188 other jobs found in Trenton, NJ

Job Description Job Description Certified Professional Coder / Bill Review Expert Location: Remote- Anywhere in US 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...

Inpatient Medical Coding Auditor As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review ICD-10 inpatient patient records for accuracy and compliance Review physician documentation to verify diagnosis and procedures Communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process Assign accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, 3M, in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance Perform Peer Reviews of Company Health Information Management coding auditors and coders Assure that services provided to Clients of Company are current and up-to-date with industry standards...

Inpatient 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. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal...

Medical Coding Specialist Summary: 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...

Join a Legacy of Innovation 125 Years and Counting! Daiichi Sankyo Group is dedicated to the creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world‑class science and technology. With more than 125 years of scientific expertise and a presence in more than 20 countries, Daiichi Sankyo and its 18,000 employees around the world draw upon a rich legacy of innovation and a robust pipeline of promising new medicines to help people. In addition to a strong portfolio of medicines for cardiovascular diseases, under the Group’s 2025 Vision to become a “Global Pharma Innovator with Competitive Advantage in Oncology,” Daiichi Sankyo is primarily focused on providing novel therapies in oncology, as well as other research areas centered around rare diseases and immune disorders. Summary The Associate Director will provide program management support across all the Medical...

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. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for...

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. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate...

About Otsuka We defy limitation, so that others can too. In going above and beyond-under any circumstances-for patients, families, providers, and for each other. It's this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka's opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for an Omnichannel Data Scientist , Medical Omnichannel with strong expertise in artificial intelligence, encompassing...

Specialty Scope for this Coder II Position to Include but Not Limited To: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy Tibia/Fibula: Plateau repairs,...

: Expected to be 06 months contract with possible extension Job Description Pay Range $21/hr – $22/hr, The pay rate may differ depending on your skills, education, experience, and other qualifications. Featured Benefits: Medical Insurance in compliance with the ACA 401(k) Sick leave in compliance with applicable state, federal, and local laws General Function The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of medical claims for one or more doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers Review open/unpaid claim balances and take required action. Major Duties & Responsibilities Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house. Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier. Download insurance carrier explanation of payments...

This range is provided by Green Key Resources. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $35.00/hr - $40.00/hr This role ensures accurate, compliant inpatient coding by developing and maintaining rules, policies, and procedures aligned with national billing and coding standards. It supports claims payment, reimbursement, system configuration, and health data analytics to improve cost efficiency and compliance. The position also reviews coding in provider contracts, recommends reimbursement standards, and participates in developing coding guidelines. Qualifications Education: High school diploma required; Associate’s degree preferred. Credentials: CCS required. Experience: Minimum 5 years of inpatient coding experience. Skills: Experience with encoder and EMR systems; strong organizational, communication, and interpersonal skills; denials management experience preferred. Other: Ability to...

Job Description Responsible for assisting the Production Manager in the overall management of operations to include quality, product safety, associate safety, making production metrics, staffing, budgeting, maintenance, and raw material planning. Provides advice and oversees standardization of recipes, menu preparation, portion, cost and waste control. Principal Accountabilities 1. Responsible for compliance on FSIS-Food Safety Inspection Service issues and compliance with Good Manufacturing Practices (GMP), USDA requirements and State Agricultural standards. 2. Ensures performance targets of the team are achieved. Reviews and analyzes performance reports and develops corrective actions to address sub-standard areas of performance. 3. Responsible for meeting daily, weekly and period production objectives. Develops methods to improve and exceed productivity standards. 4. Provide frequent production equipment monitoring to ensure proper line/equipment operation and GMP compliance....

Overview Responsible for directing and coordinating the total operation of retail food operations, food preparation, food service, vending and catering for an assigned full service campus. Provides independent leadership in the areas of customer service and staff supervision, quality control, food safety and cleanliness, sustainability, food and supply ordering and requisitions and recordkeeping with accountability for profit and loss of assigned food service units. Responsibilities Supervises employees engaged in the production of food, catering and beverage service, ensuring a consistent level of service for all shifts and special events. Hires or recommends hiring of staff; resolves employee and/or customer complaints and disciplines as necessary. Manages and coordinates the daily food production, vending and catering activities at an assigned campus. Participates in menu preparation, ensuring menus are updated and recipes are revised as necessary. Ensures all applicable...

Responsible for directing and coordinating the total operation of retail food operations, food preparation, food service, vending and catering for an assigned full service campus. Provides independent leadership in the areas of customer service and staff supervision, quality control, food safety and cleanliness, sustainability, food and supply ordering and requisitions and recordkeeping with accountability for profit and loss of assigned food service units. Principal Accountabilities Supervises employees engaged in the production of food, catering and beverage service, ensuring a consistent level of service for all shifts and special events. Hires or recommends hiring of staff; resolves employee and/or customer complaints and disciplines as necessary. Manages and coordinates the daily food production, vending and catering activities at an assigned campus. Participates in menu preparation, ensuring menus are updated and recipes are revised as necessary. Ensures all applicable...

