18 jobs found in Newark

Provider Liaison - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description One of our direct client is looking for potential candidate with the below mentioned skills Direct Client: Immediate Interview Contract to Hire Position: Provider Liaison MUST HAVE: 5 years of experience into Project Management At least 2 years of experience after CPC or CCS certification Bachelor's degree is a must Certifications AAPC Certified Professional Coder (CPC) or...

Job Summary: This position is responsible for being the lead on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit trends. Designing audit protocols and special projects. Performs and finalizes multiple per diem, bill verification, DRG Validation (utilization review audits) and credit balance. Additionally provides guidance/instruction to various stakeholders on ICD10- CM, 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, internal requesters. Reviews and updates audit processes with manager...

Emergency Department Coder 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 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 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 coding experience required (physician...

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...

Outpatient Coder I 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 School Diploma...

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...

Certified Professional Coder (CPC) Lead/Provider Liaison A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. This is Contract position with my direct client Job Description Direct Client Need- Immediate Interviews- We have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJ Duration: Contract to Hire Job Summary: The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational...

Senior Risk Adjustment Coder Drive accuracy. Influence outcomes. Protect revenue. We are seeking a highly experienced Senior Risk Adjustment Coder to play a critical role in risk adjustment accuracy, audit readiness, provider education, and clinical documentation excellence. Location: Newark, CA (Candidates must currently reside within approximately 45–65 miles of the Newark area due to onsite operational needs.) Employment Type: Full-Time (Direct Hire) Salary Range: $91,000 – $119,000 annually, based on experience, skills, and internal equity About the Role: We are seeking a senior-level Risk Adjustment professional to support a leading healthcare organization focused on accurate HCC capture, audit readiness, documentation integrity, and provider engagement. This role is highly operational and collaborative in nature and is not a traditional production-only coding position. The ideal candidate will bring strong expertise across Risk Adjustment workflows,...

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 reimbursement purposes...

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...

University HealthCare Alliance (dba Stanford Medicine Partners) is the medical foundation of Stanford Health Care and Stanford Medicine. Stanford Medicine Partners was born out of the aspiration for Stanford Medicine and local, leading providers to partner together to bring high-quality care to patients within surrounding communities. Together, we are committed to delivering outstanding, leading-edge care to our patients. How We Work With Stanford Health Care Anchored by Stanford Health Care and the Stanford School of Medicine, Stanford Medicine Partners is dedicated to providing the highest standards of clinical excellence in order to ensure access for Bay Area patients to leading providers, while contributing to Stanford University’s well-respected Stanford Hospital and Clinics’ transformation into a broader and more integrated regional health system. Together, SMP and Stanford are pioneering new ways to practice medicine across multiple locations, using Stanford’s advanced...

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 prominent health care provider is seeking a full-time Coder III situated in Newark, DE. The ideal candidate will perform accurate coding of patient records using ICD 10 CM/PCS and HCPCS/CPT codes, ensuring data quality and supporting billing processes. This role offers competitive pay and a collaborative work environment with robust benefits, including medical, dental, and generous paid time off. Experience in the acute care setting is required, making this an excellent opportunity for a mid-senior level coding professional. #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...

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

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...

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

Drive Accuracy. Influence Outcomes. Protect Revenue. We are seeking a highly experienced Senior Risk Adjustment Coder to play a critical role in risk adjustment accuracy, audit readiness, provider education, and clinical documentation excellence. Job Title: Senior Risk Adjustment Coder Location: Newark, CA (Candidates must currently reside within approximately 45–65 miles of the Newark area due to onsite operational needs.) Employment Type: Full-Time (Direct Hire) Salary Range: $91,000 – $119,000 annually, based on experience, skills, and internal equity About the Role: We are seeking a senior-level Risk Adjustment professional to support a leading healthcare organization focused on accurate HCC capture, audit readiness, documentation integrity, and provider engagement. This role is highly operational and collaborative in nature and is not a traditional production-only coding position. The ideal candidate will bring strong...