21 jobs found in Newark

Elevate your career as a Senior Risk Adjustment Coder and make a meaningful impact on Medicare Advantage programs! Join a dynamic team where your expertise in HCC coding, chart review, and provider collaboration directly influences revenue integrity and audit readiness. If you excel in compliance, audit validation, and clear communication, this opportunity is designed for you. About the Job Competitive Pay: $140,000–$170,000 annually Shift Days: Regular Business Hours Shift Time: Standard Business Hours Start Date: ASAP Department: Risk Adjustment Location: California (Bay Area preferred; remote work possible for qualified CA candidates) Duration: Full-time, permanent Benefits Competitive salary and benefits package Opportunity to impact revenue and compliance Collaborative, team-focused environment Work with leading health plans and systems Flexible work arrangements for California-based candidates Continuous professional development Required Qualifications CPC and CRC...

Job Description Job Description Christiana Spine Center is seeking a Full time Medical Billing Specialist. Candidate must be familiar with insurance company collections and coding. Responsibilities include the following: Verifying patient insurance eligibility and benefits via online portals, automated systems or phone calls. Document all verification activities accurately in the system. Obtain necessary authorizations prior to treatment. Obtain care cost estimates (CCE's) to determine patient financial responsibility, including deductibles, co-payments, and co-insurance prior to procedures. Communicate with patients to answer any questions regarding their account. Acquire referrals from PCP offices prior to appointment. Enter charges accurately and expeditiously. Submit clean paper claims to insurance companies with necessary documents for primary and secondary claims. Post insurance and patient payments accurately. Work with insurance companies including WC, Auto and...

Senior Risk Adjustment Coder The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. 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. What you will do: Risk Adjustment Review May perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. Evaluating medical records to verify that M.E.A.T criteria support the submitted diagnosis codes. Inquire with clinicians the recommended HCC diagnosis for chart addendum. Collaborating with other departments to address coding updates and support risk adjustment...

Job Details Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of "America's Best Hospitals" by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition®. Primary Function: ChristianaCare is looking for a full-time Sr. Coder (Coder III) who will be responsible for accurate and timely assignment of ICD 10 CM/PCS and HCPCS/CPT codes, payment group classification assignment and data abstraction for...

Christiana Care Health System is seeking a Part Time Coder responsible for accurate assignment of ICD-10 CM/PCS and HCPCS/CPT codes. This role supports billing and data quality across all patient records. Ideal candidates will have a College Diploma in Medical Coding or relevant experience, alongside strong knowledge of coding guidelines. Benefits include full medical coverage, generous paid time off, and flexible scheduling for work/life balance. The position is remote and encourages candidates nationwide to apply. #J-18808-Ljbffr

University Hospital, Newark is seeking an Emergency Department Coder to perform medical record reviews and accurate coding for emergency department records. The role requires certifications such as RHIA or CPC and 2-3 years of outpatient coding experience. Responsibilities include reviewing medical records for completeness, assigning ICD-10 codes, and ensuring compliance with coding guidelines. The position offers a salary of $35.70 - $37.28 per hour and various health benefits, while providing an opportunity for career growth within the healthcare sector. #J-18808-Ljbffr

Job Description Job Description Christiana Spine Center is seeking a Full time Medical Billing Specialist. Candidate must be familiar with insurance company collections and coding. Responsibilities include the following: Verifying patient insurance eligibility and benefits via online portals, automated systems or phone calls. Document all verification activities accurately in the system. Obtain necessary authorizations prior to treatment. Obtain care cost estimates (CCE's) to determine patient financial responsibility, including deductibles, co-payments, and co-insurance prior to procedures. Communicate with patients to answer any questions regarding their account. Acquire referrals from PCP offices prior to appointment. Enter charges accurately and expeditiously. Submit clean paper claims to insurance companies with necessary documents for primary and secondary claims. Post insurance and patient payments accurately. Work with insurance companies including WC, Auto and...

Elevate your career as a Senior Risk Adjustment Coder and make a meaningful impact on Medicare Advantage programs! Join a dynamic team where your expertise in HCC coding, chart review, and provider collaboration directly influences revenue integrity and audit readiness. If you excel in compliance, audit validation, and clear communication, this opportunity is designed for you. About the Job Competitive Pay: $140,000–$170,000 annually Shift Days: Regular Business Hours Shift Time: Standard Business Hours Start Date: ASAP Department: Risk Adjustment Location: California (Bay Area preferred; remote work possible for qualified CA candidates) Duration: Full-time, permanent Benefits Competitive salary and benefits package Opportunity to impact revenue and compliance Collaborative, team-focused environment Work with leading health plans and systems Flexible work arrangements for California-based candidates Continuous professional development Required Qualifications CPC and CRC...

Coding Auditor (ICD-10) Position: Coding Auditor (ICD-10) Duration: Full-Time Location: Newark/Wall NJ Job 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. Performs and finalizes multiple per diem, bill verification, DRG Validation (utilization review audits) and credit balance. Additionally provides guidance/instruction to various stakeholders on ICD9-CM, ICD-10, DRG assignment payment and auditing. Responsibilities: Identifies and presents billing discrepancies found during audit and coordinates referral of improper claim payments through the appropriate channels. Identifies error trends as they relate to medical record and or billing documentation or misinterpretation of provider contract stipulations. Compiles statistics and other audit information to present to accounts, regulatory agencies, and internal...

University Hospital is seeking an Outpatient Coder I to perform medical record reviews and assign appropriate codes. The ideal candidate will have 1-2 years of outpatient coding experience and knowledge of ICD-10 and CPT coding principles. Responsibilities include reviewing medical documentation, ensuring accurate coding and billing, and communicating effectively with the team. The role offers competitive compensation and various benefits, including medical and prescription drug coverage, dental, vision insurance, and professional development opportunities. Applicants should be detail-oriented and able to work independently. #J-18808-Ljbffr

Job Details Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of "America's Best Hospitals" by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition. Scheduling Flexibility and Perks The schedule and hours for this position are very flexible and we will work with you on work/life balance to build a schedule that works for you This position is 100% remote and we encourage national candidates to apply We...

Job Details Do you have Acute Care and Inpatient Procedure Coding experience and want to work for a company based onLoveandExcellenceand are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of "America's Best Hospitals" by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition. Scheduling Flexibility and Perks The schedule and hours for this position are very flexible and we will work with you on work/life balance to build a schedule that works for you This position is 100% remote and we encourage national candidates to apply...

A healthcare network in New Jersey is seeking a new Professional Coder for a Remote opportunity with their team, focusing on critical risk adjustment projects. About the Opportunity: Start Date: ASAP Assignment Length: 6+ months Setting: Remote (preferably Tri-State based) Responsibilities: Understanding and translating CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction Reviewing medical records for completeness, accuracy, and compliance with coding guidelines Identifying, compiling, and coding patient data using standard classification systems Supporting the collection and distribution of documentation and coding improvement tools Participating in educational activities as a subject matter expert on coding Performing other duties, as needed Qualifications: 2+ years of Medical Coding experience High School Diploma / GED RHIT, Certified Professional Coder, or Certified Coding Specialist certification Proficiency in CPT-4, HCPC,...

Overview About the Role The primary purpose of the Outpatient Coder I position is to perform medical record review of clinic visits, radiology reports, laboratory requisitions, and/or other diagnostic testing/reports as assigned. The coder will identify the appropriate E/M visit charge for clinics only and assign ICD-10 diagnosis code(s) and CPT procedure code(s) when appropriate to the encounter. Responsibilities What You'll Do Review outpatient medical records, including clinic visit documentation, radiology reports, laboratory requisitions, and other assigned diagnostic reports. Analyze clinical documentation to support accurate coding and billing. Determine and assign the appropriate Evaluation and Management (E/M) charges for clinic encounters only. Assign correct ICD-10 diagnosis codes based on documented conditions. Assign applicable CPT procedure codes when supported by the encounter documentation Qualifications What You'll Bring High...

Overview About the Role The primary purpose of the Emergency Department Coder position is to perform medical record review of emergency department records. The coder will identify the appropriate hospital E/M visit charge and assign ICD-10 diagnosis code(s) and CPT procedure code(s) when appropriate to the encounter. Responsibilities What You'll Do Reviews emergency department medical records for accuracy and completeness Determines the correct hospital Evaluation and Management (E/M) level for each visit Assigns appropriate ICD-10 diagnosis codes based on documented clinical findings Applies CPT procedure codes when applicable to the encounter Ensures coding reflects services provided in accordance with applicable guidelines Qualifications What You'll Bring RHIA, RHIT, CCS, CCS-P, CPC-H, CPC and/or CCA certification preferred Two (2) to three (3) years of medical records and outpatient coding experience required Technical and hospital outpatient...

A leading healthcare provider is seeking a Coder II (Remote) with Acute Care and Inpatient Procedure Coding experience. The role involves accurate assignment of ICD-10 CM/PCS and HCPCS/CPT codes, along with data abstraction for reimbursement purposes. The position offers flexibility in hours and requires strong knowledge of coding guidelines. Benefits include comprehensive health insurance, paid time off, and wellness programs. Remote candidates are encouraged to apply. #J-18808-Ljbffr

A leading healthcare provider in Newark, DE, is seeking a full-time Acute Care Coder. Responsibilities include coding for various patient records, ensuring accurate assignments of ICD-10 CM/PCS and HCPCS/CPT codes. Candidates must have experience in inpatient procedure coding. The position offers a flexible schedule and is 100% remote, making it ideal for national applicants. Comprehensive benefits package includes medical, dental, and life insurance, as well as a generous paid time off policy. #J-18808-Ljbffr

A global medical technology company in Newark, Delaware is seeking a Manufacturing Supervisor to oversee production activities and drive improvements in quality and efficiency. This position requires strong leadership and analytical skills, with over 5 years of experience in manufacturing. Candidates should hold at least an AA/AS degree. The company offers competitive compensation ranging from $77,000 to $128,000 annually, along with robust health benefits and a focus on work-life balance. #J-18808-Ljbffr

A regional health center in New Jersey is seeking an Outpatient Coder I to review medical records of clinic visits and assign appropriate coding. Responsibilities include coding diagnoses and procedures accurately, with a focus on quality documentation. Desired qualifications include a high school diploma and coding experience. The position offers competitive compensation and benefits including medical coverage, disability insurance, and professional development opportunities. Evening or weekend availability may be required. #J-18808-Ljbffr

Join to apply for the Coder III role at ChristianaCare . 1 day ago Be among the first 25 applicants This range is provided by ChristianaCare. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.31/hr - $40.96/hr Job Details Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare, with hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid‑Atlantic Region. Named one of “America’s Best Hospitals” by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC...