35 coding auditor educator physician billing jobs found in Edison, NJ

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 Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network.

Physician Billing (PB) Coding Auditor And Educator 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 Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network. Responsibilities Comply with established corporate and...

Medical Billing and Coding Specialist Pathology The Medical Billing and Coding Specialist will: Perform billing activities in a timely manner, i.e. surgical billing, physician billing and coding; may assist with chart audits to identify areas for improvement and resolve as appropriate. Ensure that claims are coded and processed accurately and timely. Work the primary holds daily for all billing related follow-up and communicates with the practice staff and physicians to identify improvement when necessary. Billing liaison between the Practices and other Saint Peter's Healthcare System departments as well as physician billing vendor. Assist Billing/Coding Coordinator with related projects and issues as they arise. Act as the financial interpreter for patients by advising them of their financial responsibility, providing them with concise and easily understood information about healthcare coverage, prior to or at time of service. Coordinates activities with the registrars by offering...

Billing Specialist Perform billing activities in a timely manner, i.e. surgical billing, physician billing and coding; may assist with chart audits to identify areas for improvement and resolve as appropriate. Ensure that claims are coded and processed accurately and timely. Work the primary holds daily for all billing related follow-up and communicates with the practice staff and physicians to identify improvement when necessary. Billing liaison between the Practices and other Saint Peter's Healthcare System departments as well as physician billing vendor. Assist Billing/Coding Coordinator with related projects and issues as they arise. Act as the financial interpreter for patients by advising them of their financial responsibility, providing them with concise and easily understood information about healthcare coverage, prior to or at time of service. Coordinates activities with the registrars by offering counseling to patients when notified of the need. Educate and provide...

Job Description Job Description Description: About Us Union County Orthopaedic Group, a division of OrthoNJ, LLC, is a fast-paced, patient-centered medical practice specializing in orthopaedics, pain management, and podiatry across three convenient New Jersey locations. We are seeking an experienced Billing Supervisor to lead our billing team, drive revenue cycle performance, and ensure the accuracy and efficiency of our billing operations. Position Overview The Billing Supervisor is responsible for overseeing the day-to-day workflow of the billing department, including follow-up on rejected claims and overdue balances, payor relationship management, and patient accounts receivable. This role is both a hands-on operational position and a people leadership role — requiring someone who can coach and develop staff while also rolling up their sleeves to keep the revenue cycle running smoothly. Requirements: What You'll Do Leadership & Supervision Assist with...

Overview $20,000 Hiring Bonus!! Monthly and Quarterly Bonus Incentives! Through our evidence-based medicine approach, Concentra's goal is to provide quality patient care while treating everyone with friendliness, skill, and respect. We strive daily to promote a diverse environment of acceptance and compassion for our colleagues and cultivate a welcoming atmosphere where our patients can heal. As we've grown, we've expanded into urgent care, wellness services, administration, onsite health and wellness centers, and telemedicine. All these services together make achieving health easier and more accessible for our patients, clients, colleagues, and all provide you with unmatched support, education, career advancement opportunities, and benefits. The Associate Director of Medical Operations position involves providing direct patient care and leading by example to ensure an exceptional patient experience. The role includes identifying and communicating opportunities for clinical...

POSITION SUMMARY This position will be responsible for performing on-going auditing of outpatient provider coding, and education. Individuals must be a certified coder, with experience in NY Medicaid regulations. The Senior Coding & Billing Specialist is responsible for auditing outpatient provider coding and documentation to ensure accurate code assignment, regulatory compliance, and optimal reimbursement. This position serves as a subject matter expert in CPT, ICD-10-CM, HCPCS, New York State Medicaid, CMS, and commercial payer requirements, ensuring services are coded and billed accurately in accordance with applicable federal, state, and payer guidelines. In addition to coding audits, this role is responsible for reviewing and resolving billing work queues, analyzing claim denials and reimbursement trends, identifying charge capture and documentation opportunities, and supporting timely claim resolution. The Senior Coding & Billing Specialist partners with...

CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix’s autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare providers away from the keyboard and back to clinical care. Overview Reporting to the Manager, Medical Coding & Audit, as a Medical Coder II or III, this role will be a key member of the team responsible for ensuring that CodaMetrix meets—and exceeds—our customers’ coding quality expectations. The Medical Coder II or III will be responsible for leveraging their strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. They will play a pivotal role in improving the quality and efficiency of...

