power system related applications to be built on Microsoft technologies.
AxelonFull Stack Developer AxelonFull Stack DeveloperJersey City, NJ$81–$85 / hour6-8 years of expertise in application design and development using technologies and frameworks such as Spring, Spring Boot, Java, Hibernate. Partner with multiple management teams to ensure appropriate integration of functions to meet goals and identify system enhancements for new products and process improvements.
Komodo HealthStaff Data Engineer Komodo HealthStaff Data EngineerNew York, NY$208,000–$282,000 / yearAs a Staff-level IC, you will set technical direction across data modeling, productization, analytics enablement, and scalable delivery patterns, partnering with Product, Data Science, and consuming application teams to make Healthcare Map data usable at enterprise scale. Scalable Data Systems: Design and implement high-performance data processing and serving patterns across large-scale healthcare datasets, using the right tools for the problem across SQL, Python, Spark, Rust, C++, and emerging AI-enabled engineering workflows.
BarclaysVice President - Senior Data Engineer BarclaysVice President - Senior Data EngineerWhippany, NJTo be successful as a Vice President - Senior Data Engineer, you should have: Considerable Python experience for data engineering and service development, leveraging frameworks and libraries such as FastAPI, PySpark, Pydantic, and asyncio. In this role, you will contribute to building a greenfield data and intelligence platform for Equities, playing a key role in defining the architecture, selecting tooling, and setting the strategic direction of a modern data ecosystem.
BarclaysAssistant VP, TDS Senior Developer BarclaysAssistant VP, TDS Senior DeveloperWhippany, NJseeks Assistant VP, TDS Senior Developer in Whippany, NJ: Develop, enhance, and maintain software for Treasury & Liquidity that is responsible for collecting, managing, and storing various business data and generating and submitting regulatory reports. Cross-functional collaboration with product managers, designers, and other engineers to define software requirements, devise solution strategies, and ensure seamless integration and alignment with business objectives.
BarclaysPrincipal Full Stack Engineer - VP BarclaysPrincipal Full Stack Engineer - VPWhippany, NJValidated experience designing and developing Enterprise driven architectures using Kafka, AWS SNS/SQS, or equivalent messaging platforms for high‑throughput, low‑latency systems. This VP‑level role is a cornerstone of Barclays’ strategic Best Egg initiative, responsible for driving the design and delivery of enterprise‑scale, cloud‑native platforms that fuel consumer‑lending growth.
BarclaysSite Reliability Engineer -VP BarclaysSite Reliability Engineer -VPWhippany, NJYou will act as a subject‑matter specialist for SRE practices, partnering with infrastructure and engineering teams to embed reliability into platforms across cloud, on-prem, compute, storage, networking, and databases. Containers and orchestration (Docker, Kubernetes); Networking (TCP/IP, DNS, HTTP, SFTP) and relational databases; and monitoring and observability tools (Geneos ITRS, Prometheus, Grafana, APM, Observe).
Apex Clearing CorporationNewSenior Software Engineer (Trade Execution) Apex Clearing CorporationSenior Software Engineer (Trade Execution)New York, NY$149,600–$187,000 / yearApex Fintech Solutions (Apex) powers innovation and the future of digital wealth management by building tech-forward solutions that help simplify, automate, and facilitate access to financial markets for all. Our robust suite of fintech software enables us to support clients such as Stash, Betterment, SoFi, Webull, and eToro, amongst many others; collectively, Apex powers access to the stock market for over 22+ million end customers.
Primary PartnerCare Physicians, PLLCNewInternal Medicine Physician Primary PartnerCare Physicians, PLLCInternal Medicine PhysicianWest Hempstead, NYPrimary PartnerCare respects the meaningful impact and value our physicians make in the lives of their patients, and provides full billing and coding support for our physicians with a team of certified professional coders, allowing you to spend more time with your patients. Primary PartnerCare Physicians is dedicated to hiring and retaining similar likeminded physicians who want to provide the very best care to their patients in a collaborative and transparent environment that recognizes the individuality of our patients’ beliefs, concerns, and values.
e+CancerCare LLCLead Coordinator, Coding & Billing e+CancerCare LLCLead Coordinator, Coding & Billing$22.30–$28.80 / hourThe Lead, Coding & Billing is a hands-on senior individual contributor who provides advanced coding expertise and day-to-day operational leadership for pre-submission billing and specialty coding activities supporting Radiation Oncology, Urology and Imaging, This role supports management by ensuring high-quality coding, clean claim submission, denial prevention, and workflow accountability while serving as the primary escalation point for complex coding and billing issues. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue.
