Clinical coder jobs in Clifton, New JerseyCreate job alerts

West Orange, New Jersey, PM&R Opening Clinical Role:Do you know someone that might be a good fit for this position? Please ask about our generous referral fees!Seeking a board certified or eligible physiatristFull-time jobWork out of an inpatient rehab facilityBrand new market for this groupExpect to see 18-22 patients per dayCall: TBDGroup has a compliance programAllow RecruitWell to set a up a phone call with you and the client to discuss more!Organization Information:Nationwide physiatry groupGroup employs 100+ physicians nationwidePhysicians are typically employed as W2If you do part-time, you’d be a 1099 directly through the hiring entityEmployed providers get full benefitsMedical, dental, and vision insuranceMalpractice insurance with a tailFull-time staff physicians make a guaranteed $180,000 per year – directors make a guaranteed $200kOnce you meet the company’s bonus structure, you get 70% of the billingsOn average, their full-time physicians make $230,000 up to $425,000+ with production bonus and salaryGroup uses an app called MD Coder – it allows you to put your charges in with ease, provides you with billing codes, and ensures that all are meeting compliance standardsRecruitWell's Core Values:Open communicationSense of urgencyTeamworkAccountabilityDriven to winHigher consciousness

Job Description New Jersey’s largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary: We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural work. The position also supports prior authorization and medical necessity review processes for vascular and interventional procedures. The ideal candidate possesses advanced knowledge of: • Vascular surgery coding, • Endovascular intervention coding, • Interventional Radiology coding, • Catheterization hierarchies, • Radiology supervision & interpretation (S&I), • Global surgery rules, • NCCI edits, • Modifier usage, • Payer authorization requirements, • Medicare/commercial payer policies This position requires independent review and coding of highly complex operative reports and procedural documentation across hospital, ASC, office, and interventional settings. Senior Vascular Surgery Professional Coder Core Responsibilities: Professional Coding Responsibilities • Review and accurately code complex vascular surgery operative reports, procedure notes, and E&M encounters, • Assign CPT, HCPCS, ICD-10-CM, and modifiers in accordance with AMA, CMS, NCCI, and payer-specific guidelines, • Interpret and code:, • open vascular procedures,, • endovascular interventions,, • angiography,, • catheter placements,, • thrombectomy,, • bypass grafting,, • dialysis access procedures,, • embolization,, • stent placement,, • EVAR/TEVAR,, • and hybrid vascular procedures, • Apply correct selective catheterization hierarchies and vascular family rules, • Code radiology S&I services appropriately, • Review operative documentation for completeness and compliance, • Query providers for clarification when documentation is insufficient, • Identify coding opportunities, missed charges, and undercoding trends, • Resolve coding edits and claim rejections related to vascular procedures, • Support denial management and payer audit responses, • Maintain productivity and accuracy standards for high-complexity vascular coding, • Collaborate with physicians, billers, auditors, and revenue cycle leadership, • Stay current on annual CPT, CMS, and payer policy updates impacting vascular surgery Prior Authorization & Medical Necessity Responsibilities: • Obtain and manage prior authorizations for vascular surgery, endovascular, imaging, and interventional procedures, • Verify medical necessity requirements based on payer policies and LCD/NCD guidelines, • Submit supporting clinical documentation for authorization requests, • Track authorization status and ensure approvals are obtained prior to scheduled procedures, • Communicate authorization requirements and updates to providers, schedulers, and clinical staff, • Assist with peer-to-peer coordination and payer follow-up when necessary, • Review denials related to authorization or medical necessity and support appeal preparation, • Maintain accurate authorization documentation within the EHR and billing systems Senior Vascular Surgery Professional Coder Required Qualifications: • Minimum 3–5 years of dedicated vascular surgery coding experience, • Extensive experience coding:, • open vascular surgery,, • interventional vascular procedures,, • angiography,, • and radiology S&I services, • Prior authorization experience within surgical or interventional specialties, • Strong understanding of:, • CPT,, • ICD-10-CM,, • HCPCS,, • NCCI edits,, • modifier usage,, • global surgery rules,, • medical necessity criteria,, • and payer reimbursement methodologies, • Ability to independently interpret highly complex operative reports, • Experience with EMR/EHR and encoder software, • Strong analytical and critical thinking skills, • Excellent written and verbal communication skills Senior Vascular Surgery Professional Coder Preferred Qualifications: • CPC, CCS-P, CIRCC, or equivalent coding certification, • CCS & CIRCC strongly preferred, • Experience in vascular surgery, interventional radiology, or cardiovascular surgery specialty coding. General Surgery a plus., • Experience with Medicare and commercial payer audits, • Experience in academic or high-volume multispecialty vascular practices Preferred Experience: • Experience with:, • Aprima EHR, • Epic, • Microsoft Excel, • Familiarity with reporting, reconciliation, and spreadsheet analysis Senior Vascular Surgery Professional Coder Productivity & Performance Expectations: • Maintain high coding accuracy in a complex vascular surgery environment, • Meet established coding turnaround and lag-day expectations, • Demonstrate proficiency with:, • modifier assignment,, • procedural bundling logic,, • selective catheterization hierarchy,, • and endovascular coding guidelines, • Maintain timely authorization turnaround and documentation accuracy, • Participate in ongoing education and specialty coding updates Senior Vascular Surgery Professional Coder Ideal Candidate Profile The ideal candidate is a highly experienced vascular surgery coder capable of independently coding complex open and endovascular operative cases while also supporting prior authorization workflows, payer compliance, and revenue cycle optimization in a fast-paced specialty practice environment.

