eTeam

Job: Professional Coder I Duration: 6+ Months Location: Newark, NJ 07105 Pay Rate: $40 - $42/hr on W2 Job Description: Summary: This position is accountable for accurately reviewing, interpreting, auditing, coding and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction. Review may include inpatient, outpatient treatment and/or professional medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business. Responsibilities: • Can understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction. • Review medical records for completeness, accuracy and compliance with applicable coding guidelines and...

SOX Compliance Auditor Execute SOX key control testing for the Internal Controls / SOX Compliance program. Responsibilities include independently performing control testing, evaluating control design and operating effectiveness, and clearly documenting test procedures, results, and audit findings to produce high quality deliverables within established timelines. The ideal candidate demonstrates strong attention to detail, accountability, and the ability to work with minimal supervision. Relevant process experience includes (but is not limited to) Revenue, Accounts Receivable, Fixed Assets, Financial Reporting, Financial Close process, and more. Required: Bachelor's degree in Accounting, Finance, or a related field 5-6 years of experience in SOX compliance and internal audit, including key control testing, remediation, control design assessments, and process documentation (e.g., flowcharts) Strong understanding of U.S. GAAP and SOX requirements Preferred:...