Montefiore Medical CenterMANAGER CODING HEALTH INFO MANAGEMENT Montefiore Medical CenterMANAGER CODING HEALTH INFO MANAGEMENTYonkers, NY$123,121.91–$153,902.39 / yearThe Manager must be knowledgeable of coding classifications, reimbursement methodologies and understand the regulatory and accrediting reporting requirements for all patient types in order to provide guidance, monitor quality of work and address problems and issues. This position also requires knowledge of denial and error management as received from internal and external review agencies and a clear understanding of billing, charge master operations for hard coded vs soft coded charges and reporting requirements.
Mount Sinai Health SystemReimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid Mount Sinai Health SystemReimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- HybridNew York, NY$58,661–$81,675 / yearQualifications Associate?s degree in accounting or business related field; Bachelor?s degree preferred 4 years of insurance billing and collection procedures in a health care environment Excellent written, verbal and interpersonal skills Demonstrated knowledge of insurance billing and collection procedures and CPT and ICD-9 coding Preferred Experience: 3 plus years of multispecialty coding experience in AmSurg and/or clinic settings Preferred Proficient in Epic Billing and have thorough working knowledge of ICD-10 diagnosis coding guidelines, CPT/HCPCS code assignments preferred Knowledge of the Outpatient Prospective Payment System (OPPS) preferred Ability to concentrate and accomplish tasks with explicit accuracy and established/maintained effective working relationships as required by the duties of the position preferred Functional knowledge of facility EMR, encoder, and other support software preferred Detailed knowledge and understanding of hospital vs. 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.
DatavantNewProfee Coding Consultant - Full Time DatavantProfee Coding Consultant - Full TimeNew York City, NY$20–$28 / hourGuided 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. The estimated base pay range per hour for this role is:$20—$28 USDTo 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.
DatavantNewProfee Coding Consultant - PRN DatavantProfee Coding Consultant - PRNNew York City, NY$20–$28 / hourGuided 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. The estimated base pay range per hour for this role is:$20—$28 USDTo 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.
St. Catherine of Siena Medical CenterCoding Denials Specialist St. Catherine of Siena Medical CenterCoding Denials SpecialistMelville, NY$66,300–$74,000 / yearThe specialist will analyze denied claims, identify root causes, and collaborate with coders, physicians, and billing teams to ensure proper documentation and maximize reimbursement. The Coding Denial and Appeal Specialist is responsible for managing coding-related claim denials and ensuring escalation for timely and accurate appeals to payers.
Catholic HealthNewCoding Denials Specialist Catholic HealthCoding Denials SpecialistMelville, New York$66,300–$74,000 / yearJob Details: The Coding Denial and Appeal Specialist is responsible for managing coding-related claim denials and ensuring escalation for timely and accurate appeals to payers. The specialist will analyze denied claims, identify root causes, and collaborate with coders, physicians, and billing teams to ensure proper documentation and maximize reimbursement.
Datavant LLCOutpatient Coding Consultant Datavant LLCOutpatient Coding ConsultantNYRemote$20–$35 / hourGuided 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. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
CVS Health CorpNewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorWork At Home, NJ$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.
St. Joseph HealthCoding Quality Specialist St. Joseph HealthCoding Quality SpecialistNew Jersey, NJJosephs University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures. The combined efforts of the organizations outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nations "100 Best Places to Work in Health Care".
Mount Sinai Health SystemDirector of Coding Integrity and Coding Edits - HSO Health Information Management - Mount Sinai Hospital - Full-Time Mount Sinai Health SystemDirector of Coding Integrity and Coding Edits - HSO Health Information Management - Mount Sinai Hospital - Full-TimeNew York, NY$139,748–$209,622 / yearMount 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. 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.
Oscar Health IncSenior Specialist, Coding Auditor Oscar Health IncSenior Specialist, Coding AuditorNew York, NYRemote$65,412–$85,853 / yearWork Location: This is a remote position, open to candidates who reside in: Tempe, Arizona; Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; New York City, New York; Philadelphia, Pennsylvania; Salt Lake City, Utah. Certified Professional Coder (CPC) designation or similar certification Bachelors degree or 4+ years of work experience Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting.
Columbia UniversityCoding Compliance Coordinator (Rehab) Columbia UniversityCoding Compliance Coordinator (Rehab)Fort Lee, NJ$67,300–$75,000 / yearMaintains a thorough working knowledge of all aspects of billing and collections including billing rules and regulations, collection practices, electronic billing processes, CMS 1500 Form requirements, diagnosis and procedure coding, and applicable county, state, and federal requirements. The 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.
