Medical Billing Specialist Integrated Health Administrative ServicesMedical Billing SpecialistMamaroneck, New YorkIn this position you are responsible for both administrative functions, client relations and billing processes and will work with the team to ensure the revenue cycle is handled effectively and efficiently. Investigate, correct and resubmit claim denials from third-party payers to ensure billing and coding accuracy.
DRG Clinical Validation Nurse MedReviewDRG Clinical Validation NurseManhattan, NY$85,000–$95,000 / yearSolid understanding of anatomy and physiology, diagnostic and surgical procedures developed from specialized training and extensive experience with ICD-10-PCS code assignments. Here is what we are searching for: Responsibilities: Perform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical record.
Systems Analyst I The Stamford HospitalSystems Analyst IStamford, CTCollaborate with cross-functional stakeholders, including revenue cycle, clinical, operational, IT teams, and external partners, to ensure alignment of workflows, system functionality, and organizational goals; support knowledge sharing and cross-training across application teams. Lead and support projects and enhancements, including new functionality implementation, upgrades, vendor changes, and workflow redesign initiatives, while adhering to organizational project management (PMO) methodologies.
Systems Analyst I Stamford HealthSystems Analyst IStamford, CTCollaborate with cross-functional stakeholders, including revenue cycle, clinical, operational, IT teams, and external partners, to ensure alignment of workflows, system functionality, and organizational goals; support knowledge sharing and cross-training across application teams. Lead and support projects and enhancements, including new functionality implementation, upgrades, vendor changes, and workflow redesign initiatives, while adhering to organizational project management (PMO) methodologies.
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.
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.
Dentist ( Pediatric Experience Required) - Exams Only - Queens PDS Management Services, LLCDentist ( Pediatric Experience Required) - Exams Only - QueensQueens, NY$4,000–$10,000 / hourPart timeWe offer a comprehensive range of services, including:Pediatric DentistryOrthodonticsLaser SurgeryConscious SedationOutpatient CareWe also provide specialized training programs to help you enhance your expertise and grow your career within our innovative organization. PDS 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.
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.
Medical Biller Specialist I Urban Health Plan IncMedical Biller Specialist IBronx, NYRemoteAbout 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.
Senior Outpatient Coder Westchester Medical Center Health NetworkSenior Outpatient CoderValhalla, NY$30.46–$38.29 / hourJob Details: Job Summary: The Senior Outpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD 10CM), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS), and entering coded information into an automated grouper system. Job Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades.
Dental Receptionist SEUNG YUB SONG DDS LLCDental ReceptionistNorwalk, CT$20–$25 / hourFull timeThe ideal candidate will be responsible for managing the front desk operations of our dental practice, ensuring a welcoming environment for patients while efficiently handling administrative tasks. Join our team as a Dental Receptionist where you will play a vital role in providing excellent patient care while supporting our dental practice's operations!
Psychotherapist (LPC/LCSW/LMFT/Art Therapist) Konnect TherapyPsychotherapist (LPC/LCSW/LMFT/Art Therapist)Iselin, New Jersey$40–$60Demonstrated expertise in psychotherapy techniques such as motivational interviewing, behavioral therapy, psychodynamic therapy, grief counseling, PTSD care, addiction counseling, and crisis management. Deliver individual, group, and family counseling sessions utilizing modalities such as cognitive behavioral therapy (CBT), psychodynamic therapy, art therapy, DBT, TF-CBT, ERP, EMDR.
Software Engineer III Kora/Support Cedar Cares IncSoftware Engineer III Kora/SupportNY$170,000–$215,000 / yearDiversity initiatives that encourage Cedarians to bring their whole selves to work, including three employee resource groups: be@cedar (for BIPOC-identifying Cedarians and their allies), Pridecones (for LGBTQIA+ Cedarians and their allies) and Cedar Women+ (for female-identifying Cedarians). The challenge is only getting worse, as high deductible health plans are the fastest growing plan design in the U.S. Cedar's mission is to leverage data science, smart product design and personalization to make healthcare more affordable and accessible.
Medical Coder - Inpatient (DRG Reviewer) Acentra HealthMedical Coder - Inpatient (DRG Reviewer)NY$29.19–$36 / hourMinimum of 2 years of progressive hands-on experience in acute care inpatient coding, clinical documentation improvement (CDI), medical scribing, DRG auditing/review, or related healthcare documentation experience. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
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.
Clinical Research Scientist NovoCure LtdClinical Research ScientistNY$125,000–$185,000 / yearBeyond contributing to protocol development, clinical strategy, and data interpretation, youll build meaningful partnerships with investigators, participate in study-related site activities, and help ensure the successful execution of clinical trials from concept through completion. Working at the intersection of science and operations, youll collaborate with cross-functional teams across Clinical Development, Clinical Operations, Medical Affairs, Data Management, Regulatory Affairs, Safety, and Device Support Specialists.
Document Improvement Specialist, Fulltime The Stamford HospitalDocument Improvement Specialist, FulltimeStamford, CTImprove physician documentation compliance with criteria required under the Inpatient Prospective Payment System (IPPS), in order to eliminate payment errors on Medicare discharges caused by incomplete/inaccurate physician documentation; as well as ensure clear and concise documentation to meet the requirements of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and applicable federal and state law. Having a through knowledge of DRG's and coding guidelines, the Documentation Improvement Coordinator will: Work with case managers, physicians and coders to establish appropriate documentation for correct coding.
Health Information Management Technician 1 (NY HELPS), Creedmoor Psychiatric Center, P27911 New York State Thruway AuthorityHealth Information Management Technician 1 (NY HELPS), Creedmoor Psychiatric Center, P27911Queens Village, NY$50,844–$65,061 / yearIf appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid. Minimum Qualifications Candidates from outside State Service can be considered for hire under the Hiring for Emergency Limited Placement - Statewide (HELPS) program if they have a current certification by the American Health Information Management Association as a Registered Health Information Administrator (RHIA) or as a Registered Health Information Technician (RHIT).
NewManager, Data Mining - Payment Integrity Oscar HealthManager, Data Mining - Payment IntegrityNew York, New York$111,780–$146,711 / yearThe Manager of Data Mining leads a team of individual contributors, ensuring the team is meeting savings and recovery targets in the payment integrity space. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week.
Revenue Cycle Executive - AI Strategy MercorRevenue Cycle Executive - AI StrategyNew York, New YorkRemoteProvide executive-level oversight and strategic direction for end-to-end revenue cycle operations, including patient access, coding, billing, denials, and collections. Define and monitor enterprise revenue cycle KPIs , including net collection rate, days in A/R, denial rate, cost-to-collect, and cash collections performance.