Trabajos certified professional coder en Clifton, New JerseyCrear alertas

Job Description CAREER OPPORTUNITY OFFERING: • Bonus Incentives, • Paid Certifications, • Tuition Reimbursement, • Comprehensive Benefits, • Career Advancement, • This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines. Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: • Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts. Performs initial baselines as well as quarterly performance quality assurance reviews to assess coders’ comprehension and further assess ongoing education. Also assists in special project audits, as assigned., • Educating - Assesses the educational needs of coding staff based on individual coder audit results and overall trends. Creates presentations, develops learning material, handbook and other educational materials., • Edits/Denials/Coding - Assists operational coding team with initial coding, edits, and denials and appeals on an as needed basis., • Training - Assists with training new and existing staff. Develops all training materials and coding aids for both formal training and use by coders in daily work. Identifies coders to be cross-trained and suggests areas for training improvement. Assists in the implementation and administration of effective systems, processes, and procedures., • Resource - Serves as a technical resource for all involved personnel; ensures that information is accurate and current, meeting AMA, CMS, and professional coding standards. Performs miscellaneous job-related duties as assigned., • Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Assists with the creation of various documents and reports as requested. Immediately provides reports related to compliance risks when requested. Experience We Love: 5+ years of coding experience. 3+ years of auditing experience. Proficiency in multiple EMR’s, encoders, and the Microsoft Office suite. Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information. Consistently achieves quality and productivity standards. Ability to organize and complete work in a timely manner. Ability to read, write and effectively communicate in English. Ability to understand medical/surgical terminology. Above average written and verbal communication skills. Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Minimum Education: • Associates degree or equivalent experience Required Certifications: Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred): • CPC (Certified Professional Coder), • CCS-P (Certified Coding Specialist-Phys Based), • CCS (Certified Coding Specialist), • CMPA (Certified Professional Medical Auditor), • RHIA (Registered Health Information Administrator), • RHIT (Registered Health Information Technician) #LI-HB1 #LI-REMOTE

Job Description Certified Professional Coder (CPC) – Anesthesia Coding Specialist Location: Hybrid (Office and Remote Work) Employment Type: Full-Time Department: Revenue Cycle Management / Medical Coding About the Position We are seeking an experienced Certified Professional Coder (CPC) with a strong background in Anesthesia Coding to join our team in a hybrid work environment. The ideal candidate will have expertise in anesthesia coding and billing, a thorough understanding of payer regulations, and a commitment to coding accuracy and compliance. This position offers a combination of in-office collaboration and remote work flexibility while supporting our anesthesia and revenue cycle operations. Responsibilities • Accurately assign CPT, ICD-10-CM, HCPCS, and anesthesia-specific codes., • Review anesthesia records to ensure proper coding and reimbursement., • Apply anesthesia billing rules including:, • Base units, • Time units, • Physical status modifiers, • Qualifying circumstances, • Medical direction and supervision requirements, • Review claims for coding accuracy and compliance., • Investigate and resolve coding-related denials., • Collaborate with providers, billers, and revenue cycle teams., • Participate in coding audits and quality improvement initiatives., • Stay current on coding updates and payer policy changes. Qualifications Required • Current AAPC Certified Professional Coder (CPC) certification., • Minimum 3 years of anesthesia coding experience., • Strong knowledge of anesthesia coding guidelines and reimbursement methodologies., • Experience with Medicare, Medicaid, and commercial payer requirements., • Proficiency with EHR and practice management systems., • Excellent attention to detail and organizational skills. Preferred • Additional certifications such as CANPC, COC, CPMA, CRC, or CPC-I., • Experience with anesthesia billing and denial management., • Prior experience in a physician practice, anesthesia group, or revenue cycle organization. Benefits • Competitive compensation, • Paid time off and holidays, • Professional development opportunities, • Hybrid work schedule