DocGo IncMedical Billing and Coding Associate DocGo IncMedical Billing and Coding AssociateRidgewood, NY$20–$24 / hourResponsibilities: • Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues • Responsible for escalating concerns regarding questionable paperwork to appropriate management • Contact payers to verify claim status via phone or web and follow up on unpaid claims • Process appeals on aged insurance claims/denials • Analyze, identify and resolve issues which may cause payer payment delays • Identify and resolve claim edits through understanding of billing guidelines and payer requirements • Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate • Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers Compensation and No Fault when applicable • Review all EOBs for correct payment, deductible, adjustments, and denials • Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment • Reconcile account balances, and verify payments are applied correctly • Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner • Follow up on appeals/corrected submitted claims • Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding • Review and audit customer service account inquiries • Receive inbound/outbound customer service call • Provide excellent customer service to all patients, Insurances & Facilities • Review and correct all rejections in clearing house • Perform all other related duties as assigned. Qualifications: Must have 2-3 years of medical billing experience (required) Ambulance billing experience (preferred) Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation Proficient in CPT and ICD-10 coding Ambulance/Medical billing certification or diploma preferred Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred Excellent organizational skills and the ability to multitask in a fast-paced environment Analytical - collects and researches data; uses intuition and experience to complement data.
Claritev CorpSenior Medical Coding Specialist- WC Experience Claritev CorpSenior Medical Coding Specialist- WC ExperienceNew York, NY$70,000–$90,000 / yearThe Senior Medical Coding Specialist applies deep industry knowledge and sound judgment to resolve issues, while escalating highly complex cases as needed. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.
Claritev CorpMedical Coding Specialist Claritev CorpMedical Coding SpecialistNew York, NY$60,000–$63,000 / yearReview and analyze inpatient, outpatient, and provider billing for medical appropriateness of treatment; analyze charges across various revenue centers with consideration to patient diagnosis, procedures, age, facility type, and international healthcare norms where applicable. Assist with clinical education of staff as it relates to clinical aspects of claims, suggesting additional negotiation talking points or tools, and communicating overall industry or regulatory changes which affect the department.
ISLAND PEER REVIEW ORGANIZATION, INC.Coding Reviewer ISLAND PEER REVIEW ORGANIZATION, INC.Coding Reviewergreat neck, NY$65,000–$70,000 / yearEducation & Experience:• Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required. • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required• Bachelor's degree in healthcare administration or health information management preferred.•
Claritev CorpSr Medical Coding Specialist Claritev CorpSr Medical Coding SpecialistNew York, NY$85,000–$95,000 / yearReview and analyze complex inpatient outpatient and practitioner billing for medical appropriateness of treatment analyze charges of various revenue centers with consideration to patient diagnosis procedures age and facility type and international healthcare norms where applicable. Assist with education of staff as it relates to claims suggest additional negotiation talking points or tools develop instructional design when applicable and communicate overall industry or regulatory changes which affect the department.
Weill Cornell Medical CollegeMedical Coding Specialist Weill Cornell Medical CollegeMedical Coding SpecialistNew York, NY$31.92–$35.44 / hourCornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of "any person, any study." Cornell University embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports students, faculty, and staff of all identities and backgrounds.
Atrium HealthPhysician Coding Educator - Professional Coding Academy Atrium HealthPhysician Coding Educator - Professional Coding AcademyNYRemote$30.70–$46.05 / hourProvides comprehensive "train the trainer" sessions for all trainers (Coding Supervisors and Coding Leads) who will be presenting the material, and provides updates as they arise, including new "train the trainer" sessions, as needed. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.
Innovaccer Analytics4242-Medical Coding Specialist Innovaccer Analytics4242-Medical Coding SpecialistJersey City, New JerseyExcellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure— extending the human touch in healthcare.
Essen Medical AssociatesPhysician Coding Educator Essen Medical AssociatesPhysician Coding EducatorBronx, New York$75,000–$100,000 / yearOverview: Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents. Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry.
HealthCare Partners, MSOMedical Coding Analyst HealthCare Partners, MSOMedical Coding AnalystGarden City, NY$65,000–$75,000 / yearEssential Position Functions/Responsibilities:Review and interpret medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10 CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation. Position Summary: The Coding Analyst will provide Risk Adjustment/HCC coding and auditing services that include the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated alphanumerical codes.
Med-MetrixInpatient Coding Manager- Remote Med-MetrixInpatient Coding Manager- RemoteParsippany-Troy Hills, NJRemoteFull timeGoal is to meet or exceed national coding KPI benchmarks and client specific KPI’s. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Integrated Resources, IncProduct Safety Data Coordinator and Coding Associate Integrated Resources, IncProduct Safety Data Coordinator and Coding AssociateNutley, NJRemoteThe individual will be responsible for verifying the accuracy and completeness of information for each adverse event report for which he/she is assigned in conjunction with the source documents and ensuring that the activities are performed in a manner consistent with SOPs. Description of Responsibilities:Code and enter information into the Product Safety database for Adverse Events reported in association with client’s Marketed and investigational products.