Title: Medical Coding Specialist Lead Location: Midtown Org Unit: Administration Weekly Hours: 35.00 Exemption Status: Exempt Salary Range: $78,100.00 - $84,500.00 Position Summary Under supervision, assists in the development and evolution of the overall strategy for the departments coding operations This role is also responsible for reviewing medical records for compliance with coding and documentation requirements Job Responsibilities Composes and maintains billing and/or billing compliance associated correspondence. Determines proper account resolution and/or adjustment as needed. Performs charge entry and/or payment posting within the practice management billing system as needed. Tracks and resolves issues on denied claims. Resubmits or appeals claims as required. Escalates more complex claim issues when necessary. Attends workshops, seminars and/or conferences to keep abreast of standards and best practices within the field. Disseminates information to colleagues and/or staff...

Title: Medical Coding Specialist Location: Midtown Org Unit: Code Compliance Work Days: Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary Range: $31.92 - $35.44 *As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices Position Summary Responsible for reviewing medical records for compliance with coding and documentation requirements. Job Responsibilities Performs ongoing prospective coding and documentation chart reviews for physician services to ensure that the coding supports the services billed. Identifies issues and patterns related to coding. Selects and assigns the appropriate ICD-10, CPT and HCPCS codes, based on chart review documentation. Identifies issues and patterns related to coding. Enters charges into the practice management billing system, ensuring to meet productivity and quality-based departmental benchmarks. Performs charge entry batch quality assurance. Reviews and resolves charge router and...

Job Summary Audits medical record documentation and coding to extract data and determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. Educates physicians and clinical personnel to ensure complete documentation in the medical record and queries physicians to resolve incomplete or conflicting information to ensure compliant coding and billing practices. Educates and trains coders to ensure both a working knowledge of coding and reimbursement guidelines and successful career ladder completion, including the development of training materials and reference documents. Researches audit results, error reports, and denials and resolves by successful appeal, staff education, and correction of discrepancies. General Requirements Adheres to the hospital and departmental attendance and punctuality guidelines. Performs all job...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Medical Biller Salary Range $55,000.00 - $60,000.00 Salary/year Position Type Full Time Job Shift Day Education Level Bachelors Degree Travel Percentage Up to 25% Description Birch Family Services is a leading provider of education, employment, and community support services for individuals with autism and developmental disabilities and their families in New York City. Every year, the organization supports more than 2,000 people across 31 locations in Manhattan, Queens, Brooklyn, and the Bronx. From preschool to graduation, employment, housing, and beyond, Birch Family Services provides fully integrated programs and services to support individuals in achieving their goals across their lifetime. Position Summary: Position will be responsible for assisting with the processing of claims for participants in the agency's Community Service programs and Education Program, assuring that the agency is accurately capturing client and student billing information. In addition, this position...

3 days ago Be among the first 25 applicants About Performant At Performant, we’re focused on helping our clients achieve their goals by providing technology-enabled services which identify improper payments and recoup or prevent losses due to errant billing practices. We are the premier independent healthcare payment integrity company in the US and a leader across several markets, including Medicare, Medicaid, and Commercial Healthcare. Our mission is to offer innovative payment accuracy solutions that allow our clients to focus on quality of care and healthier lives for all. Medical Coding Auditor – Inpatient (Remote) Location: Remote. Full‑time. Salary: $70,000 – $85,000 per year. Key Responsibilities Audit medical records to ensure accurate coding of diagnoses, procedures, and services using ICD‑10, CPT, and HCPCS codes. Ensure coding practices comply with federal, state, and payer‑specific regulations and guidelines, including HIPAA and CMS standards. Detect discrepancies...

COMPLIANCE AUDITOR page is loaded## COMPLIANCE AUDITORremote type: On-sitelocations: NY Brooklyn / Prospect Place - 3rd Floortime type: Full timeposted on: Posted 2 Days Agojob requisition id: R2026-6185**JOB PURPOSE:**The Compliance Auditor will foster an environment that enhances and promotes compliance and adherence to all relevant federal, state, and local laws, rules and regulations applicable PACE, Part D, LHCSA and Article 28 requirements, etc., through audits. The Compliance Auditor is responsible for performing internal and external auditing functions for the Compliance Department of C2Q Health Solutions. **JOB RESPONSIBILITIES:**The Compliance Auditor applies advanced regulatory knowledge and analytical judgment to proactively conduct effective risk assessments and assist in preparing annual audit plan. Key responsibilities include:* Assist in conducing enterprise‐wide risk assessments and actively contribute to the development and execution of the annual compliance audit...