Supv, Food Service Operations-Hackettstown Medical Center-Per Diem Join to apply for the Supv, Food Service Operations-Hackettstown Medical Center-Per Diem role at Atlantic Health Supv, Food Service Operations-Hackettstown Medical Center-Per Diem 2 days ago Be among the first 25 applicants Join to apply for the Supv, Food Service Operations-Hackettstown Medical Center-Per Diem role at Atlantic Health Get AI-powered advice on this job and more exclusive features. This range is provided by Atlantic Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $24.05/hr - $39.71/hr Job Description Responsible for directing and coordinating the total operation of retail food operations, food preparation, food service, vending and catering for an assigned full service campus. Provides independent leadership in the areas of customer service and staff supervision, quality control, food safety and cleanliness,...

Supervisor, Food Services-Hackettstown Medical Center-Part Time Join to apply for the Supervisor, Food Services-Hackettstown Medical Center-Part Time role at Atlantic Health Supervisor, Food Services-Hackettstown Medical Center-Part Time 2 days ago Be among the first 25 applicants Join to apply for the Supervisor, Food Services-Hackettstown Medical Center-Part Time role at Atlantic Health Get AI-powered advice on this job and more exclusive features. This range is provided by Atlantic Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $24.05/hr - $39.71/hr Job Description Responsible for assisting the Production Manager in the overall management of operations to include quality, product safety, associate safety, making production metrics, staffing, budgeting, maintenance, and raw material planning. Provides advice and oversees standardization of recipes, menu preparation, portion, cost and waste...

Associate Director, US Medical Affairs Oncology Solid Tumors page is loaded## Associate Director, US Medical Affairs Oncology Solid Tumorsremote type: Hybrid Work Arrangementlocations: Basking Ridge, NJtime type: Full timeposted on: Posted 2 Days Agojob requisition id: R4340**Join a Legacy of Innovation 125 Years and Counting!**Daiichi Sankyo Group is dedicated to the creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and technology. With more than 125 years of scientific expertise and a presence in more than 20 countries, Daiichi Sankyo and its 18,000 employees around the world draw upon a rich legacy of innovation and a robust pipeline of promising new medicines to help people. In addition to a strong portfolio of medicines for cardiovascular diseases, under the Group’s 2025 Vision to become a “Global Pharma Innovator with...

HIM Coder Inpatient (C) Capital Health (US) Capital Health is a leading health system with advanced technology and two hospitals, offering progressive, quality patient care. Position Overview Assigns codes accurately to diagnoses and procedures within the medical record, sequences codes for DRG assignment, queries staff for proper code assignment, and abstracts data to ensure required elements are entered into the hospital information system. Pay Range $28.70 - $41.70 per hour Scheduled Weekly Hours 40 Benefits Medical Plan Prescription drug coverage & In-House Employee Pharmacy Dental Plan Vision Plan Flexible Spending Account (FSA) Healthcare FSA Dependent Care FSA Retirement Savings and Investment Plan Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance Supplemental Group Term Life & Accidental Death & Dismemberment Insurance Disability Benefits – Long Term Disability (LTD) Disability Benefits – Short Term...

Overview Join to apply for the HIM Physician Coder (C) role at Capital Health (US) . 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 advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 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. Minimum Pay $28.70 Position Overview Accurately applies official coding conventions and rules established by the American Medical Association (AMA) and...

Urgent Requirement - Certified Professional Coder Full-time 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 AI Coder Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems. They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models. Why Join This Team? Earn up to $32/hr, paid weekly. Payments via PayPal or AirTM. No contracts, no 9-to-5. You control your schedule. Most experts work 5–10 hours/week, with the option to work up to 40 hours from home. Join a global community of experts contributing to advanced AI tools. Free access to the Model Playground to interact with leading LLMs. Requirements Bachelor's degree or higher in Computer Science from a selective institution. Proficiency in Python, Java, JavaScript, or C++....

Job Description Job Description AI Coder Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems. They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models. Why Join This Team? Earn up to $32/hr, paid weekly. Payments via PayPal or AirTM. No contracts, no 9-to-5. You control your schedule. Most experts work 5–10 hours/week, with the option to work up to 40 hours from home. Join a global community of experts contributing to advanced AI tools. Free access to the Model Playground to interact with leading LLMs. Requirements Bachelor's degree or higher in Computer Science from a selective institution. Proficiency in Python, Java, JavaScript, or C++....

Summary : Ensures responsibility for all aspects of both electronic and hard copy claim submissions. Education : High school diploma or GED. Experience: Ensures responsibility to download claims from HBOC and upload claims to Gaffey on a daily basis. Analyzes claims for errors and correct claims prior to submission. Works closely with other departments to make corrections and ensures accuracy for the day's work. Researches all utilization review claims for accuracy prior to billing on a timely basis. Analyzes accurately the hold report to release all possible claims. Processes the monthly renal dialysis billing within guidelines on a timely basis. Reports any trends and anomalies to Patient Accounts Supervisor and Patient Accounts Manager in a timely manner. Works with all primary billing reports (including but not limited to: Late Charge report, 72 hour report, NEIC report, etc.) to ensure claims are billed timely and accurately. Performs other duties as assigned and adapts to...