Artech LLCProduct Safety Data Coordinator and Coding Associate Artech LLCProduct Safety Data Coordinator and Coding AssociateNutley, NJRemote$23–$26 / hourThe individual will be responsible for verifying the accuracy and completeness of information for each adverse event report for which he/she is assigned in conjunction with the source documents and ensuring that the activities are performed in a manner consistent with SOPs. Code and enter information into the Product Safety database for Adverse Events reported in association with *** s Marketed and investigational products.
Ambulatory Medical Practices MSO, IncCertified Professional Coder, Charge Review and Coding Edits Specialist III Ambulatory Medical Practices MSO, IncCertified Professional Coder, Charge Review and Coding Edits Specialist IIIValhalla, NY$31.40–$36.06 / hourWhen determining a team member’s base salary and/or hourly rate, several factors may be considered as applicable (e.g., job type, location, years of relevant experience, education, credentials, budgets, and internal equity). ColumbiaDoctors Medical Group / Ambulatory Medical Practices MSO, Inc.,is looking for experienced Medical Certified Professional Coder/Charge Review Billing Specialist III candidates: CPC/Coding Certification is required.
Therapymatch, Inc.Senior Medical Coding Specialist Therapymatch, Inc.Senior Medical Coding SpecialistNY$76,160–$112,000 / yearA notice to Headway applicants: To protect yourself against phishing and recruitment fraud, please note that Headway only accepts applications through our official careers page at https://headway.co/careers. This position works closely with providers to deliver audit feedback and supports continuous documentation quality improvement in partnership with internal teams.
61st Street Service CorpNewAR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote 61st Street Service CorpAR Follow-Up Specialist III - Coding and Complex Denials #Full Time #RemoteFort Lee, NJRemote$28.72–$36.92 / hourThe AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and resolving complex coding-related denials and appeals in addition to following up on unpaid accounts with insurance companies and third parties. The Specialist III assists the unit supervisor and manager with complex cases, supports training efforts, and identifies denial trends to inform process improvements.
St. Joseph HealthCertified Coding Auditor St. Joseph HealthCertified Coding Auditorpaterson, NJResponsible 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. The combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care".
Elevance Health IncManager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditIselin, NJ$115,020–$207,216 / yearAnticipated End Date: 2026-05-31 Position Title: Manager of DRG Coding & Clinical Validation Audit Job Description: Manager of DRG Coding Audit-Program/Project Locations: The selected candidate must reside within a reasonable commuting distance of the designated posting location(s): Virginia, Indiana, Georgia, Ohio, Maryland; New Jersey, New York and Texas. Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
LanceSoft IncProduct Safety Data Coordinator and Coding Associate LanceSoft IncProduct Safety Data Coordinator and Coding AssociateNutley, NJRemoteFull timeThe individual will be responsible for verifying the accuracy and completeness of information for each adverse event report for which he/she is assigned in conjunction with the source documents and ensuring that the activities are performed in a manner consistent with SOPs. Requirements: Health Care Professional (with or without previous drug safety experience) or non-health Care Professional with previous drug safety experience desired 2-3 years minimum experience in medical coding/terminology within a pharmaceutical organization.
MedReviewDRG (Coding) Reviewer/Auditor MedReviewDRG (Coding) Reviewer/Auditornew york, NYFull timeResponsibilities:Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to validate the reported ICD-10-CM/PCS codes to ensure proper DRG assignment for accurate billing. Under the direction of the DRG Operations Department leaders, the DRG Reviewer will conduct reviews of inpatient claims for both coding accuracy as well as perform screening referrals for clinical support of coded diagnoses.
Innovaccer Inc4242-Medical Coding Specialist Innovaccer Inc4242-Medical Coding SpecialistJersey City, NJExcellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure- extending the human touch in healthcare.
St. Catherine of Siena Medical CenterProfessional Coding Educator St. Catherine of Siena Medical CenterProfessional Coding Educatormelville, NY$70,000–$90,000 / yearThis position requires a solid understanding of complex coding principles, guidelines, and concepts and can broadly apply those guidelines resulting in effective auditing and education to assigned services/departments, coding and billing teams. DUTIES/RESPONSIBILITIES: Assess, design, facilitate, develop, implement and evaluate coding and documentation efforts to ensure we achieve optimal coding outcomes and remaining compliant with the policies of the network, state, federal and third-party guidelines.