Senior Quantitative Scientist, Commercial-Facing Verana Health IncSenior Quantitative Scientist, Commercial-FacingNew York, NYRemote$141,441–$212,161 / yearBuilt on the values of continuous learning, cross-functional collaboration, and rigorous scientific research, the Data & Science team strives to improve patient care by innovating at the intersection of real world data, clinical context, and methodology with our partners to ensure all available data is being used to in the most efficient, data-driven way possible. Verana Health, a digital health company that delivers quality drug lifecycle and medical practice insights from an exclusive real-world data network, recently secured a $150 million Series E led by Johnson & Johnson Innovation - JJDC, Inc. (JJDC) and Novo Growth, the growth-stage investment arm of Novo Holdings.
Billing Coordinator-Tisch Hospital Perioperative Services-Day Shift (35 Hours) NYU Langone HealthBilling Coordinator-Tisch Hospital Perioperative Services-Day Shift (35 Hours)New York, NY$66,299.99–$71,400Full timeIn this role, the successful candidate This position is responsible for overseeing/posting charges for all supplies and implants used in operating room cases (inpatients and outpatients) for surgical locations within Tisch Hospital and Ambulatory Sites, and ensures the accuracy of all billable supplies are captured and submitted in accordance to departmental policies. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation.
Lead, Medical Network Claims Pricer Capital Rx, Inc.Lead, Medical Network Claims PricerNew York, NY$128,000–$160,000 / yearApply Medicare-based pricing, Reference-Based Pricing (RBP), fee schedules, resource-based relative value methodologies, diagnosis-related groups, ambulatory payment classifications, per-diem rates, case rates, percent-of-charge arrangements, stop-loss provisions, and other approved reimbursement approaches. Advanced knowledge of procedure, revenue, diagnosis, and modifier logic; physician fee schedules; resource-based relative value methodologies; diagnosis-related groups; ambulatory payment classifications; per-diem, case-rate, percent-of-charge, and other medical reimbursement arrangements.
DRG QA and Trainer MachinifyDRG QA and TrainerNY$85,000–$95,000 / yearThis position plays a key role in auditing the work of both new hires and current staff while conducting training to ensure team members are equipped with the knowledge and skills needed to succeed. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise.
Clinical Documentation Specialist I - Remote Mount Sinai Health SystemClinical Documentation Specialist I - RemoteNew York, NYRemote$65,885–$98,827 / yearWe 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.
Tech Lead Yantran LLCTech LeadParsippany, NJThe ideal candidate will collaborate with cross functional teams to deliver high quality solutions that meet business requirements and enhance user experience. We are seeking a skilled and motivated Software Developer to design, develop, test, and maintain software applications.
NewField Ancillary Support Specialist Tristate HRHField Ancillary Support SpecialistJersey City, NJ$15.92–$30Tristate HRH Outreach Management is a growing healthcare services organization that provides on-site staffing and operational support for one of Hudson County’s leading health systems. Our employees play a vital part in the patient experience by supporting day-to-day operations, coordinating workflows, and ensuring that clinical teams can focus on delivering care.
DRG Reviewer MachinifyDRG ReviewerNY$90,000–$115,000 / yearAs 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. Qualifications: Inpatient 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.
NewPayment Operations Associate Maven ClinicPayment Operations AssociateNew York, NY$81,000–$95,000 / yearThrough Maven Enterprise, the company partners with more than 2,300 employers and health plans to provide end-to-end women's and family health programs spanning fertility and family building, maternity and newborn care, parenting and pediatrics, and menopause and midlife — improving clinical outcomes, reducing healthcare costs, and expanding equitable access to high-quality care at scale. Our teams primarily operate from the New York Metropolitan area, NY, and remotely via San Francisco/Bay Area, CA, Seattle, WA, Boston, MA, Chicago, IL, and Washington, D.C. For those in our New York City office, we encourage in-person collaboration by requiring team members to work onsite three days a week (Tuesday, Wednesday, Thursday).
Prospective Payment System Coordinator - Per Diem St. Catherine of Siena Medical CenterProspective Payment System Coordinator - Per DiemRockville Centre, NYRanked among the top hospitals in New York State, Mercy offers a NYS designated Stroke Center, Breast Imaging Center of Excellence, Level III Neonatal Intensive Care Unit, and has received Pathway to Excellence designation from the American Nurses Credentialing Center - the only hospital in the region and one of only two in NY State to receive this prestigious award. This role collaborates closely with the interdisciplinary team including physicians, nursing, therapy, case management, and coding professionals to ensure documentation reflects the patient's clinical condition, functional status, and services provided.
Patient Navigator HealogicsPatient NavigatorNorth Bergen, 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.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DONY$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Medical Director, General Surgery - Remote UnitedHealth Group IncMedical Director, General Surgery - RemoteNew York, NYRemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
CDI Leader - Clinical Documentation MercorCDI Leader - Clinical DocumentationNew York, New YorkRemoteMonitor CDI program KPIs, including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy. 5+ years of experience in clinical documentation integrity or improvement, with 2+ years in a manager or leadership role.
NewClinical Coding Auditor & Trainer (Associate & Senior Level) Macpower Digital Assets Edge Private LimitedClinical Coding Auditor & Trainer (Associate & Senior Level)New York City, NYRemote$100,000–$135,000 / yearLocation: Primarily remote with biannual travel to New York required, applicant outside of New York can also apply for this role, as long as they are open to NYC few times in year. Position Purpose: Develop and conduct training and quality auditing programs for Diagnosis Related Group (DRG) and Medical Record Audit programs.
Clinical Documentation Quality Improvement Specialist II-Mount Sinai Brooklyn - Full-time - Day Mount Sinai Health SystemClinical Documentation Quality Improvement Specialist II-Mount Sinai Brooklyn - Full-time - DayBrooklyn, NY$79,720–$108,709 / yearThe Clinical Documentation Quality Improvement Specialist II is responsible for improving the overall quality and completeness of clinical documentation; facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to ensure that documentation reflects complete and accurate level of service rendered to patients. 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.
Radiology Scheduler Call Center UnitedHealth Group IncRadiology Scheduler Call CenterMount Kisco, NYClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Performs certain follow-up services for patients in a prompt and courteous manner such as scheduling specialist appointments scheduling follow-up appointments and obtaining copies lab results or specialist reports.
RCM Sr Manager Client Executive Veradigm IncRCM Sr Manager Client ExecutiveNY$84,520–$117,483 / yearWorks collaboratively with various departments within RCMS and Allscripts to resolve client concerns or requests and ensures that solutions are effectively implemented throughout the applicable team(s) by working with the relevant RCM Management. Effectively interacts with RCMS cross-functional teams in delivering high-quality work products under set timelines, creating work plans to direct the work of RCM Managers to meet client requirements/KPI's.
Clinical Coordinator III (RN) - HHT Columbia UniversityClinical Coordinator III (RN) - HHTNew York, NY$112,000–$125,000 / yearThis position is responsible for delivering patient-centered nursing care, triaging patients remotely, coordinating diagnostic testing and specialty consultations, and serving as a key liaison among patients, providers, and multidisciplinary care teams. The Nurse Coordinator will provide clinical, care coordination, patient outreach, and research support for the Hereditary Hemorrhagic Telangiectasia (HHT) Center of Excellence at Columbia University Irving Medical Center/NewYork-Presbyterian Hospital.
Part Time Associate Patient Care Coordinator UnitedHealth Group IncPart Time Associate Patient Care CoordinatorHuntington Station, NYClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.