Job Description Job Summary At Carewell Health, we rely on powerfully insightful data to ensure the delivery of excellent healthcare services, and we are seeking an experienced medical coding Manager 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 coding Manager oversees production, quality, and consistency of the inpatient/outpatient/ED/SDS and other cases coded by the internal and external coding teams. mines and interprets patient medical records, transcriptions, test results, and other documentation; we will 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 coding manager 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. Strong knowledge of DRG's. Reviews coding queries, when necessary, to determine if impactful. Exceptional knowledge of ICD, CPT, and HCPS coding guidelines. Advanced knowledge of medical terminology, anatomy, and physiology. Work closely with physicians, technicians, insurance companies, and other integral parties to uncover and discuss coding analysis results. Manages the DNFB as it relates to Coding. Corrects coding related edits, issues and questions that come from the Revenue Cycle Department. Develop and execute policies and procedures that affect immediate operations and may also have organization-wide impact Analyze issues in which the situation or data requires in-depth knowledge of organizational objectives Implement strategic policies by selecting methods and evaluation criteria for accurate results Responsible for day-to-day coding operations, productivity, quality, data analytics, dashboards and reports, education, employee management and development, and clients within a specific client group or geography of clients. Perform Quality Assurance Audits on Coders. Maintains productivity benchmarks, assists in the development of productivity benchmarks. Is responsible for weekly productivity log management, tracking, trending, and dashboard creation. Provide feedback and mentoring as needed to achieve productivity standards. Prioritizes, schedules, assigns, and monitors work to optimize operational services. Strong organizational skills and oral and written communication skills. Advanced computer skills including the use of Microsoft office products, especially Excel, electronic mail, including experience with electronic coding systems and applications. Possess strong organizational skills and attention to detail. Ability to multi-task and meet multiple deadlines. Audits inpatient and outpatient cases on a consistent basis to ensure continued quality. Consistently reviews coded cases for accuracy. Other Duties Gather physician background information from various resources for reporting purposes Analyze medical malpractice claims by identifying issues, events, diagnoses, and procedures that led to result Prepare summaries and assign the appropriate codes Review claims to formulate a synopsis of facts, and collaborate with claims examiners as needed Make corrections to draft reports after physician review and submit approved reports to managers in a timely fashion. Codes cases as needed. Provides Education and ongoing training for medical coders. Interact with claims staff, attorneys, physicians, and many other hospital related stakeholders regarding reports. Performs related duties, as required. Minimum Education/Certifications Bachelor’s degree (or equivalent) in health information systems or related field Must have the following certification: Certified Coding Specialist (CCS). Must have one of the following certifications: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) Minimum Work Experience Experience: Minimum five years medical office hospital experience in coding preferred required. Management or lead experience preferred. Some auditing experience preferred. Position Type/Expected Hours of Work: 8AM-4PM, 40 hours per week. Hybrid. Physical Demands Analysis: Long periods of sitting may be required. Repetitive motion of wrists required. Lifting requirements are minimal to none. Corrected vision and hearing to normal range is required. CareWell Health provides a salary/hourly rate range for all open positions to comply with New Jersey Law. The rates listed for each position is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range does not include bonuses/incentives, differential pay or other forms of compensation which can be discussed in detail with your talent acquisition specialist. The salary/hourly rate range for this position is: $80,000-$90,000 Salary ranges shown on third-party job sites may not accurately reflect ranges provided by CareWell Health. Candidates should discuss salary/hourly compensation and details of our comprehensive benefits with our talent acquisition specialist if selected for an interview. We offer an excellent benefit package including but not limited to the following benefit offerings: Health, Dental and Vision Insurance Basic Life and Disability Insurance Whole Life, Accident, Critical Illness and Hospital Indemnity Insurance Flexible Spending Accounts Employee Assistance Program 401(k) Paid Holidays and a generous Paid Time Off Plan

