Revenue Integrity Expert - Healthcare MercorRevenue Integrity Expert - HealthcareNew York, New YorkRemoteOversee charge capture , charge integrity , and revenue integrity functions to ensure accurate and compliant charge submission. Conduct charge audits to identify missed charges, duplicate charges, and charge capture errors across clinical departments.
Diagnosis-Related Group (DRG) Auditor III ExlService Holdings IncDiagnosis-Related Group (DRG) Auditor IIINYRemote$73,000–$98,700 / 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.
Clinical Trials Medicare Coverage Analyst VitaliefClinical Trials Medicare Coverage AnalystNew Brunswick, NJRemote$75,000–$100,000 / yearTHE ROLE We are seeking a full-time, fully benefited Vitalief employee to serve as a Clinical Trials Medicare Coverage Analyst in a fully remote capacity, supporting Vitalief’s client, a leading academic clinical research center in the Chicago area. KEY RESPONSIBILITIES Conduct Medicare Coverage Analyses (MCA) for a mixture of oncology and non-oncology clinical trial protocols identifying which procedures and services are billable to Medicare versus those considered research related.
Front Desk Coordinator - Full Time RestorixHealthFront Desk Coordinator - Full TimeRahway, NJResponsible for scheduling patients, precertification, insurance verification, charge entry and daily reconciliations, this position will wear many hats. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally and vertically.
Call Center Service Associate Blue Cross and Blue Shield AssociationCall Center Service AssociateHopewell, NJ$47,961–$63,820 / yearThis 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. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience.
Medical Scribe (Bilingual Spanish Required) Oak Street HealthMedical Scribe (Bilingual Spanish Required)New York, NY$17–$34.15 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
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.
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.
NewDRG Quality Manager ExlService Holdings IncDRG Quality ManagerNYRemote$100,000–$120,000 / yearThe role directly manages a team of DRG quality analysts responsible for reviewing auditor-completed MS-DRG and APR-DRG work, validating audit accuracy, and ensuring accurate coding and reimbursement outcomes. High-quality, accurate, timely, and consistent quality review results across DRG and assigned programs, including correct DRG validation, clinical support, coding guideline application, and audit rationale quality.
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.
NewOutpatient Coder, Ambulatory Hackensack Meridian HealthOutpatient Coder, AmbulatoryNorth 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.
Senior Performance Engineer- JMeter, JavaScript - Remote MaximusSenior Performance Engineer- JMeter, JavaScript - RemoteNewark, NJRemoteFull timeDesign, develop, and maintain performance testing frameworks, automation utilities, CI/CD integrations, and cloud-native testing capabilities supporting AWS services, Kubernetes clusters, Docker containers, Helm deployments, and microservices architectures. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Senior Technician, Management Information Systems SY2025-26 (NBOE) Newark Board of EducationSenior Technician, Management Information Systems SY2025-26 (NBOE)Newark, NJDEFINITION: Under direction of a supervisory official in a state or local department, institution, or agency, assists in the planning, development, and implementation of information systems; reviews related programs and systems; acts as liaison with internal components utilizing the systems, and/or with other government jurisdictions; or in a client/server environment, provides hardware and software on servers or workstations; does other related work. Offerings include Medical and Prescription Drug plans, employer-paid Dental and Vision coverage, an array of Wellness and Voluntary benefits programs, and paid time off; all employees receive paid Personal and Sick days, as well as Vacation days for 12-month employees.
Site Reliability Engineer Barclays PlcSite Reliability EngineerWhippany, NJYou will act as a subject‑matter specialist for SRE practices, partnering with infrastructure and engineering teams to embed reliability into platforms across cloud, on-prem, compute, storage, networking, and databases. Containers and orchestration (Docker, Kubernetes); Networking (TCP/IP, DNS, HTTP, SFTP) and relational databases; and monitoring and observability tools (Geneos ITRS, Prometheus, Grafana, APM, Observe).
NewRemote | Medical Auditor — $30–$40/hour 24-MagRemote | Medical Auditor — $30–$40/hourNew York, New YorkRemoteWe are sharing a specialised consulting opportunity for experienced Medical Auditors with strong expertise in outpatient professional fee coding, coding audits, academic medical center workflows, audit-program management, and coding quality assurance to contribute to an advanced AI training and medical-coding evaluation project. Work will involve outpatient professional fee coding audits, coder-review QA, complex coding decisions, feedback documentation, and audit-program support.
NewUniversity Associate, Disputes & Economics - Healthcare and Life Sciences Ankura Consulting Group LLCUniversity Associate, Disputes & Economics - Healthcare and Life SciencesNew York, NY$50,000–$120,000 / yearAnkura's provider team has experience assisting hospitals, long term care centers, outpatient and diagnostic centers, DME providers, home health agencies, hospice centers and their legal counsel to provide effective solutions for their most complex litigation and compliance issues. Requirements: Candidates should be top academic performers, be interested in the consulting industry, and meet the following criteria: Bachelor's Degree with an expected graduation date between December 2026 to June 2027, with a major in Economics, Computer Science, Data Science, Statistics/Biostatistics, Public Health, or Mathematics.
Senior Analyst, Payment Integrity Oscar Health IncSenior Analyst, Payment IntegrityNew York, NYRemote$64,832–$85,092 / yearThis is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah.
Senior Analyst, Payment Integrity Disputes Oscar Health IncSenior Analyst, Payment Integrity DisputesNew York, NYRemote$64,832–$85,092 / yearYou will leverage a deep understanding of Oscar''s claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah.
Medical 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.
Senior Staff Dentist, Utilization Management (Remote) NY LIBERTY Dental PlanSenior Staff Dentist, Utilization Management (Remote) NYNew York, NYRemote$175,000–$185,000 / yearJoin LIBERTY Dental Plan as a Senior Staff Dentist and play a critical role in improving quality, supporting providers, and ensuring members receive clinically appropriate, evidence-based dental care across Commercial, Medicare Advantage, and Medicaid programs. In this influential clinical leadership role, you'll leverage your expertise to guide utilization management decisions, support quality improvement initiatives, mentor colleagues, and help drive better oral health outcomes on a broader scale.