17 jobs found in Trenton

Position Certified Professional Coder / Bill Review Expert Location Remote Employment Details FMLA: Non-Exempt, Full-Time Schedule: M-F 8:00 AM - 4:30 PM Must Have PIP experience with a high level understanding of fee schedule guidelines in NY, NJ, FL, or MI required. CPC in good standing with AAPC required (may consider candidate with strong PIP experience, e.g., NJ/NY PIP adjuster). Responsibilities Use various resources to support reviews, such as CPT guidelines, CPT Assistant, Encoder Pro, and 3M Software. Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and/or NY-covered insureds. Interpret medical documentation to ensure accuracy of billed services (e.g., CPT, HCPC codes). Assign proper CPT and HCPC 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...

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...

Job Description Job Description 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. About this role: 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...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

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. We’re looking for experienced and credentialed outpatient 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 you to help shape the...

Job Description Oracle Health is a comprehensive suite of healthcare technology solutions designed to help organizations advance patient care, improve operational efficiency, and enhance caregiver experiences. Building on Oracle’s global expertise in cloud technology, data management, and analytics, Oracle Health delivers integrated electronic health records (EHR), population health tools, and data-driven insights for hospitals, clinics, and health systems. By connecting data and workflows across the continuum of care, Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system support for CE marking processes and requirements under the EU Medical Device Regulation (EU MDR). Responsibilities The Senior Compliance Specialist will provide quality system support...

Medical Bill Reviewer Remote... need NY/NJ PIP experience and Certified coder from AAPC 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 testimony or trial when needed Assist with various special projects and other duties as...

Capital Health Medical Group seeks a professional certified coder to assign CPT‑4 and HCPCS codes for hospital and outpatient procedures. You will review documentation, validate ICD‑10‑CM diagnoses, and ensure correct E/M coding while adhering to AMA and CMS rules. Must have CPC‑A/CPC/CCS‑P credentials and 2+ years of physician coding experience. Strong communication and teamwork are essential for accurate reimbursements. #J-18808-Ljbffr

Pay Range Full-time equivalent (1.0 FTE) position. Actual compensation may differ based on assigned hours and position status (e.g., part-time). The pay range is $25.49 - $33.16. Position Overview Responsible for accurately reviewing and assigning Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and ICD‑10‑CM codes for professional claims billed by Capital Health Medical Group for hospital and outpatient procedures. Applies official coding conventions and rules established by the American Medical Association (AMA) and the Centers for Medicare and Medicaid Services (CMS) for assignment of procedural and diagnostic codes. Reviews procedure documentation for accurate assignment of ICD‑10‑CM diagnosis, CPT‑4 codes and modifiers. Ensures appropriate coding of evaluation and management services when applicable. Minimum Requirements Education: High school diploma or equivalent. Certification required: Certified Professional Coder‑Apprentice...

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....

A leading pharmaceutical company in New Jersey seeks an Associate Director, Scientific Communications to manage the execution of a global medical communications strategy. In this role, you will oversee the development of core content assets, ensure regulatory compliance, and provide guidance to a team of medical writers. Ideal candidates will have an advanced scientific degree and extensive experience in pharmaceutical industry communications, with a strong focus on CNS therapeutic areas. Competitive compensation package offered. #J-18808-Ljbffr

A leading health data exchange company is seeking experienced inpatient coders to join their fully remote team. The ideal candidate will possess attention to detail and a strong understanding of medical terminology. Responsibilities include coding using various ICD codes and ensuring accuracy in medical records. We offer competitive salaries and excellent employee benefits including health insurance and a flexible work schedule. #J-18808-Ljbffr

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

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

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...

Capital Health (US) seeks a full-time Medical Coder in Trenton, New Jersey. You'll review and assign CPT, HCPCS, and ICD-10-CM codes for professional claims. The role demands excellent communication skills and coding certification. We're dedicated to flexible compensation to attract top talent. The work environment is collaborative, and you'll handle various coding responsibilities. Pay ranges from $25.49 to $33.16 hourly, with full benefits including medical, dental, and retirement plans. #J-18808-Ljbffr

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and...