Documentation Review Nurse Hunterdon HealthDocumentation Review NurseFlemington, NJQualifications Minimum Education: Required: Registered Nurse (RN) with an active and unencumbered license Preferred: Bachelor of Science in Nursing (BSN) preferred Minimum Years of Experience (Amount, Type and Variation): Required: Minimum of three (3) years clinical nursing experience Preferred: Previous nursing experience in an emergency department License, Registry or Certification: Required: RN certification Preferred: Knowledge, Skills and/or Abilities: Required: Strong understanding of ICD-10, CPT and HCPCS coding principles Knowledge of Medicare reimbursement and coding structures/systems Preferred: Experience in clinical documentation improvement (CDI), coding or utilization review is highly desirable/preferred Excellent analytical, organizational and communication skills Proficient in electronic health records (EHRs) and clinical documentation systems High level creativity, judgment and initiative, tempered with flexibility to deal with rapidly changing healthcare environment and expanding technology Ability to maintain concentration with attention to detail even in areas containing multiple levels of distraction Self-motivated, well organized and possess confidence and ability to wor work independently and deal with ambiguity and ask critical questions to problem solve issues as required. Primary Position Responsibilities Clinical Documentation Review: Assess emergency department documentation using Emergency Department E/M and Critical Care Facility Charge Assessment tool to ensure the patient documentation accurately reflects the patients clinical presentation, diagnoses, and captures all treatment and services provided.
Medical Coder LaSante Health CenterMedical CoderBrooklyn, NYLaSante Health Center is seeking a detail-oriented in-person Medical Coder to ensure accurate coding and abstraction of patient encounters. The ideal candidate will possess strong analytical skills, attention to detail, and expertise in coding conventions.
NewHealth Information Management Technician 1 (Kingsboro ATC) New York State Thruway AuthorityHealth Information Management Technician 1 (Kingsboro ATC)Brooklyn, NY$53,132–$67,990 / yearTo be eligible for 70.1 transfer, candidates must have one year of permanent competitive or 55-b/55-c service in a qualifying title within two salary grades of the SG-13 level and must be currently certified by the American Health Information Management Association as a Registered Health Information Administrator (RHIA) or as a Registered Health Information Technician (RHIT). The mission of the New York State Office of Addiction Services and Supports (OASAS) is to provide, support, and oversee a data-driven continuum of addiction services delivered with equity, dignity, compassion, and respect.
Advanced Practice Clinician (Bilingual Chinese required) VNS HealthAdvanced Practice Clinician (Bilingual Chinese required)Brooklyn, New York$109,900–$146,500 / yearFull timeManages 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.
Per Diem, Advanced Practice Clinician VNS HealthPer Diem, Advanced Practice ClinicianNew York, NY$58.30–$77.72 / hourLicenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required Valid driver's license, as determined by operational/regional needs may be required Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required Maintains NPI, Medicaid and Medicare provider numbers preferred Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred Must be certified by ANCC or another accrediting Nurse Practitioner body - in order to bill Medicare and meet credentialing requirements required For Psychiatric Nurse Practitioners only: Current PMHNP-BC certification required. Work Experience: Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred Clinical home care experience or two years managerial experience preferred Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required Bilingual skills, as determined by operational needs required For Psychiatric Nurse Practitioners only: Minimum of two years of experience as a psychiatric nurse practitioner utilizing full scope of practice required.
Director of Patient Access Services-Patient Financial Services-Corporate 42nd Street-Full-Time Days Mount Sinai Health SystemDirector of Patient Access Services-Patient Financial Services-Corporate 42nd Street-Full-Time DaysNew York, NY$127,044–$190,565 / yearCollaborating with hospital and physician leadership, this position works closely with Revenue Integrity, Coding, Billing, Cash Posting, and Case Management in defining vision, strategy and priority setting for system wide-revenue operations system initiatives, including: The integration and distribution of information that contributes to the capture, management, and collection of hospital patient service revenue using a holistic perspective to ensure that the business processes are operating in an integrated, efficient state to achieve maximum effectiveness; Improving business processes to maximize and protect the assets of the enterprise by enhancing and maintaining a properly functioning revenue cycle process through a cross-department organizational structure; Establishing and maintaining key revenue cycle performance indicators for the enterprise in support of BMC's strategic plan. 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.
NewVP, RCM Business Operations oneOncologyVP, RCM Business OperationsNew York, NY$180,000–$230,000 / yearJob Description: This individual will be responsible for helping coordinate the day-to-day execution of all RCM functions, working with the Chief Revenue Officer ("CRO") and the other RCM Vice Presidents to optimize performance, ensure proactive communication with practices, manage risks and issues along with the overall OO RCM team. OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases.
