NewMedical Billing Specialist AtriumMedical Billing SpecialistSomerset, NJ$25–$28 / hourThe ideal candidate is detail-oriented, proactive, and confident in managing the billing cycle, especially EOB interpretation, follow-up/denials, and working across multiple insurance payers (including out-of-network scenarios). This is a newly created role reporting to the Billing Manager, with the opportunity to help strengthen day-to-day billing operations for a high-volume pain management/spine practice.
Claims Specialist Medical Malpractice Diedre Moire Corp.Claims Specialist Medical MalpracticeUnion, NJ$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Manage total claim costs for highly complex or severe injury medical malpractice claims while negotiating to resolution and providing high levels of customer service.
Outpatient 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.
MDS Specialist RN Care-OneMDS Specialist RNWhippany, NJ$83,000–$120,000 / yearUtilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple-Check meetings, collaborating with therapy, nursing, and the business office to validate medical necessity, track managed care authorizations, and ensure accurate billing alignment prior to transmission. Lead MDS/Clinical Reimbursement Coordinator will be responsible for, but not limited to: MDS/RAI Process Leadership: Direct the timely and accurate completion of the Minimum Data Set (MDS) and Care Area Assessments (CAAs) in strict compliance with CMS regulations.
Accounts Payable Specialist Vaco LLCAccounts Payable SpecialistPrinceton, NJ$55,000–$60,000 / yearDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
NewPharmacovigilance (PV) Analytics and Reporting Specialist ECLAROPharmacovigilance (PV) Analytics and Reporting SpecialistLawrenceville, NJResponsibilities: Data Analytics and Reporting Build and continuously improve data analytics through supporting models that provide insights into efficiency, quality, stakeholder feedback, and key performance indicators to drive timely and informed decision making. The PV Analytics and Reporting Specialist, PV Analytics Center of Excellence applies a combination of life sciences strategy, leadership, and reporting/visualization experience to drive successful servicing of information needs across PS.
Digital Marketing Specialist ECLARODigital Marketing SpecialistLawrence Township, NJ$81.74–$86.69 / hourIf needed, lead internal MLR review processes and work with external partners to ensure timely and accurate preparation of digital programs (e.g., CRM, third-party programs, HCP media, websites, mobile, email, social media, SEO / SEM, IVA, Field-Trigger e-mails, etc.). Position Overview: The Omnichannel Strategist serves as a dedicated point-of-contact for a brand, their creative, digital and media agencies, ensuring seamless planning and execution of omni-channel campaigns / tactics aligned to the brand strategy.
NewEnvironmental Health, Safety, and Security Specialist JouléEnvironmental Health, Safety, and Security SpecialistSouth Brunswick Township, New Jersey$65,000–$75,000 / yearIdeal for candidates with EHS experience in cosmetics manufacturing, food production, pharmaceutical, or industrial environments seeking growth within a hands-on EHSS role - warehouse and distribution center experience translates. This role is responsible for ensuring regulatory compliance, promoting a strong safety culture, supporting environmental and security initiatives, and partnering with site leadership to maintain a safe and secure workplace.
NewPatient Access Associate Specialist - Night Shift Ensemble Health PartnersPatient Access Associate Specialist - Night ShiftWestwood, NJ$17–$18.15Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
NewAssociate Specialist, Patient Access Ensemble Health PartnersAssociate Specialist, Patient AccessWestwood, NJ$17–$18.15Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
NewProfessional 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).
Vice President - Senior Data Engineer BarclaysVice President - Senior Data EngineerWhippany, NJTo be successful as a Vice President - Senior Data Engineer, you should have: Considerable Python experience for data engineering and service development, leveraging frameworks and libraries such as FastAPI, PySpark, Pydantic, and asyncio. In this role, you will contribute to building a greenfield data and intelligence platform for Equities, playing a key role in defining the architecture, selecting tooling, and setting the strategic direction of a modern data ecosystem.
Site Reliability Engineer -VP BarclaysSite Reliability Engineer -VPWhippany, 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).
NewSoftware Development Engineer JobotSoftware Development EngineerBayonne, NJ$65–$80 / hourDevelopers at this level are building greater independence, taking ownership of small to medium-sized work items, and strengthening their core engineering skills across multiple application layers, including user interfaces, services, APIs, and data. Our teams include professionals across software engineering, product development, clinical informatics, research, and healthcare technology who share a commitment to reducing complexity and improving outcomes for patients and providers.
Medical Coding Specialist (32473) ExamWorks Group IncMedical Coding Specialist (32473)Mount Laurel, NJExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
NewMedical Coding Specialist (32474) ExamWorks Group IncMedical Coding Specialist (32474)Mount Laurel, NJExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
Coding Quality Specialist St. Joseph HealthCoding Quality SpecialistNJJosephs 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. The combined efforts of the organizations 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 nations "100 Best Places to Work in Health Care".
Medical Billing and Coding Specialist Saint Peter's Healthcare System IncMedical Billing and Coding SpecialistNew Brunswick, NJPerform billing activities in a timely manner, i.e. surgical billing, physician billing and coding; may assist with chart audits to identify areas for improvement and resolve as appropriate. May assist with the education and training of office staff on processing office and surgery claims, managing the Athena hold buckets, IngeniousMed tasks, precertifications, and other billing related functions.
NewPROVIDER LIAISON - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) Integrated Resources, IncPROVIDER LIAISON - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS)Newark, New JerseyContractorResponsibilities: Operates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insightsWorks closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysisCollaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider EducatorsCollaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staffValidates documentation against submitted claims diagnosis codes and prepares detailed reportsSupports Risk Adjustment Data Validation auditsDrives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressedProvides status reports to managementCertifications:AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)Knowledge:Understands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment modelMastery of medical coding best practicesProject management skillsExperience displaying ability to think analyticallyStrong communications and presentation skillsComputer skills: Outlook, Excel, Word & Powerpoint; SAS & Access preferredQualificationsEducation Experience:Bachelor's degree in business, healthcare administration, or other related fieldRequires a minimum of three (3) years of healthcare experience, preferably with provider focusRequires CPC or CCS certificationRequires program/project management experience Job DescriptionOne of our direct client is looking for potential candidate with the below mentioned skillsDirect Client: Immediate InterviewContract to HirePosition: Provider LiaisonMUST HAVE:5 years of experience into Project ManagementAt least 2 years of experience after CPC or CCS certificationBachelor's degree is a mustCertificationsAAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)Job Summary:The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding Client's risk adjustment programs.
AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote 61st Street Service CorpAR Follow-Up Specialist III - Coding and Complex Denials #Full Time #RemoteFort Lee, NJRemote$28.72–$36.92 / hourThe AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and resolving complex coding-related denials and appeals in addition to following up on unpaid accounts with insurance companies and third parties. The Specialist III assists the unit supervisor and manager with complex cases, supports training efforts, and identifies denial trends to inform process improvements.
Hospital Inpatient Coder Certified - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coder Certified - FT - Day - HIM Facility Coding RemoteNJRemote$28.70–$37.32 / hourAssigns and properly sequences accurate ICD-10-CM diagnosis and ICD-10-PCS procedure codes in accordance with Official Coding Guidelines, UHDDS definitions, Coding Clinic guidance and CMS to a full range of inpatient services including cases with a high complexity level. Ensures accurate capture of Major Comorbid Conditions (MCC)/Comorbid Conditions (CC), Present on Admission (POA) indicators, Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Severity of Illness (SOI) and Risk of Mortality (ROM).
Coding Specialist Job DetailsCoding SpecialistFort Lee, New Jersey$62,400–$78,600 / yearReview clinical documentation in 3M and Epic to assign accurate ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for Radiology and Interventional Radiology procedures in accordance with official coding guidelines. Independently code Interventional Radiology procedures, including complex multi-component cases, and apply appropriate evaluation and management (E/M) consultation codes as needed.
Hospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding RemoteNJRemote$64,625.60–$84,448 / yearHospital Coder Inpatient Senior Coder is an expert-level coding professional responsible for accurately reviewing and coding complex inpatient medical records using ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and appropriate MS-DRG/APR-DRG grouping methodologies. This role serves as a subject matter expert within the coding department, performing second level reviews, mentoring staff, and collaboration with Clinical Documentation Improvement (CDI), quality, and revenue cycle teams to ensure optimal reimbursement and compliance with regulatory guidelines.
OASIS Review and Coding Specialist RN / PT / OT / SLP Bayada Home Health Care, Inc.OASIS Review and Coding Specialist RN / PT / OT / SLPPennsauken, NJRemote$77,000–$80,000 / yearProvide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. Active State RN Nursing License, Physical (PT), Occupational (OT) or Speech (SLP) Therapists with required certifications with a minimum of 2 years clinical experience.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorNJ$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
OASIS Review and Coding Specialist Non-Clinical Bayada Home Health Care, Inc.OASIS Review and Coding Specialist Non-ClinicalPennsauken, NJRemoteProvide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. Responsibilities: Review clinical information for appropriateness, congruency, and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines.
