NewOutpatient Medical Coder (CPC) - Surgical - Temp to Perm Opportunity - Hybrid JobotOutpatient Medical Coder (CPC) - Surgical - Temp to Perm Opportunity - HybridWayne, NJ$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.
NewMedical 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.
Certified Medical Coder Metropolitan Jewish Health SystemCertified Medical CoderNY$61,463.13–$73,755.75 / yearResponsibilities: Our MJHS Medical Associates, P.C. is a group of Nurse Practitioners, Physician Assistants, RN Case Managers and LPNs who provide care to Elderplan members who are residents of assisted living and long term care facilities, as well as to those living at home. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care.
NewFull Time / Part Time Inpatient Facility Medical Coder - Remote Inventurus Knowledge Solutions LtdFull Time / Part Time Inpatient Facility Medical Coder - RemoteNYRemote$35–$42 / hourOur Care Enablement Platform delivers data-driven value and expertise across the care journey, and IKS is a partner for clinician enterprises looking to effectively scale, improve quality, and achieve cost savings through forward-thinking solutions. IKS Health takes on the chores of healthcare, reducing administrative, clinical, and operational burdens so that staff can focus on their core purpose: delivering exceptional care.
Full Time Facility Pediatric Same Day Surgery Medical Coder Remote Inventurus Knowledge Solutions LtdFull Time Facility Pediatric Same Day Surgery Medical Coder RemoteNYRemote$30–$35 / hourOur Care Enablement Platform delivers data-driven value and expertise across the care journey, and IKS is a partner for clinician enterprises looking to effectively scale, improve quality, and achieve cost savings through forward-thinking solutions. As an experienced coder, you will be responsible for providing coding and abstracting services for clients on outpatient, pediatric surgery CPT records using ICD-10-CM, CPS, and CPT coding systems.
Medical Records Coder II, Full Time, Family Medicine, Summit Atlantic Health System IncMedical Records Coder II, Full Time, Family Medicine, SummitSummit, NJAtlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania.
Business Professional - Professional Coder I Alpha Business SolutionsBusiness Professional - Professional Coder INewark, NJRemote$35–$42 / hourThe position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation (RADV) audits, as well as ongoing Risk Adjustment activities across Medicare, Medicaid, and Commercial lines of business. This role is responsible for reviewing, interpreting, auditing, coding, and analyzing medical record documentation to ensure diagnosis accuracy, proper documentation, and Hierarchical Condition Category (HCC) abstraction.
Professional Coder Axelon Services CorporationProfessional CoderNewark, NJRemote$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).
Professional Coder I ICONMA, LLCProfessional Coder INewark, NJ$36–$40.92 / 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. Requirements: 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).
Professional Coder I IconmaProfessional Coder INewark, NJ$36–$40.92 / 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. Requirements: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).
Professional 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).
Professional Coder Ampcus IncorporatedProfessional CoderNewark, NJ$33–$37.50 / hourSince 1995, iTech Solutions Inc., has been providing IT Consulting and Direct Hire Services to the Insurance, Financial, Communications, Manufacturing and Government sectors with local offices in Connecticut, Minnesota, Colorado, Massachusetts, Tennessee, North Carolina, and New Jersey / Pennsylvania area. This 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.
Billing Coordinator / Coder Ambulatory - Obstetrics - Physician Practice Hackensack Meridian HealthBilling Coordinator / Coder Ambulatory - Obstetrics - Physician PracticeHackensack, New JerseyFull timeThis position is responsible 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 across the Hackensack Meridian Health (HMH) network. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Billing Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician Practice Hackensack Meridian HealthBilling Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician PracticeHackensack, New JerseyFull timeThis position is responsible 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 across the Hackensack Meridian Health (HMH) network. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Coder III - Physician Practice Hackensack University Medical CenterCoder III - Physician PracticeEdison, NJThe Physician Coder III is responsible 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 across Hackensack Meridian Health (HMH) network. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Coder III - Physician Practice Hackensack Meridian HealthCoder III - Physician PracticeEdison, New JerseyFull timeThe Physician Coder III is responsible 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 across Hackensack Meridian Health (HMH) network. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
NewSr Risk Adjustment Coder Stanford Health CareSr Risk Adjustment CoderNewark, NJ$44.13–$57.36 / hourLocationsStanford Health Care - University Healthcare AllianceWhat you will doRisk Adjustment ReviewMay perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditingReviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. Licenses and CertificationsCPC - Certified Professional Coder andCRC - Certified Risk Adjustment CoderCCDS - Cert Clinical Document Spec preferredPhysical Demands and Work ConditionsPhysical DemandsConstant Sitting.
Outpatient Coder ED Datavant LLCOutpatient Coder EDNYRemote$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. 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.
Outpatient Coder Sign on Bonus 1,500 Datavant LLCOutpatient Coder Sign on Bonus 1,500NYRemote$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.
