454 jobs found in Newark, NJ

Senior Risk Adjustment Coder The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. Locations: Stanford Health Care - University Healthcare Alliance What You Will Do Risk Adjustment Review May perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. Evaluating medical records to verify that M.E.A.T criteria support the submitted diagnosis codes. Inquire with clinicians the recommended HCC diagnosis for chart addendum. Collaborating with other...

Medical Coder This is a remote based position. Applicants can be located nationwide. We are looking for someone with professional outpatient coding experience. You will be responsible for assigning accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, current procedural terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities derived from medical record documentation for encounters dependent upon record type. Responsibilities include: Tell us about your experience with professional outpatient coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone uncommon. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? About the position:...

This is a remote-based position. Applicants can be located nationwide. About You Are you an experienced coder with a background in Profee Outpatient Coding? We are seeking a highly motivated individual responsible for the precise assignment of Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes from both paper and electronic medical records. Share your Profee Outpatient Coding experience with us. Are you a collaborative team player who excels as a self-starter? What sets you apart as a professional who enhances a company’s reputation? Bring your problem-solving skills to manage multiple projects effectively. We are looking for someone exceptional—what makes you unique? If you are dedicated, value teamwork, and uphold integrity and professionalism, we are excited to meet you! About The Position Thoroughly review medical documentation to assign principal and secondary diagnoses and procedures utilizing your understanding of...

Overview About the Role The primary purpose of the Apprentice Inpatient Coder position is to review hospital inpatient medical records and assign ICD-10 diagnosis codes and procedure codes that accurately reflect the reason for admission and patient severity. Follows established hospital inpatient coding guidelines and utilizes Coding Clinic and other resources to ensure compliance with national coding guidelines. Responsibilities What You'll Do Reviews inpatient hospital medical records to assign accurate ICD-10 diagnosis and procedure codes. Ensures coding reflects the patient's reason for admission and overall severity. Applies established inpatient coding guidelines consistently. Uses Coding Clinic and other approved coding resources to maintain compliance with national coding standards. Qualifications What You'll Bring High School Diploma or GED equivalent required. Successful completion of ICD-10 training and skill assessment as designated by...

Overview About the Role The primary purpose of the Biomedical Service Supervisor position is to supervise all Biomedical Engineering Technicians (BMET) servicing general medical equipment throughout University Hospital. Coordinates acquisition of repair parts. Monitors parts inventory, in-service training for nurses and equipment users. Measurement criteria are as observed by Manager unless otherwise indicated. Responsibilities What You'll Do Coordinates the PM and repair of all medical equipment within area of responsibility. Coordinates the acquisition of repair parts. Monitors all medical equipment warranties. Coordinates all required "time and material" repairs. Reports to Department Manager on the performance of each BMET. Medical Device Integration Service and Support. Troubleshoots and resolves issues with medical device integration points and facilitates the resending and/or correction of data and reports in hospital EMR. Evaluates...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Profee Outpatient Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you...

Job Summary At Carewell Health, we rely on powerfully insightful data to ensure the delivery of excellent healthcare services, and we're seeking an experienced medical coder to deliver this insight daily. The ideal candidate will have thorough knowledge of anatomical and medical terminology, as well as natural curiosity and an analytical mindset. As the coder mines and interprets patient medical records, transcriptions, test results, and other documentation, we'll rely on them to ask questions, connect the dots, and uncover information that may be difficult to find - all to ensure a smooth billing process. The medical coder will abide by standard protocols of the profession while using their own methods to compile the most accurate information and promote organizational growth. Essential Functions Manage high-quality, timely coding of diagnoses and procedures for inpatient and outpatient accounts, using ICD-10, CPT-4, and HCPCS classification systems Work closely with...

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. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS)...

Overview 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. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding...

Description: 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. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System...

Job Announcement Position Information Position Title Medical Coding Specialist Instructor- Part-Time Campus Elizabeth Department Center for Economic & Workforce Development Full-time, Part-time, Adjunct Part Time Exempt or Non-Exempt Non-Exempt Regular,Temporary, or Grant Temporary General Description Provide classroom instruction to non-credit students on Medical Coding. Prepares the student for employment as a Medical Coder and to pass the Certified Professional Coding ( CPC ), American Association of Professional Coders exam. In conjunction with staff members, perform instruction, and reporting requirements as specified by director. This is part-time position. Reports to the Director. Off-campus work within Union County may be required. Characteristics, Duties, and Responsibilities Provide Medical Coding instruction to students including anatomy and physiology and medical terminology. Communicate class content to the...

Job Announcement Position Information Position Title Medical Coding Specialist Instructor- Part-Time Campus Elizabeth Department Center for Economic & Workforce Development Full-time, Part-time, Adjunct Part Time Exempt or Non-Exempt Non-Exempt Regular,Temporary, or Grant Temporary General Description Provide classroom instruction to non-credit students on Medical Coding. Prepares the student for employment as a Medical Coder and to pass the Certified Professional Coding ( CPC ), American Association of Professional Coders exam. In conjunction with staff members, perform instruction, and reporting requirements as specified by director. This is part-time position. Reports to the Director. Off-campus work within Union County may be required. Characteristics, Duties, and Responsibilities • Provide Medical Coding instruction to students including anatomy and physiology and medical terminology. • Communicate class content to the...