Coding Quality Reviewer Educator - Remote Cooper University HospitalCoding Quality Reviewer Educator - RemoteCamden, New JerseyRemoteFull timeApplicant must have demonstrated proficiency in coding inpatient accounts, ICD-10, PCS coding and/or complex outpatient coding of Observation, Radiation Oncology, Chemotherapy Infusion, Surgery, Cardiology Cath, EP and/or Interventional Radiology. License/Certification Requirements: One or more of the following required: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA.
Coding Compliance Coordinator (Rehab) Columbia UniversityCoding Compliance Coordinator (Rehab)Fort Lee, NJ$67,300–$75,000 / yearMaintains a thorough working knowledge of all aspects of billing and collections including billing rules and regulations, collection practices, electronic billing processes, CMS 1500 Form requirements, diagnosis and procedure coding, and applicable county, state, and federal requirements. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training.
Coding Quality Auditor Hackensack Meridian HealthCoding Quality AuditorNeptune, New JerseyFull timeResponsibilities: A day in the life of a Coding Quality Auditor at Hackensack Meridian Health includes: Reviews Diagnosis Related Group (DRG) assignment for selected Medicare/Medicaid inpatients, Hospital-acquired condition (HAC), Patient Safety Indicators (PSI) and Healthgrade target diagnoses, mortalities and dual diagnosis (dx) for principal diagnosis (Pdx) for the purpose of reimbursement, research and statistics in compliance with federal regulations according to ICD-10 coding classification systems. The Coding Quality Auditor is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to insure appropriate reimbursement and to support public reporting and various initiatives as directed by Hackensack Meridian Health (HMH) Network.
Information Literacy Specialist NJDOE Endorsement Code #2855, #1410, #1900, #1001 , #1013, or # 1000 Trenton Public SchoolsInformation Literacy Specialist NJDOE Endorsement Code #2855, #1410, #1900, #1001 , #1013, or # 1000Harrison, NJ$71,525–$117,475 / yearid='p9410_'>Information Literacy Specialist NJDOE Endorsement Code #2855, #1410, #1900, #1001, #1013, or # 1000 JobID: 9410. All certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE).
NewInformation Literacy Specialist NJDOE Endorsement Code , or # Trenton School DistrictInformation Literacy Specialist NJDOE Endorsement Code , or #Trenton, NJ$71,525–$117,475 / yearAll certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE). PERFORMANCE RESPONSIBILITIES: Develops and implements written instructional plans that meet the diverse needs, abilities, and interests of all students.
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.
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.
Clin Documentation Spec III, RN & Coding Certification Required - Remote Cooper University HospitalClin Documentation Spec III, RN & Coding Certification Required - RemoteCamden, NJRemoteFacilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregiver and Health Information coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients. Ability to sit for very long periods of time, manual dexterity and mobility for extensive use of computer screen, keyboard, copy and facsimile machines, reader/printer and other office equipment.
Medical Billing Specialist Gottlieb and GreenspanMedical Billing SpecialistFair Lawn, NJ$60,000–$65,000 / yearWe are Gottlieb & Greenspan — a growing boutique law firm in Bergen County with a collaborative team and a workplace grounded in our core values: we are ethical, respectful of all people, accountable, positive and fun, driven, and committed to excellence . As a Medical Invoicing Specialist, you will play a key role in managing the firm's receivables: tracking outstanding balances, coordinating with healthcare providers and payers, and helping ensure accurate, timely billing.
Medical Billing Specialist Optimal Health Chiropractic & Physical TherapyMedical Billing SpecialistEgg Harbor Township, NJThis position is ideal for an experienced medical biller who enjoys solving problems, tracking down outstanding claims, improving collections, and helping a healthcare team operate efficiently. We specialize in helping active adults, athletes, and families move better, recover faster, and stay active through chiropractic care, physical therapy, rehabilitation, shockwave therapy, dry needling, and performance-based treatment.
Home Care & Hospice Referral Specialist - RN (Care Access Center)- Full Time, Days, 4 shifts per week, Atlantic Health Visiting Nurse Home Care Overlook/Morristown/Chilton Medical Center Atlantic Health System IncHome Care & Hospice Referral Specialist - RN (Care Access Center)- Full Time, Days, 4 shifts per week, Atlantic Health Visiting Nurse Home Care Overlook/Morristown/Chilton Medical CenterMorristown, NJYou''ll assess referrals, determine the appropriate level of care, coordinate admissions, and ensure patients receive timely, compassionate services that support safe transitions from hospital to home. 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.
NewHome Care & Hospice Referral Specialist, RN (Care Access Center)- Full Time, Days, 8 AM - 4 PM, Atlantic Health Visiting Nurse Home Care Newton/Hackettstown Medical Center Atlantic Health System IncHome Care & Hospice Referral Specialist, RN (Care Access Center)- Full Time, Days, 8 AM - 4 PM, Atlantic Health Visiting Nurse Home Care Newton/Hackettstown Medical CenterNewton, NJYou''ll assess referrals, determine the appropriate level of care, coordinate admissions, and ensure patients receive timely, compassionate services that support safe transitions from hospital to home. 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.
medical billing specialist Skinja Medspa Corporationmedical billing specialistMedford, NJWe are seeking a medical billing specialist to manage, oversee, and assist the doctor and one secretary with patient billing, collections, verifying insurance eligibility and claims for our practice. About Us: At Medford Longevity Center, we provide exceptional pain management relief through our unique technique dry point needling.
NewCoding Auditor (ICD-10) Integrated Resources, IncCoding Auditor (ICD-10)Newark, New JerseyFull timeCoding Auditor (ICD-10)Position: Coding Auditor (ICD-10)Duration: Full-TimeLocation: Newark/Wall NJJob Summary:This position is responsible for conducting on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit trends. Knowledge:• Requires knowledge of medical terminology, detailed knowledge of anatomy & physiology, disease pathogenesis and treatment including procedural drug therapies, ancillary and diagnostic services.• Requires knowledge of principles of utilization management.•
CDI Specialist- Remote Med-Metrix, LLCCDI Specialist- RemoteNJRemoteThe Clinical Documentation Integrity Specialist performs concurrent chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient's severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding. Physical 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.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTTrenton, NJRemote$35–$45 / hourAs an Inpatient 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, andlife sciences companies.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistNJ$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.
Clinical Documentation Specialist RN Hackensack Meridian HealthClinical Documentation Specialist RNHackensack, New JerseyFull timeObtains and promotes appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to ensure clinical documentation reflects the level of service rendered to patients is complete and accurate. Responsibilities: A day in the life of a Clinical Documentation Specialist RN at Hackensack Meridian Health includes: Facilitates appropriate clinical documentation to ensure the level of services and acuity of care are accurately reflected in the medical record.
NewProFee Audit Specialist- FT DatavantProFee Audit Specialist- FTTrenton, NJRemote$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. 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, andlife sciences companies.
Medical Biller / Reimbursement Coordinator McKesson CorporationMedical Biller / Reimbursement CoordinatorEdison, NJ$17.44–$23.53 / hourResponsibilities Key Responsibilities:- Submit and follow up on insurance claims (commercial, Medicare, Medicaid)- Verify patient insurance eligibility and benefits- Review and resolve claim denials and rejections promptly- Manage accounts receivable and aging reports- Post payments and reconcile accounts accurately- Coordinate prior authorizations for chemotherapy, infusions, and specialty medications- Ensure compliance with coding and billing regulations (ICD-10, CPT, HCPCS)- Communicate effectively with patients, providers, and insurance companies regarding billing inquiries- Maintain accurate and up-to-date patient billing records Qualifications Qualifications:- Minimum 2+ years of medical billing experience (oncology/hematology preferred)- Strong knowledge of insurance guidelines, reimbursement processes, and prior authorizations- Relevant certifications such as Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) are preferred but not required.- Familiarity with oncology-specific billing (infusion services, J-codes, drug billing) is highly desirable- Experience with EHR/PM systems (e.g., Athena, Centricity, ONCOEmr)Preferred Skills:- Experience handling high-dollar claims and specialty drug reimbursement- Knowledge of Medicare guidelines for oncology services- Ability to work independently and as part of a team in a fast-paced environmentPHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
CDI DRG Downgrade Specialist- Remote Med-Metrix, LLCCDI DRG Downgrade Specialist- RemoteNJRemoteThe Clinical Documentation Integrity DRG Downgrade Specialist serves as an effective change agent, acting as a resource and educator for providers and interdisciplinary care teams to improve documentation quality, coding accuracy, and audit readiness. Physical 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.
Medical Office Associate II, Full Time, Days, AMG Thoracic Surgery, Morristown Medical Center Atlantic Health SystemMedical Office Associate II, Full Time, Days, AMG Thoracic Surgery, Morristown Medical CenterMorristown, 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.
Medical Office Associate I, Per Diem, Days, AMG Breast Surgery, Chilton Medical Center Atlantic Health SystemMedical Office Associate I, Per Diem, Days, AMG Breast Surgery, Chilton Medical CenterPompton Plains, 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.
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.