10 jobs found in Trenton

Job Description Job Description Certified Professional Coder / Bill Review Expert Location: Remote- Anywhere in US Responsibilities: Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes Assign proper CPT, HCPCs codes based on the review outcome Review CPT codes for unbundled services Review billed modifiers for accuracy of use Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customers in a professional easy to understand manner Use various resources, IE: eBooks, 3M software to support reviews Participate in conference calls as needed with customers and/or attorneys Participate in virtual and in-person...

Hcc (Hierarchical Condition Category) Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Medical Coding Specialist Summary: Review, analyze, and code medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders. Project Details: Evaluate medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the visit Compile necessary documentation prior to coding review; when documentation is not available, performs the appropriate steps to obtain the...

A healthcare consultancy seeking a Certified Professional Coder / Bill Review Expert in New Jersey. This role includes reviewing medical bills, assigning proper codes, and ensuring compliance with NJ / NY PIP fee schedules. Ideal candidates will have 3-5 years of medical billing experience, possess a CPC/AAPC certification, and strong communication skills. The position requires remote work capability while being able to travel to the Hamilton, NJ office as needed. Competitive salary and benefits are offered. #J-18808-Ljbffr

Apply for the position and help accurately code Evaluation and Management (E/M) services in New Jersey! Job Experience 2-4 Years Required Experience Medical Coding, E/M Coding Job Category Medical Coding, Healthcare Job Location New Jersey (NJ) BDS, B.Pharma, B.Sc, B.E, BVSC, M.Pharma, M.Sc, M.Tech, MVSC, M.D.S. Certification in medical coding for certain positions is mandatory. Job Description Experience coding E/M services using ICD-10, CPT, and HCPCS codes Strong understanding of Evaluation and Management coding guidelines Familiarity with EHR/EMR systems and medical coding software Ability to accurately review and code medical records Strong attention to detail and problem-solving skills Knowledge of insurance policies, coding denials, and reimbursement processes #J-18808-Ljbffr

Account Group Supervisor, Medical Education Parsippany, New Jersey Ogilvy Health is focused on driving superior outcomes in the ever-changing healthcare environment, an increasingly complex and evolving marketplace. We inspire brands and people to impact the world by keeping our audiences’ health and wellness needs at the center of every touchpoint. Ogilvy Health delivers insight, creativity, innovation, and engagement solutions for all healthcare stakeholders, patients, and consumers across the healthcare continuum. Through borderless creativity—operating, innovating, and creating at the intersection of Ogilvy’s capabilities and global talent—Ogilvy Health brings forth world-class creative solutions for its clients. The Group Account Supervisor plays a pivotal role in the Medical Education department, leading the development and execution of strategic medical education programs for our pharmaceutical and biotech clients. This role requires a deep understanding of medical...

Allegheny Health Network Job Posting Company: Allegheny Health Network Job Description: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. Essential Responsibilities Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing...

Associate Director, Global Oncology Medical Affairs, Medical Analytics page is loaded## Associate Director, Global Oncology Medical Affairs, Medical Analyticsremote type: Hybrid Work Arrangementlocations: Basking Ridge, NJtime type: Full timeposted on: Posted Todayjob requisition id: R4453**Join a Legacy of Innovation 125 Years and Counting!**Daiichi Sankyo Group is dedicated to the creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and technology. With more than 125 years of scientific expertise and a presence in more than 20 countries, Daiichi Sankyo and its 18,000 employees around the world draw upon a rich legacy of innovation and a robust pipeline of promising new medicines to help people. In addition to a strong portfolio of medicines for cardiovascular diseases, under the Group’s 2025 Vision to become a “Global Pharma Innovator...

Associate Director, Medical Affairs (Northeast Territory) (All Genders) Apply for the Associate Director, Medical Affairs (Northeast Territory) (All Genders) role at BIOCODEX . In order to accompany the growth of Biocodex, we are looking for an Associate Director, Medical Affairs. This position is remote. Northeast Territory includes ME, NH, VT, MA, RI, CT, NY, PA, NJ, DE, MD, DC, VA, and NC. Candidates should reside within the territory near a major airport. Biocodex is a French family‑owned pharmaceutical company headquartered in Gentilly, near Paris, France. The company was founded in 1953 to develop and market the world’s first probiotic yeast strain, Saccharomyces boulardii CNCM I-745®, discovered in 1923. Building on relationships established for nearly 70 years with healthcare professionals, the Biocodex team works daily for the health of all and focuses its activities around three main areas: microbiota, orphan diseases, and women’s health. Responsibilities...

A global pharmaceutical company is seeking an Associate Director of Medical Affairs for the Northeast Territory. This remote position requires a strong background in the pharmaceutical industry, particularly in field-based medical roles. The ideal candidate will have excellent project management skills and a solid understanding of FDA regulations. Responsibilities include building professional relationships with Key External Experts and disseminating critical information concerning marketed and pipeline compounds. #J-18808-Ljbffr