CDI Specialist Episcopal Health Services IncCDI SpecialistNYAdditionally, St. Johns is proud to be redesignated as a Baby-Friendly Hospital by Baby-Friendly USA - the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States. The hospital is a recipient of the Gold-Plus Get with the Guidelines-Stroke Quality Achievement Award and the Gold-Plus Get with the Guidelines-Heart Failure Quality Achievement Award from the American Heart Association.
ProFee Audit Specialist- PRN DatavantProFee Audit Specialist- PRNNew York, NYRemote$35–$45 / hourAs 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. The estimated base pay range per hour for this role is: $35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
HIM Coder - Remote/Mt. Holly (FT) CCS Required Virtua Health IncHIM Coder - Remote/Mt. Holly (FT) CCS RequiredMt. Holly, NJRemote$26.22–$40.65 / hourPosition Responsibilities: Accurately reviews each record and knowledgeably utilizes ICD-10-CM, ICD-10-PCS, CPT-4, and encoder to accurately code all significant diagnoses and procedures according to American Hospital Association (AHA), American Health Information Management Association (AHIMA), Uniform Hospital Discharge Data Set (UHDDS) hospital specific guidelines and rules/conventions. Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Additional Locations: Job Information: Please note all candidates must complete & pass onsite testing in Marlton, NJ prior to an interview.
Senior Consultant, Revenue Cycle And Financial Operations | Healthcare Business Transformation FTI Consulting, Inc.Senior Consultant, Revenue Cycle And Financial Operations | Healthcare Business TransformationNew York, NYThe Senior Consultant in Revenue Cycle and Financial Operations within our Healthcare Business Transformation practice plays a key leadership role advising physician groups, health systems, private equity and technology companies on strategies to optimize financial performance and operating effectiveness across the revenue cycle. This role supports complex client engagements from assessment through implementation, partners directly with client executives to align initiatives to enterprise priorities, and delivers measurable outcomes related to cost optimization, revenue enhancement, technology implementation and financial operations.
Senior Consultant, Revenue Cycle and Financial Operations | Healthcare Business Transformation FTI Consulting IncSenior Consultant, Revenue Cycle and Financial Operations | Healthcare Business TransformationNew York, NYThe Senior Consultant in Revenue Cycle and Financial Operations within our Healthcare Business Transformation practice plays a key leadership role advising physician groups, health systems, private equity and technology companies on strategies to optimize financial performance and operating effectiveness across the revenue cycle. This role supports complex client engagements from assessment through implementation, partners directly with client executives to align initiatives to enterprise priorities, and delivers measurable outcomes related to cost optimization, revenue enhancement, technology implementation and financial operations.
Med Records Coder III University of RochesterMed Records Coder IIINew York, NY$21.78–$30.53 / hourAmerican Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred. Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow.
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.
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.
Senior Manager, Neuroscience And Cardiovascular Patient Access Strategy And Marketing Bristol Myers SquibbSenior Manager, Neuroscience And Cardiovascular Patient Access Strategy And MarketingPrinceton, NJ$141,310–$171,238 / yearSummary: The Senior Manager, Neuroscience and Cardiovascular Patient Access Strategy and Marketing will play a key role in the management of our Patient Access & Support Services (PASS) across the BMS portfolio with a primary focus on Neuroscience and Cardiovascular patient support programs. Manages hub relations and activities (e.g., complex ways of working, start forms, patient contact, escalations, denials, coding, training, business reviews, staffing updates, program claims, invoices, and activity monitoring).