Employed Optometrist- New York, NY- LensCrafters EssilorLuxottica SAEmployed Optometrist- New York, NY- LensCraftersNew York, NY$65.19–$91.39 / hourIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email EmployeeRelations@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
Care Enrichment Coach Ocean Health Initiatives IncCare Enrichment CoachLakewood, NJProficient in Phreesia EMR: Assist with sending telehealth links to patients when requested, notify patients of provider schedule changes via automated alerts, and handle appointment cancellation requests efficiently. Upload previous patient medical records from prior and specialty providers, provide copies of medical records to patients upon request, and share records with other providers and hospitals as necessary for continuity of care, in compliance with organizational policies.
Remote Certified Professional Coder/ PIP Adjuster EDI StaffingRemote Certified Professional Coder/ PIP AdjusterHamilton, NJRemoteInterpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes. Qualifications and Experience: 3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules.
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.
Executive Medical Director, Neurology, Clinical Development Karwell TechnologiesExecutive Medical Director, Neurology, Clinical DevelopmentBridgewater, NJThis individual will be the primary point person for medical monitoring and oversight of assigned clinical programs, including monitoring of clinical studies, review and interpretation of clinical trial data, authoring clinical study and regulatory communications and documents, and monitoring of competitor activities and data. Provide medical/clinical expertise to internal (Marketing, Sales, Manufacturing, Market Access, Patient Services, Regulatory Affairs, R&D, and Legal) and external (healthcare professionals, Data Safety Monitoring Boards, patients, advocacy groups, etc.) customers.
Manager, Data Mining - Payment Integrity Oscar Health InsuranceManager, Data Mining - Payment IntegrityNew York, NY$111,780–$146,711 / yearAbout the role: The 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.
Vice President, Chief Medical Officer - OUMC Hackensack Meridian HealthVice President, Chief Medical Officer - OUMCBrick, New JerseyFull timeThe CMO will work closely with hospital leadership, medical staff, community stakeholders and HMH executives to improve clinical outcomes, operational performance, and enhance physician alignment while addressing the unique healthcare needs of the local population and ensure that (name of site) provides high-quality, accessible, and cost-effective healthcare to the surrounding community. Lead hospital-wide quality improvement initiatives (in alignment with HMH Network's strategic direction and the site's specific opportunities) to enhance clinical outcomes, establish and monitor quality metrics, patient safety protocols, and performance improvement initiatives.
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.
RCM Analytics Director - AI Tools MercorRCM Analytics Director - AI ToolsNew York, New YorkRemote5+ years of experience in revenue cycle analytics, RCM reporting , or healthcare financial decision-support, with at least 2 years in a leadership role. Lead revenue cycle analytics, reporting, and decision-support functions to drive data-driven performance improvement across RCM operations .
Revenue Cycle Leader - Fully Remote MercorRevenue Cycle Leader - Fully RemoteNew York, New YorkRemote5+ years of experience in revenue cycle analytics, RCM reporting , or healthcare financial decision-support, with at least 2 years in a leadership role. Lead revenue cycle analytics, reporting, and decision-support functions to drive data-driven performance improvement across RCM operations .
Denials Management Expert - Analytics MercorDenials Management Expert - AnalyticsNew York, New YorkRemote$70–$93 / hourDeep knowledge of CARC/RARC denial codes, payer denial patterns, and appeal strategies across commercial, Medicare, and Medicaid payers. 5+ years of experience in denials management, appeals, or revenue cycle operations, with at least 2 years in a management role.
Authorization Coordinator Phaxis LLCAuthorization CoordinatorNew York, NY$19–$20 / hourExperience with Perceptive Content/ImageNow, MS Access, Adobe, Altruista GuidingCare, Excel, Teams, and OneNote is helpful but not required. This position is ideal for someone with strong administrative skills and experience within healthcare, insurance, authorizations, billing, or a related environment.
Revenue Integrity Analyst, CDM -Revenue Integrity- Corporate-Full-Time Days- Hybrid Mount Sinai Health SystemRevenue Integrity Analyst, CDM -Revenue Integrity- Corporate-Full-Time Days- HybridNew York, NY$79,720–$119,580 / yearThe Revenue Integrity Analyst, Charge Description Master (CDM) for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice Plan) combines advanced financial analysis with a strong hospital healthcare revenue cycle background to ensure an accurate and compliant Chargemaster. 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.