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.
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.
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.
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.
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.
Health Information Coder Inpatient Hunterdon HealthHealth Information Coder InpatientFlemington, NJWhen determining an applicants hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty). Benefitofferings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.
Manager, 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.
DRG Downgrade Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthDRG Downgrade Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJNJ$20.10–$26.13 / hourKnowledge and Skills: Working knowledge of DRG downgrade processes and third-party audit workflows Strong understanding of hospital billing systems and payer claim adjudication processes Ability to perform detailed tracking, documentation, and inventory management across multiple appeal levels Strong organizational skills and attention to detail Ability to perform root-cause analysis and identify recurring downgrade drivers Strong written communication skills for documentation and internal coordination. Ensures DRG downgrade cases are properly triaged, routed, documented, tracked, and submitted in accordance with payer and auditor requirements, while partnering with clinical resources to support successful appeal outcomes and denial prevention.
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.
Patient Accounts Rep, Self Pay RWJ Barnabas Health Medical IncPatient Accounts Rep, Self PayOceanport, NJ$21.07–$26.22 / hourAs a Patient Accounts Representative, a typical day might include: Facilitate account resolution; accurately identify, follow-up on, or correct billing errors, underpayments or denials for correction for submission or resubmission to patients and/or insurance carriers. The Representative may also perform a variety of duties including assisting patients directly with their bill or other financial aspects of their hospital service, correspondence response, billing and rebilling, certain denial issues, prompt handling of A/R credits, cash posting and reconciliation.
Patient Accounts Representative RWJ Barnabas Health Medical IncPatient Accounts RepresentativeOceanport, NJ$21.07–$26.22 / hourAs a Patient Accounts Representative, a typical day might include: Facilitate account resolution; accurately identify, follow-up on, or correct billing errors, underpayments or denials for correction for submission or resubmission to patients and/or insurance carriers. The Representative may also perform a variety of duties including assisting patients directly with their bill or other financial aspects of their hospital service, correspondence response, billing and rebilling, certain denial issues, prompt handling of A/R credits, cash posting and reconciliation.
Quality Analyst / Medical Auditor SourcePro SearchQuality Analyst / Medical AuditorClifton, New JerseyThis role will manage and execute all audit procedures to ensure adherence to expected consistency of quality expectations as well as monitor and track all audit scores by employees. SourcePro Search has a fantastic opportunity for an experienced Quality Audit/Analyst for one of our top clients in Norther New Jersey.
Revenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred) NYU Langone HealthRevenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred)New York, NY$70,481.60–$94,605Full timeKnowledge of: Current Procedures Codes (CPT) and International Class of Diseases Codes (ICD9/10) utilized in medical billing; medical billing software; healthcare billing including Medicare, Medicaid, or other third party payers; terminology utilized in medical billing; English usage, grammar, and spelling; basic math. Reporting to the Assistant Director, Professional Billing, the Revenue Integrity Analyst is responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection and ensures the overall integrity of the charge capture process.
Co-Founder & CEO - AI Clinical Documentation Compliance FutureSightCo-Founder & CEO - AI Clinical Documentation ComplianceNew York, NY$80–$85 / hourYou’ll co-create with a proven studio team, led by John Carbrey (4x entrepreneur, $100M ARR), Krista LaRiviere (3x exited, E&Y Top Women Entrepreneur), Alan Smith (Strategyzer co-founder, $120M in products built), Prathna Ramesh (former MD of Maple Leaf Angels, $275M in follow-on capital), and Johnny Tong (0-to-1 builder, acquired by SAP and Stripe) bring a rare combination of operator exits, institutional investing, and AI product depth. The market signal is incredibly strong: Unprompted Product Pull: Every single lead described the exact product we want to build: a pre-billing, real-time, EHR-integrated flagging layer that checks documentation against payer-specific rules before claims are submitted.
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.
Claims Support Advocate (Temp) Included Health IncClaims Support Advocate (Temp)NYFor context, these markets include Zone A (e.g., Phoenix AZ, San Antonio TX, Columbus OH, Charlotte NC), Zone B (e.g., Chicago IL, Denver CO, San Diego CA, Houston TX), and Zone C (e.g., Los Angeles CA, Seattle WA, Washington, D.C., Boston MA). Job Summary: As a Claims Support Advocate (CSA), you will be part of a vibrant team of high performing and highly engaged professionals that work to ensure a quality member experience within our service level agreements.
Director/Senior Director - Program Management - Medical Monitoring Implementation Lead/Clinical SME ArgyllinfotechDirector/Senior Director - Program Management - Medical Monitoring Implementation Lead/Clinical SMEJersey City, NJRemoteClinical judgment and patient-safety orientation; protocol-to-dashboard translation; safety and efficacy review; therapeutic-area agility; clinical data interpretation and reconciliation; medical-monitoring workflow design; clinical validation and risk assessment; medical and regulatory writing; clinician-to-engineer translation; root-cause analysis; stakeholder trust; and end-to-end implementation ownership. Support integrated patient review across adverse events, serious adverse events, AESIs, CTCAE grading, MedDRA coding, laboratory trends, Hy's Law indicators, vital signs, ECGs, physical examinations, exposure, dose modifications, concomitant medications, medical history, disposition, deaths, and other relevant clinical domains.
Billing Coordinator(Level III) - (FGP), Manhattan, Plastic Surgery New York University School of MedicineBilling Coordinator(Level III) - (FGP), Manhattan, Plastic SurgeryNew York, NY$70,481.60–$104,622 / yearDemonstrate a significant level of expertise in subject matter to assist and mentor entry-level coding staff, support the operations lead/supervisor in managing day-to-day team activities against scope and timeline, and ensure timely reporting of activities. Collaborate with the corporate Revenue Integrity Analysts to understand CPT and ICD-10 guidelines, payer policy and procedure manuals, updates, and CMS publications to ensure practices are compliant with current policies and procedures.
Dental Office Manager DELAWARE RIVER DENTISTRY PLLCDental Office ManagerNew Hope, PAFull timeNew Hope Solebury Dental Associates, located in the beautiful, small river town of New Hope, Pennsylvania, is searching for a Dental Office Manager to join our team of dedicated professionals. We seek an eager to learn and team focused Office manager who excels in: Having a service-minded, 5-star approach to patient care.