HCC | Risk Adjustment Coder Integrated Resources, IncHCC | Risk Adjustment CoderNewark, NJRemote$30–$35 / hourExperienced Medical Coder with strong HCC/Risk Adjustment knowledge, chart auditing experience, and expertise in ICD-10, CPT, and HCPCS coding within a health plan or insurance environment. Supports Medicare, Medicaid, Commercial Risk Adjustment programs, and RADV audits while ensuring compliance with ICD-10 coding guidelines and risk adjustment regulations.
Professional Coder - FT - Day - Physician Professional Coders Remote (NJ, PA, AL) Capital HealthProfessional Coder - FT - Day - Physician Professional Coders Remote (NJ, PA, AL)NJRemote$25.49–$33.16 / hourFrequent physical demands include: Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion , Taste or Smell , Talk or Hear. Responsible for accurately reviewing and assigning Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and ICD-10-CM codes for professional claims billed by Capital Health Medical Group (CHMG) for hospital and outpatient procedures.
Special Investigations Unit Clinical Certified Coder Metroplus Health Plan IncSpecial Investigations Unit Clinical Certified CoderNY$100,000–$110,000 / yearMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics.
Inpatient Coder Associate, Payment Integrity Clover Health Investments CorpInpatient Coder Associate, Payment IntegrityNYRemote$80,000–$110,000 / yearSuccess in this role looks like: By the end of your initial 90-day period, you will have demonstrated a strong understanding of clinical coding practices and medical records review, while assisting our team in areas of DRG validation. We believe the healthcare system is broken, so we''ve created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.
Senior Vascular Surgery Professional Coder (CPC, CCS-P, CIRCC) The Cardiovascular Care GroupSenior Vascular Surgery Professional Coder (CPC, CCS-P, CIRCC)NJThe ideal candidate is a highly experienced vascular surgery coder capable of independently coding complex open and endovascular operative cases while also supporting prior authorization workflows, payer compliance, and revenue cycle optimization in a fast-paced specialty practice environment. Interpret and code: open vascular procedures, endovascular interventions, angiography, catheter placements, thrombectomy, bypass grafting, dialysis access procedures, embolization, stent placement, EVAR/TEVAR, and hybrid vascular procedures.
Billing Coordinator / Coder Ambulatory - Obstetrics - Physician Practice Hackensack University Medical CenterBilling Coordinator / Coder Ambulatory - Obstetrics - Physician PracticeHackensack, NJThis position is responsible 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 across the Hackensack Meridian Health (HMH) network. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system.
Billing Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician Practice Hackensack University Medical CenterBilling Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician PracticeHackensack, NJThis position is responsible 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 across the Hackensack Meridian Health (HMH) network. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system.
HIM Coder - OP Atlantic Health SystemHIM Coder - OPPompton Plains, NJAtlantic Medical Group, comprised of 1,000 physicians and advanced practice providers, represents one of the largest multi-specialty practices in New Jersey and includes finance, legal, marketing, human resources, talent acquisition, ISS and more. Atlantic Health scored four “A” grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm.
Coder Abstractor Certified St. Joseph HealthCoder Abstractor CertifiedNJThe 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". St. Joseph's 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.
NewSr Risk Adjustment Coder University HealthCare AllianceSr Risk Adjustment CoderNewark, NJ$44.13–$57.36 / hourExperience Qualifications: 5+ years of work experience in a risk adjustment program supporting and communicating with clinicians with prospective and/or concurrent role within a healthcare setting with demonstrated knowledge and of regulatory billing and coding guidelines. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment.
Medical Claims Auditor Clover Health Investments CorpMedical Claims AuditorNYRemote$90,000–$100,000 / yearAs a Medical Claims Auditor within our Special Investigations Unit, you will play a critical role in ensuring that Clover is able to continue to build and scale a compliant, effective FWA audit program. Success in this role looks like: By the end of your initial 90 day period, you will have demonstrated a strong understanding of our review process and are able to effectively navigate through the various Clover systems.
Medical Billing Associate Human HireMedical Billing AssociateFair Lawn, NJOur Healthcare team is comprised of experts in the healthcare space, partnering with organizations ranging from large hospital systems to local specialty practices, leveraging over 50 years of combined industry experience to connect high-quality candidates with exciting, career-building opportunities. Keywords: Medical Billing Specialist, Commercial Insurance Billing, Accounts Receivable, A/R Follow-Up, Payment Posting, Denial Management, Appeals, EOB Review, Revenue Cycle, Medical Claims, Healthcare Billing, Insurance Collections.
NewAssoc. Chief Medical Officer Atlantic Health System IncAssoc. Chief Medical OfficerMorristown, NJAtlantic Health scored four "A" grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm. In addition, Leapfrog recognized us with an "A" hospital safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020.
Medical Billing - Workforce Development Instructor - (Pooled Position) County College of Morris FoundationMedical Billing - Workforce Development Instructor - (Pooled Position)NJExperience • Knowledge of navigation of healthcare industry rules and regulations including HIPAA, False Claims Act, Fair Debt Collections Act, and an understanding of the life cycle of a medical billing claim and how to improve the revenue cycle. Posting Summary Position Title: Medical Billing - Workforce Development Instructor - Pooled Position Job Category: WFD Salary Range: Position Type: Instructor Department: Workforce Development - Instructional.
