Director, Payment Integrity Capital Rx, Inc.Director, Payment IntegrityNew York, NY$206,400–$258,000 / yearPosition Summary: The Director, Payment Integrity will build and lead Judi Health's payment integrity program from inception, establishing the infrastructure, processes, and team that will ensure claims are paid correctly, compliantly, and efficiently across our commercial plan population. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
PS 297 Activity Instructor- Robotics/Coding/ STEM GOOD SHEPHERD SERVICESPS 297 Activity Instructor- Robotics/Coding/ STEMBrooklyn, NYMajor Duties: Prepare and develop age, and skill-appropriate curriculum, lesson plans, activities, and special projects that fuse the arts and academic competencies to be reviewed by supervisors before being taught. Robotics & Coding: Instruct and support students in designing, programming robots using coding platform Vex Go and various STEM tools, and VR system equipment.
Medical Billing Specialist - Denials Sonic Healthcare USAMedical Billing Specialist - DenialsHicksville, NY$18–$24 / hourUse established protocols to contact providers and clients to resolve discrepancies in processed, partially paid and unpaid claims with timely appropriate follow up action. We offer Medical, Vision and Dental Insurance | Short Term and Long-Term disability | Voluntary term life | 401-K plus match | Paid Time Off| Paid holidays.
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.
Director, Transformation Services - Revenue Integrity Med-Metrix, LLCDirector, Transformation Services - Revenue IntegrityParsippany-Troy Hills, NJPhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Project leadership and workplan management experience for opportunity assessments within a consulting firm setting with a focus on middle revenue cycle areas (clinical documentation, revenue integrity, charging, coding).
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.
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.
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.
Revenue Cycle Supervisor (Self Pay and Specialty) Self Pay and SpecialtyRevenue Cycle Supervisor (Self Pay and Specialty)Fort Lee, New JerseyDemonstrated skills in A/R management, Customer Service, problem assessment, and resolution, and collaborative problem-solving in complex and interdisciplinary settings, including strong proficiency in healthcare and payer guidelines as it pertains to billing and reimbursement. The Revenue Cycle Supervisor (Self Pay and Specialty) will also be responsible for day-to-day operations of the payment posting process, the International Business Line, Specialty billing, and the oversight of guarantor work queues.
Outpatient Coding Consultant Datavant LLCOutpatient Coding ConsultantNYRemote$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.
Coding and Documentation Review Specialist Catholic HealthCoding and Documentation Review SpecialistMelville, New York$65,000–$80,000 / yearMust be fluent with the Evaluation and Management / CPT coding guidelines, ICD10 coding guidelines for outpatient, inpatient, observation coding including but not limited to all office-based services, procedural coding and hospital rounding. Identifies coding issues related to billing denials, collaborates with the Coding Educator and Revenue Integrity as needed to assist with the preparation of training materials and examples to prevent future coding/billing issues.
Medical Coding Leader - Fully Remote MercorMedical Coding Leader - Fully RemoteNew York, New YorkRemoteMonitor coding KPIs, including coder productivity, accuracy rates, unbilled accounts, and claim denial rates due to coding errors. Evaluate AI-generated coding assignments, including ICD-10-CM/PCS , CPT/HCPCS , and DRG assignments.
Coding Manager Catholic HealthCoding ManagerMelville, New York$100,000–$125,000 / yearAt Catholic Health, we are dedicated to serving as Long Island’s preferred healthcare system by delivering high-quality, compassionate care anchored in our I-CARE values: Integrity, Compassion, Accountability, Respect, and Excellence . Partnering closely with HIM senior leadership and clinical teams, you will drive revenue integrity, streamline workflow efficiency, and foster a supportive, high-performing team culture .
Billing Manager DocGoBilling ManagerRidgewood, New YorkDocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services.
Denials Representative -Full-Time Holy Name Medical CenterDenials Representative -Full-TimeHackensack, NJ$22–$25.30 / hourFull timeHoly Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state-of-the-art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network. This position collaborates with internal departments and insurance payers to resolve claim issues, identify denial trends, and support process improvements that strengthen the hospital's revenue cycle.
Sr. Revenue Cycle Billing Specialist Firstsource Solutions LtdSr. Revenue Cycle Billing SpecialistNY$30–$40 / hourThis role identifies root causes of denials, executes appeals and corrective actions, and collaborates with internal teams to prevent future denials. Work claims across all top denial categories including, but not limited to: No Authorization, Timely Filing, Coordination of Benefits (COB), Medical Necessity, Additional Documentation Requests (ADR), Bundling (NCCI edits), and Duplicate Claims.
CDI Second Level Reviewer St. Catherine of Siena Medical CenterCDI Second Level ReviewerMelville, NY$110,000–$155,000 / yearThis role focuses on identifying documentation opportunities in complex or high-risk cases to ensure accurate representation of patient acuity, quality outcomes (such as expected mortality), and financial performance. The CDI Second Level Reviewer is an experienced Clinical Documentation Specialist responsible for performing advanced, targeted case reviews on potentially high-impact encounters.
Forward Deployed Software Engineering - Experienced Associate PwCForward Deployed Software Engineering - Experienced AssociateNew York, NY$63,000–$153,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will be exposed to clients to learn how to build meaningful connections, manage and inspire others, and grow your personal brand by deepening your technical knowledge of firm services and technology resources.
Full Stack AWS Cloud Developer Sunrise Systems IncFull Stack AWS Cloud DeveloperNewark, NJ$74–$84 / hourNET Framework Required 6 Years ASP.NET, ASP.NET MVC using Internet Information Services (IIS) Required 6 Years XML/json; WebAPI and RESTful Web Services Required 6 Years Jira, GitHub, Azure DevOps Required 6 Years JavaScript (TypeScript and React optional) Required 6 Years Oracle and SQL Server Required 6 Years Visual Studio Required 6 Years . They must be able to workacross the stack—from intuitive front-end interfaces to robust back-endservices—leveraging AWS platform to deliver secure, high-performance solutions.
Outpatient Coder - Orthopedics - Physician Practice Hackensack Meridian HealthOutpatient Coder - Orthopedics - Physician PracticeNorth Bergen, New JerseyFull timeThe Outpatient Coder I 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.