Supervisor of Revenue Cycle and Credentialing Henry J Austin Health CenterSupervisor of Revenue Cycle and CredentialingTrenton, NJ$65,400–$94,200 / yearThe Supervisor monitors billing, collections, audits, credentialing, recredentialing, payer enrollment, denial trends, Medicaid WRAP activity, LOA (NJ state letter of agreement) billing processes, and reimbursement performance while supporting workflow optimization within Dental and Medical EMR or software platforms Working collaboratively with Patient Access, Clinical Operations, Finance, IT, and external partners, the Supervisor identifies and resolves operational and reimbursement issues, promotes data integrity and reporting accuracy, and supports continuous process improvement to enhance organizational performance and revenue outcomes. The Supervisor of Revenue Cycle and Credentialing works under the direction of the Director of Revenue Cycle and Credentialing to oversee daily revenue cycle and provider credentialing operations, ensuring accurate billing, timely payer enrollment, reimbursement integrity, and compliance with federal, state, payer, HRSA, and NCQA requirements.
Supervisor Of Revenue Cycle And Credentialing Henry J Austin Health CenterSupervisor Of Revenue Cycle And CredentialingTrenton, NJ$65,400–$94,200 / yearThe Supervisor monitors billing, collections, audits, credentialing, recredentialing, payer enrollment, denial trends, Medicaid WRAP activity, LOA (NJ state letter of agreement) billing processes, and reimbursement performance while supporting workflow optimization within Dental and Medical EMR or software platforms Working collaboratively with Patient Access, Clinical Operations, Finance, IT, and external partners, the Supervisor identifies and resolves operational and reimbursement issues, promotes data integrity and reporting accuracy, and supports continuous process improvement to enhance organizational performance and revenue outcomes. The Supervisor of Revenue Cycle and Credentialing works under the direction of the Director of Revenue Cycle and Credentialing to oversee daily revenue cycle and provider credentialing operations, ensuring accurate billing, timely payer enrollment, reimbursement integrity, and compliance with federal, state, payer, HRSA, and NCQA requirements.
Principal Data Manager I Everest Clinical ResearchPrincipal Data Manager IBridgewater, New JerseyRemoteTo drive continued success in this exciting clinical research field, we are seeking committed, skilled, and customer-focused individuals to join our winning team as Principal Clinical Data Manager for our Bridgewater, New Jersey, USA on-site location, or remotely from a home-based office anywhere in the USA in accordance with our Work from Home policy. When these tasks are assigned to Data Management support team members, the Principal Clinical Data Manager is responsible for review or to provide data management oversight and approvals for the task performed to ensure quality deliverable, including review of UAT plans to ensure accuracy and consistency among projects.
Senior Hospital Clinical Documentation Improvement Specialist - FT - Day - Clinical Documentation Improvement Lawrenceville NJ Capital HealthSenior Hospital Clinical Documentation Improvement Specialist - FT - Day - Clinical Documentation Improvement Lawrenceville NJNJ$90,480–$118,227.20 / yearExperience: Three or more years' recent clinical experience in an acute care setting, preferable ICU or Medical/Surgical, or three or more years related coding experience or clinical documentation improvement specialist experience in a hospital setting in clinical documentation improvement in an acute care setting. Supports escalated documentation issues, mentors CDI team members, and collaborates with physicians, coding, and revenue cycle leadership to improve clinical documentation that impacts reimbursement, quality reporting, and patient outcomes.
Manager, Data Mining - Payment Integrity Oscar Health IncManager, 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.
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.
Configuration and Quality Audit Analyst | Hybrid NY HealthfirstConfiguration and Quality Audit Analyst | Hybrid NYNew York, NY$68,900–$99,620 / yearAt least three years of experience in a managed care organization, commercial health plan, government program, third-party administrator, or other healthcare operations environment performing claims analysis, configuration audit, provider reimbursement, payment integrity, or healthcare data analysis. Candidate must display effective communication skills and have detailed skillset to configure Office365, effectively communicate product updates, interface with the vendor on potential issues, and ensure platform governance rules are followed.
NewManager, Data Mining - Payment Integrity Oscar HealthManager, Data Mining - Payment IntegrityNew York, NY$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.
Director, Clinical Data Management PTC TherapeuticsDirector, Clinical Data ManagementWarren, NJ$200,700–$252,600 / yearThe 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.