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. • Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses., • Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements., • Review and verify accuracy of billing data within EHR/EMR systems prior to claim submission., • Utilize EHR/EMR platforms (such as Epic, Meditech, PrognoCis) for documentation, coding, and billing workflows., • Research and resolve billing discrepancies or claim denials., • Prepare and submit insurance appeals, ensuring compliance with payer guidelines., • Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage., • Maintain up-to-date knowledge of medical terminology, payer requirements, and compliance regulations (HIPAA, CMS, etc.)., • Collaborate with clinical staff and providers to ensure accurate coding and documentation within electronic systems., • Track accounts receivable and follow up on outstanding claims to maximize revenue. Requirements Qualifications: • High school diploma or equivalent required; Associate’s degree in Healthcare Administration, Billing & Coding, or related field preferred., • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification strongly preferred., • Minimum of 2 years of experience in medical billing, coding, insurance follow-up, and working within EHR/EMR systems., • Strong knowledge of ICD-10, CPT, and HCPCS coding systems., • Hands-on experience with electronic health record (EHR) and electronic medical record (EMR) systems, including Epic, Meditech, and/or PrognoCis., • Familiarity with medical terminology, payer reimbursement guidelines, and healthcare regulations., • Experience creating cost estimates for medical procedures., • Skilled in preparing and submitting appeals for denied claims., • Proficiency with medical billing software and electronic health record (EHR) systems., • Strong attention to detail, problem-solving, and organizational skills., • Excellent written and verbal communication skills. Preferred Skills: • Experience with Medicare/Medicaid billing and commercial insurance., • Advanced knowledge of EHR/EMR workflows and system navigation., • Ability to work independently and manage multiple tasks in a fast-paced environment., • Customer service experience in a healthcare setting.

A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. One of our direct client is looking for potential candidate with the below mentioned skills Direct Client: Immediate Interview Contract to Hire Position: Provider Liaison MUST HAVE: • 5 years of experience into Project Management, • At least 2 years of experience after CPC or CCS certification, • Bachelor's degree is a must Certifications AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) Job Summary: The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding Client's risk adjustment programs. Primary responsibilities include working with the Risk Adjustment Management Business Analyst to measure commercial risk adjustment performance for the development of education materials. Ongoing responsibilities include communicating and educating Network Management Provider Educators to enable content delivery to specific providers. This role will operate within the Risk Adjustment Management function, but work closely with the Network Management team. Responsibilities : Operates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insights Works closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysis Collaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider Educators Collaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staff Validates documentation against submitted claims diagnosis codes and prepares detailed reports Supports Risk Adjustment Data Validation audits Drives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressed Provides status reports to management Certifications: AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) Knowledge: Understands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment model Mastery of medical coding best practices Project management skills Experience displaying ability to think analytically Strong communications and presentation skills Computer skills: Outlook, Excel, Word & Powerpoint; SAS & Access preferred Education Experience: Bachelor's degree in business, healthcare administration, or other related field Requires a minimum of three (3) years of healthcare experience, preferably with provider focus Requires CPC or CCS certification Requires program/project management experience

Qualifications Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist, P from the American Health Information Management (AHIMA). Must demonstrate professional a

CPC - Certified Professional Coder (medical billing) Tutor CPC - Certified Professional Coder (medical billing) Tutor CPC - Certified Professional Coder (medical billing) Tutor CPC - Certified Professional Coder (medical billing) Tutor CPC - Certified Professional Coder (medical billing) Tutor CPC -

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred.This is not a Remote position; it is in the Office Monday - Friday.This is not an entry-level role and requires independent ownership of revenue cycle processes.Medical Billing Specialist with demonstrated .Revenu

Experience in a law firm, professional services, healthcare, or financial services environment. Professional development opportunities. Midlige Richter LLC is a client-focused law firm dedicated to providing high-quality legal services with professionalism, integrity, and compassion.