Benefits: Competitive salary Dental insurance Health insurance Opportunity for advancement Paid time off Profit sharing Vision insurance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with our outsourced medical billing company and clients/patients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims...

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. Job Summary The Associate Director Operations, Global Medical Affairs, Strategic Planning and Operations, role on a high level will support the day-to-day operations of the Global & US Medical Affairs team through their close work with all Gl & US Medical Affairs Oncology functions as part of the Strategic Planning...

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. Summary The Associate Director, Medical Information Oncology, is responsible for leading and driving Global & US Medical Information activities for assigned therapeutic area(s) to meet the Eisai product information needs of external customers and internal business partners. This role is seen and sought after for their...

Job Description Job Description Company Description At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us! Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life...

Job Description Job Description Description: This Medical Office Supervisor position leads daily operations and oversees the administrative team in a busy orthopaedic practice. This hands-on leadership role is responsible for managing patient flow, staff scheduling, operational efficiency, and ensuring exceptional service in a fast-paced environment. The ideal candidate brings 3-5 years of medical office supervisory experience, thrives in high-volume settings, and possesses strong leadership skills to coach and develop staff while maintaining compliance with healthcare regulations. Spanish language skills are a plus but not required. Requirements: Requirements & Qualifications Education & Experience Minimum 3-5 years of supervisory or management experience in a medical office setting (REQUIRED) Demonstrated experience working in a fast-paced, high-volume medical environment (ESSENTIAL) Experience in Orthopedics strongly preferred; candidates from other...

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. The Outpatient Coder I is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information...

Overview 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. The Outpatient Coder I is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient...

The Biller is responsible to bill all insurance companies, workers compensation carriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are coded accurate and corrects billing errors. Able to identify stop loss claims, implants and missing codes. Maintains proficiency in Medical Terminology. The Biller is responsible for the follow-up performed on insurance balances as needed to ensure payment without delay is received from the insurance companies. Communicates clearly and efficiently by phone and in person with our clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with insurance billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Is able to write effective appeals to insurance companies. Education and Work Experience 1. Knowledge of multiple insurance billing...

Benefits: 401(k) Competitive salary Employee discounts Paid time off Overview: We are seeking a Clinical Coding Auditor & Trainer to lead DRG and medical record auditing and deliver staff training programs. This role supports quality improvement, compliance, and education across clinical and coding teams. Responsibilities: Conduct audits of staff work; report findings and improvement recommendations. Develop and deliver coding and DRG training programs. Revise policies and procedures to improve audit accuracy. Maintain training and audit records and track staff progress. Ensure compliance with company policies and healthcare standards. Requirements: RN, PA, MD, APRN, DO, or MBBS license. Associate's degree in Nursing or equivalent experience. 4+ years of DRG and/or medical record audit experience. 1 year of clinical experience in a hospital setting. Strong written communication skills. Preferred: Inpatient coding experience....

Job Family : Strategy & Transformation Consulting Travel Required : Up to 25% Clearance Required : None Is life sciences in your DNA? Breakthroughs in pharma are helping people live healthier lives, while medical devices enable patients to proactively maintain health - this is undoubtedly a transformative time for health care companies. Guidehouse's Life Sciences practice is an engine of innovation, helping pharmaceutical, biotech, medical device, and diagnostic companies develop custom solutions that tackle today's challenges, while anticipating tomorrow's. You will have an immediate impact by partnering with our clients, across all levels, to deliver product planning, pricing, reimbursement, product commercialization, and regulatory and compliance solutions. Do you think you are up for the challenge? We continuously strive to foster an inclusive and diverse work culture and thoughtfully develop our people through challenging work, valuable learning...

Duties: Medical coding in an acute care setting; must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder); knowledge of coding guidelines, payor guidelines, federal billing guidelines; knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding application. Outpatient and ED experience. Skills: Three years experience Knowledge of ICD10 Education: High School Diploma/GED, AHIMA, RHIA or RHIT and/, CCS

DRG Validator – Remote Fully Remote | Full-Time We are partnering with a nationally recognized healthcare consulting organization specializing in Health Information Management and Revenue Integrity services. With a long-standing leadership team and a strong reputation in the hospital market, this firm is expanding its DRG validation team. If you are a highly experienced inpatient coding professional who thrives on accuracy, compliance, and clinical detail — this opportunity offers stability, flexibility, and meaningful impact. The Role The DRG Validator will conduct in-depth inpatient MS-DRG and APR-DRG validation reviews, ensuring accurate coding, appropriate documentation, and compliant reimbursement. You’ll work alongside a seasoned team of HIM specialists, nurses, and physicians who are deeply rooted in coding excellence and regulatory compliance. Key Responsibilities • Perform concurrent and retrospective MS-DRG and APR-DRG validation audits • Review ICD-10-CM &...