Medical Record Analyst VNS HealthMedical Record AnalystNY$28.09–$35.08 / hourWe're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. Manages and organizes scanned medical records in a central repository inclusive of performing data entry, scanning relevant components of the medical record to support reviews performed, and using appropriate naming convention.
NewSpecial Investigation Unit (SIU) Manager CVS Health CorpSpecial Investigation Unit (SIU) ManagerNY$54,300–$159,120 / yearThe Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state regulators.
Lead Principal Product Manager, Healthcare AI - Autonomous Coding Oracle CorpLead Principal Product Manager, Healthcare AI - Autonomous CodingNY$119,200–$264,100 / yearOracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. We are seeking an experienced Product Manager with a vision and experience in healthcare revenue cycle for improving medical coder's productivity and developing AI products that reduce their burnout.
Data Entry Clerk - Billing II Quest Diagnostics IncData Entry Clerk - Billing IIClifton, NJ1+ years of customer service experience in customer services, phone support role, or medical billing office.1+ years of Billing Knowledge, Billing Data Entry, Strong Customer Service Skills, and Insurance Payor KnowledgeDemonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs. Students & early career | Quest Diagnostics Whether you are transitioning from high school, college or to civilian life after serving in the military, we have programs that can help you reach your goals - and share in the incredible work we do.
CPC Investigator Blue Cross and Blue Shield AssociationCPC InvestigatorNewark, NJ$70,500–$94,395 / yearThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. The incumbent will also be responsible for handling low level investigative activities (external) related to claims, enrollment, accounting, receive and review suspected fraud and to complete cases with all information and analysis for resolution, as the manager and prior approved guidelines may direct.
CPC Investigator Horizon Healthcare ServicesCPC InvestigatorNewark, New JerseyThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. $70,500 - $94,395 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.
Coding Auditor and Educator, Physician Billing (PB) Hackensack Meridian HealthCoding Auditor and Educator, Physician Billing (PB)Hasbrouck Heights, New JerseyFull timePerform coding quality audits of all records (outpatient, inpatient, procedures, diagnostic testing) to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of the education needs for the providers and staff. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
NewDRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadNew York, NY$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Inpatient Coding Data Quality Auditor/Educator University Hospital, Newark NJInpatient Coding Data Quality Auditor/EducatorNewark, New Jersey$118,941–$142,009 / yearFull timeAs the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation. University Hospital considers multiple factors when determining compensation, including (but not limited to) the scope and responsibilities of the position, the candidate’s relevant work experience, education and training, key skills, internal equity, market data, and organizational needs.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistNY$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Training Manager ExlService Holdings IncTraining ManagerNYRemote$100,000–$120,000 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. The ideal candidate will bring strong people leadership capability, a proven ability to develop high-performing teams, and experience driving training strategy, operational execution, and learner outcomes.
Quality Analyst - Outpatient, Healthcare ExlService Holdings IncQuality Analyst - Outpatient, HealthcareNYRemote$85,000–$92,000 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
NewRCM Process & Quality Analyst Lead iRhythm Holdings IncRCM Process & Quality Analyst LeadNYRemote$115,000–$149,000 / yearRelevant certifications highly desirable: Certified Revenue Cycle Representative (CRCR), Certified Professional in Healthcare Quality (CPHQ), Lean Six Sigma Green/Black Belt, Certified Coding Specialist (CCS) or Certified Professional Coder (CPC). Reporting to the Manager, Revenue Cycle, the RCM Process & Quality Analyst Lead will be responsible for supporting the audit approach and execution of the end-to-end quality program, with a focus on improving consistency, compliance, and operational performance across the revenue cycle.
ProFee Audit Specialist- PRN Datavant LLCProFee Audit Specialist- PRNNYRemote$35–$45 / hourWhat We're Looking For: As a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided 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.
Director, Clinical Data Management PTC Therapeutics IncDirector, Clinical Data ManagementNJ$200,700–$252,600 / yearJob Description Summary: The Director, Clinical Data Management provides strategic and operational leadership and oversight of data management activities to ensure the quality, integrity, consistency and inspection readiness of clinical databases for subsequent analysis, reporting and regulatory submissions. Participate in cross functional team meetings, as requested, and communicate with all departments regarding project statuses/issues, provide ongoing feedback on data management workflows to increase efficiency and provide feedback to CRAs.
Sr. Coding Compliance Educator Privia Health Group, IncSr. Coding Compliance EducatorNY$70,000–$82,500 / yearThe Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed.
Diagnosis-Related Group (DRG) Trainer ExlService Holdings IncDiagnosis-Related Group (DRG) TrainerNY$60,100–$110,000 / yearThe DRG Trainer partners closely with Quality Analysts, Auditors, and Subject Matter Experts to ensure training content remains current, relevant, and aligned with evolving coding requirements and audit expectations, while driving timely progression through training and successful graduation to operations. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates.