32 jobs found in Trenton

A leading healthcare company is looking for a Medical Coding Auditor to work remotely. This role involves reviewing medical claims to ensure accurate coding and compliance with guidelines. The ideal candidate will need a certification and strong experience in coding and auditing medical documentation. The position offers flexibility with work hours and a competitive salary range of $59,300 – $80,900 annually, along with comprehensive benefits supporting overall well-being. #J-18808-Ljbffr

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...

Medical Coding Specialist 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 necessary...

divh2Hcc (Hierarchical Condition Category) Coder/h2pDatavant is a data platform company and the worlds 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 worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare./ppAs an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Hcc 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 diagnoses using a standardized system,...

WelbeHealth Paced Program WelbeHealth Paced (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for Paced Dual participants Conduct pre-visit chart preparations and post-visit chart reviews Oversee audits and participate in provider education...

Medical Coding Auditor Become a part of our caring community and help us put health first. The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

What Customer Service Operations contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Management is responsible for strategic oversight and leadership direction within the Customer Service function. Job Summary The Supervisor, HCP Medical Documentation oversees the Clinical Notes Team responsible for reviewing and qualifying medical documentation to ensure compliance with insurance requirements, primarily for Continuous Glucose Monitoring (CGM) products. This role manages a team of associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of claims. The Supervisor ensures timely turnaround of documentation, allocates work across multiple systems, and drives team performance through coaching, development, and...

A leading health data exchange company is seeking an Outpatient Auditing Specialist to conduct coding audits and provide education. This remote position requires 5+ years of experience in outpatient facility coding, with competitive pay ranging from $35 to $45 per hour. Ideal candidates will have certifications and experience with EMRs like Epic and Cerner, and a commitment to quality and customer service. #J-18808-Ljbffr

A healthcare organization in New Jersey is seeking a Medical Billing A/R Specialist to manage accounts receivable for medical billing. The role requires 2-4 years of experience and strong knowledge of medical billing codes, alongside excellent communication and organizational skills. Candidates should be proficient in medical billing software and able to follow up on unpaid claims. This position offers a chance to work in a dynamic healthcare environment. #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

OVERVIEW Join us in shaping the future of healthcare as an allied health professional at Redeemer Health. We offer a dynamic environment equipped with state-of-the-art facilities and a culture that prioritizes safety. With our workforce spanning southeastern Pennsylvania and New Jersey, we celebrate diversity and inclusivity. We’re committed competitive benefits, as well as resources like educational assistance and a unique onboarding program that sets you up for long-term success while introducing you to our mission and celebrated service orientation. Join us, and let’s make a difference together. SUMMARY OF JOB The Senior Coding Specialist assigns diagnostic and procedural codes consistent with ICD-9-CM and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and in its publication, Coding Clinic and AMA’s publication CPT Assistant. Responsible for meeting quality...

About us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

A healthcare organization in New Jersey seeks a qualified individual for the role of medical records auditor and coder. The successful candidate will perform audits, ensure accurate ICD code assignments and comply with guidelines set by federal regulations. Candidates should have a minimum of one year of relevant experience and be certified (CPC or CCS-P). This is a full-time position offering competitive pay and a range of benefits. #J-18808-Ljbffr

A healthcare organization in New Jersey is seeking a Medical Billing and Coding professional with 1-3 years of experience. The candidate should have strong knowledge of ICD-10, CPT, and HCPCS coding systems. Responsibilities include accurate coding of medical records, working with insurance companies to ensure proper billing, and using medical billing software. This position requires strong attention to detail and organizational skills. #J-18808-Ljbffr

A multi-specialty medical billing company is seeking a talented Medical Billing Representative in New Jersey. The role involves resolving billing issues, managing efficient billing processes, and serving as a liaison between patients and insurers. Applicants should have experience in medical billing, excellent communication skills, and the ability to manage multiple tasks. Competitive pay offered in a full-time in-office position. #J-18808-Ljbffr

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. Supervisor, Biomedical Engineering provides supervision of the technical staff in preventative maintenance, repair and calibration of medical equipment, equipment installations, and other functions of the Bio-Medical Engineering Department at Hackensack Meridian Health (HMH). Education, Knowledge, Skills and Abilities Required: BS degree in (Electronics or Biomedical Engineering Technology) with 8 years BMET work experience, or AS degree in (Electronics or Biomedical...

Company Overview Syneos Health® is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities. Our Clinical Development model brings the customer and the patient to the center of everything that we do. We are continuously looking for ways to simplify and streamline our work to not only make Syneos Health easier to work with, but to make us easier to work for. Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you’ll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to accelerate the delivery of therapies, because we are passionate to change lives. Discover what our 29,000 employees, across 110 countries already know: WORK HERE MATTERS EVERYWHERE Why Syneos Health: We are passionate about...