14 jobs found in Trenton

Certified Professional Coder/ PIP Adjuster Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients' needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers' compensation insurance carriers; third party administrators (TPAs); and government entities we serve. Exciting opportunity with the possibility for growth! This division of Medlogix is positioned for significant growth in the near future. We are actively hiring to expand the team and as the department grows, there may be opportunities for future advancement into leadership roles individuals who demonstrate mastery of the...

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...

Client Overview Our client is a long-standing and well-respected non-profit healthcare organization looking for an experienced Medical Billing Specialist to join and assist their ever-growing team! Salary $23/hr - $25/hr Position Overview The Medical Billing Specialist will be responsible for the accurate application of all payments promptly. Candidates must be motivated and able to work in a high-volume, fast-paced environment. Medicare and Medicaid experience is needed. CPC and experience with Athena software are huge pluses. Responsibilities Prepare and submit clean claims to various insurance companies. Research and perform all secondary billing. Ensure appropriate supporting documentation is received and completed. Review and recommend claims for adjustment/write off to management. Accurate and timely processing of claims. Analyze and update claims submitted and rejected. Assist with payment posting. Insurance follow-ups. Required Experience/Skills 2+ years of...

Atrium is seeking an experienced Medical Billing Specialist in Trenton, New Jersey, to join their non-profit healthcare organization. The specialist will ensure accurate application of all payments in a fast-paced environment. Ideal candidates have 2+ years in medical billing, with Medicare and Medicaid experience, and must be familiar with Athena software. The position offers various benefits such as healthcare plans and paid time off. #J-18808-Ljbffr

Capital Health is a regional leader in progressive, quality patient care, providing services through two hospitals, an outpatient center, satellite ED, and an extensive primary and specialty care network. The Medical Group employs over 600 physicians and other providers who deliver primary, specialty, and hospital‑based care to patients throughout the region. Pay Range: $25.49 - $33.16 per hour (full‑time equivalent 1.0 FTE). Scheduled Weekly Hours: 40 hours. Position Overview This is a full‑time, remote physician coding position open to candidates residing in New Jersey, Pennsylvania, or Alabama. The role requires accurate assignment of CPT, HCPCS, and ICD‑10‑CM codes for professional claims from Capital Health Medical Group for both hospital and outpatient procedures. Essential Functions Review procedure documentation to assign accurate CPT‑4 procedure codes and appropriate modifiers for OR and procedure room cases. Validate provider‑selected ICD‑10‑CM diagnosis codes....

Urgent Requirement - Certified Professional Coder Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Location: Morris Township, New Jersey, United StatesCompany: Atlantic HealthPosted: Atlantic Health is seeking a Lead HIM Coder to educate the coding team, manage work queues, and ensure timely, accurate billing across encounters. You will audit records, monitor DRG accuracy & coding performance, and collaborate with CDI, physicians, and Revenue Integrity to optimize documentation and reimbursement.You will mentor coders, conduct daily audits, participate in DRG validation, and drive process improvements with Quality and ER leaders to reduce denials and improve national#J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: 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. (65%) 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...

About Atrium: What you do matters. Guided by our Applicant-Centric™ approach, we foster an environment of collaboration, high performance, and innovation where your talents are valued, and your achievements are celebrated. Join us and become part of an inclusive team committed to your growth and success. Client Overview: Our client is a healthcare organization providing comprehensive medical and dental services to the local community. The organization is committed to providing quality patient care while maintaining efficient, accurate, and compliant revenue cycle operations. They are currently expanding and looking to bring on a Medical Biller/Revenue Cycle Specialist to join their team. Salary/Hourly Rate: $21/hr - $23/hr Position Overview: Our client is seeking a temporary Medical Biller/Revenue Cycle Specialist for a temporary assignment with potential for permanent placement. This position will support the full revenue cycle process, from patient...

Location: Ewing Township, New Jersey, United StatesCompany: Integrated Resources Inc.Posted: A leading company in strategic workforce solutions is seeking a Certified Professional Coder in Ewing, NJ. The role entails reviewing and translating medical policies and legislative mandates into accurate coding using CPT-4, HCPC, and ICD-9/ICD-10 standards. The successful candidate will have a clinical background, coding certifications, and several years of experience in medical coding and health insurance claims processing.#J-18808-Ljbffr

Job TitleRemote... need NY/NJ PIP experience and Certified coder from AAPCResponsibilities:Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insuredsInterpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codesAssign proper CPT, HCPCs codes based on the review outcomeReview CPT codes for unbundled servicesReview billed modifiers for accuracy of useCrosswalk CPT codes per regulatory requirements to ensure correct reimbursementInterpret fee schedule guidelines and apply those guidelines in daily reviewsDocument review outcomes for customers in a professional easy to understand mannerUse various resources, IE: eBooks, 3M software to support reviewsParticipate in conference calls as needed with customers and/or attorneysParticipate in virtual and in-person testimony or trial when neededAssist with various special projects and other duties as assignedQualifications and Experience:3-5 years...

Certified Professional Coder/ PIP AdjusterMedlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients' needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers' compensation insurance carriers; third party administrators (TPAs); and government entities we serve.Exciting opportunity with the possibility for growth!This division of Medlogix is positioned for significant growth in the near future. We are actively hiring to expand the team and as the department grows, there may be opportunities for future advancement into leadership roles individuals who demonstrate mastery of the...

Datavant is the data collaboration platform trusted for healthcare. 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, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...