Durable Medical Equipment provider specializing in urology supplies.We are building a structured Medicare revenue cycle team and are hiring an experienced DME Billing & AR Specialist.This role focuses exclusively on claim submission, denial management, and accounts receivable follow-up for Medicare

The Billing Specialist is responsible for managing the billing process, and billing arrangements,for assigned attorney portfolios.Verifying rates with the rate analysts, reviewing, and implementing the outside counsel guidelines, monitoring fee caps, tier discounts and matter budgets; setting-up and

To successfully function as part of a team and to be able to communicate professionally with clients and coworkers.

ABA Billing Specialist (Medicaid & Commercial Insurance).Colorful Minds ABA is a growing pediatric ABA therapy provider committed to delivering high-quality, ethical, and family-centered services across clinic, home, and community settings.We value accountability, integrity, teamwork, and operationa

Responsible for accurately and efficiently processing insurance claims, primarily Medicaid, Medicare and Medicare and Medicaid HMO's.Monitor the progress of insurance claims from submission to payment.Identify and resolve claim denials, rejections, and delays.Follow up with insurance carriers to exp

This role is ideal for someone who enjoys working behind the scenes to keep financial operations running smoothly while collaborating with professionals across the firm. Experience within a public accounting firm or professional services environment is strongly preferred.

Billing & Collections Specialist.At UVeye, we're on a mission to redefine vehicle safety and reliability on a global scale.Founded in 2016, we pioneered the world's first fully automated suite of AI-powered vehicle inspection systems, combining computer vision, machine learning, and generative AI.Wi

This is a great opportunity for an experienced professional with a track record of filing claims, billing, appeals, reviews, customer service, problem resolution and overall revenue cycle management.

AR Specialist / Remote] - Anywhere in U.Comprehensive Benefits Package - As an Accounts Receivable Billing Specialist, you will: Manage and maintain accurate and timely billing records for all clients; Monitor and track outstanding balances and follow up with clients to ensure timely payment; Prepar

Accounts Receivable / Remote] - Anywhere in U.Competitive pay / Medical-Dental-Vision-Life-Travel / FSA + HSA / 403(b) Retirement Plan with employer contribution / Generous PTO / Study Abroad Program discounts / - As a Billing Specialist at CIEE, you will: Generate program bills for participants an

The Order-to-Cash (OTC) organization manages the end-to-end process that converts customer agreements into billed, collected, and reported revenue, serving as the operational bridge between commercial commitments and financial outcomes.It oversees customer account setup, contract and billing configu

Benefits: 401(k) Competitive salary Flexible schedule Free food & snacks Opportunity for advancement Paid time off Tuition assistance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Med

With easy access to major highways and public transportation, including the nearby MetLife Stadium, home to the New York Giants and New York Jets, Clifton provides an exciting backdrop for professional growth and personal enrichment.

Salary: $80,000 - $95,000 per year A bit about us: A growing professional services firm is seeking an Accounting & Billing Specialist to support leadership with day-to-day accounting operations and firmwide billing. Why join us? Why Join Competitive compensation + performance bonus Summer hours and

This role is ideal for someone who enjoys working behind the scenes to keep financial operations running smoothly while collaborating with professionals across the firm. Experience within a public accounting firm or professional services environment is strongly preferred.

Billing & Collections Specialist.At UVeye, we're on a mission to redefine vehicle safety and reliability on a global scale.Founded in 2016, we have pioneered the world's first fully automated suite of vehicle inspection systems.At the heart of this innovation lies our advanced AI-centric technology,

Follow up with clients on collections while maintaining professionalism.

Specialist, Billing & Collections.MLB Network seeks a Specialist, Billing & Collections with knowledge of accounts receivable, excellent communication skills and an ability to effectively work as part of a team.The Specialist, Billing & Collections will support the Company's sales functions, perform

Axelon Services Corporation is seeking a skilled medical coder in Newark, NJ.

Amazing Outpatient Surgery Organization is Looking to Hire an Outpatient Medical Coder (Surgical Coding)! This Jobot Consulting Job is hosted by: Joshua Tacke Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume. Do you have 3+ years of medical coding experie