New Jersey Staffing

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 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...

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...

Associate Director, Medical Review Committee Operations At Insmed, every moment and every patient counts - and so does every person who joins in. As a global biopharmaceutical company dedicated to transforming the lives of patients with serious and rare diseases, you'll be part of a community that prioritizes the human experience, celebrates curiosity, and values every person's contributions to meaningful progress. For patients, for each other, and for the future of science, we're in. Are you? About the Role The Associate Director, Medical Review Committee (MRC) Operations is responsible for managing the operational execution of the company's Global Medical Review Operations, overseeing the full lifecycle of the medical materials review and approval process. You will ensure efficient coordination of MRC activities, compliance with company policies and regulatory standards, and the quality and integrity of all reviewed materials. By driving process excellence, governance, and...

Associate Director of Field Medical Excellence (Fme) At Insmed, every moment and every patient counts - and so does every person who joins in. As a global biopharmaceutical company dedicated to transforming the lives of patients with serious and rare diseases, you'll be part of a community that prioritizes the human experience, celebrates curiosity, and values every person's contributions to meaningful progress. For patients, for each other, and for the future of science, we're in. Are you? About the Role This is a remote position. The Associate Director of Field Medical Excellence (Fme) will implement field medical functional strategy to enable high-quality, impactful customer engagements with a consistent approach worldwide. The Associate Director Fme will also drive operational excellence across the regions. The Associate Director of Fme will be a strategic, customer focused role driving excellence and innovation to enable a best-in-class organization. The role will...