Introduction To heal, to teach, to discover and to advance the health of the communities we serve. To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here . Overview Safeguards Montefiore Medical Center revenue and reputation, through the following activities: Responsibilities NY Office of Medicaid Inspector General (OMIG) Office of Inspector General (OIG) Medicaid Fraud Control Unit (MFCU) NY Attorney General (AG) NY Department of Health (DOH) Centers for Medicare and Medicaid Services (CMS) National Government Services (NGS) Medicaid Integrity Program Contractor (MIC) Recovery Audit Contractor (RAC) Zone Program Integrity Contractor (ZPIC) Health Care Fraud Prevention and Enforcement Action Team (HEAT) Communicates with external agencies regarding audits. Participates in development of voluntary disclosures and repayments to federal and state agencies. Coordinates, supervises, and...

Medical Biller Salary Range $55,000.00 - $60,000.00 Salary/year Position Type Full Time Job Shift Day Education Level Bachelors Degree Travel Percentage Up to 25% Description Birch Family Services is a leading provider of education, employment, and community support services for individuals with autism and developmental disabilities and their families in New York City. Every year, the organization supports more than 2,000 people across 31 locations in Manhattan, Queens, Brooklyn, and the Bronx. From preschool to graduation, employment, housing, and beyond, Birch Family Services provides fully integrated programs and services to support individuals in achieving their goals across their lifetime. Position Summary: Position will be responsible for assisting with the processing of claims for participants in the agency's Community Service programs and Education Program, assuring that the agency is accurately capturing client and student billing information. In addition, this position...

GoTo Telemed seeks an exceptional Remote Medical Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide.As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers--with new clients and provider networks added every month as our organization scales.In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management.Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory.This position...

Job Summary Position is remote within the local area. Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payors, other regulatory agencies and Kaiser Permanente policy. Functions includes, but are not limited to working charge review work queues for reimbursable accounts for all internal and external surgical services. Serves as a technical coder for all specialties. Assists supervisor in responding to coding questions from other levels of coders and in responding to providers. Conducts special projects and focused reviews of encounters as requested. Essential Responsibilities Required to research and assign. HCPCS Level II codes for ambulatory surgical services and/or professional services performed. Ability to research, analyze and/or review detailed and high complexity code edits and transactions within the Kaiser Permanente system....

## Compliance Coding AuditorApplyremote type: Remotelocations: Norfolk, VAtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR-104491**City/State**Norfolk, VA**Work Shift**First (Days)**Overview:**# Compliance Coding AuditorPerforms a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines.Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit...

Position Title: Maternal Fetal Medicine (MFM) Professional Coder Department: Revenue Integrity Job Description: New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment . We are seeking an experienced Maternal-Fetal Medicine (MFM) Coder to manage high-risk OB coding. This role requires mastery of complex Chapter 15 ICD-10-CM guidelines and specialized fetal procedures. The role requires audit, review, and coding complex maternal and fetal anomalies. **Ideal candidate will understand the nuances of global vs. split-care billing, complex E/M guidelines, and specialized fetal therapy procedures. This is a high-level position for an expert coder who can operate independently.** General Description Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital...

Job Summary The Coding Supervisor is responsible for overseeing the daily operations of the coding team, ensuring accurate and compliant coding practices across all clinical departments. This role provides leadership, training, and quality assurance for coding staff, supports provider education, and collaborates with Revenue Cycle and Compliance teams to optimize reimbursement and maintain regulatory compliance. Position eligible for Telecommuting with consideration for a fully remote arrangement within Washington State, depending on experience (DOE) Job Specific Competencies Team Leadership & Oversight Supervises coding staff including Coder I and Coder II. b. Monitors productivity and quality metrics, ensuring standards are met or exceeded. c. Conducts regular team meetings and one-on-one check-ins to support performance and development. Quality Assurance & Compliance Oversees internal/external audits and reviews coding accuracy, documentation, and billing...

Beyond Blue Job Posting Title: PB Coder Requisition Number: R-000003286 Department Name: Supervisor, PB Coding Work Location: Remote-KY Grade Level: 4 Type of Position: PRN Position Time Status: Part time Equivalency Link https://hr.uky.edu/employment/working-uk/equivalencies Shift: Flex (United States of America) Job Summary Responsible for coding professional billing services to ensure accurate claim submission and reimbursement. Applies ICD-10, CPT, and HCPCS coding guidelines to physician and outpatient services while ensuring compliance with payer and organizational policies. Reviews provider documentation and resolves routine coding issues. Essential Functions Assigns CPT, ICD-10 and HCPS codes to PB services with moderate-level of complexity. Maintains consistent achievement of departmental productivity and quality standards.. Reviews documentation for accuracy and completeness, querying providers as needed. Ensures compliance with coding guidelines, payer requirements, and...