Job Description 2 immediate full time roles, top Medical practice, 2 days on site 3 days remote Coder: Hybrid 2 days in office, 3 remote • Must have comprehensive, working knowledge of CPT & ICD codes., • The ability to read and code directly from Progress Notes and Op Reports – this is NOT a data entry position. They will not have the codes handed to them by the doctor, they are reading clinical documentation and coding appropriately., • They are advising physicians on their coding – if something is billed too high, too low, if the physician missed something he/she could have billed for. They are the experts the doctors turn to for advice and guidance., • Communication, specifically proactive communication is a must., • Familiarity with office, hospital, and procedure billing., • Organization, speed, and accuracy are crucial for this role – each Coder bills around 150-200 claims per day, if a candidate is not comfortable with that threshold this is not the right position for them., • CPC & E-Clinical Works experience preferred; minimum of two years’ experience required.

Job Description Pay Transparency: 180K - 200K plus bonus About NexGen Orthopedic Health and Wellness NexGen Orthopedic Health and Wellness was founded with a clear purpose: to improve the quality of life of every patient we serve. We believe orthopedic care should be compassionate, personalized, and holistic — focused not only on treating conditions, but on restoring freedom, mobility, and confidence. As a fully integrated, multi-specialty, multi-site organization spanning orthopedics, interventional pain, wellness, and ambulatory surgery, NexGen delivers care across the full continuum. Our clinical excellence is nationally recognized by leading professional organizations including the Cervical Spine Research Society, American Academy of Orthopaedic Surgeons, Society for the Study of Lumbar Spine, and the North American Spine Society. Already a highly successful provider in the communities we serve, NexGen is now entering its next chapter: intentional scale, enterprise maturity, and durable growth — without compromising the patient-first values that define who we are. Why NexGen Orthopedics This is not a role where you will manage a function from a distance. You will be close to the work, close to the team, and close to the decision-making every single day. NexGen is a fully on-site environment because we believe that proximity matters — to culture, to collaboration, and to the kind of leadership that actually moves people. Reporting directly to the CEO means your insights will land in the right place and your recommendations will be heard. NexGen has built something that matters — high-quality collaborative and holistic orthopedic care delivered with integrity. The revenue cycle is not a back-office function here. It is the financial infrastructure that makes the mission sustainable. If you want to do work that is strategically important, operationally complex, and genuinely impactful, this is the right place. The Opportunity NexGen Orthopedics ‘clinical operations are strong, the patient volume is growing, and the team is fully staffed. What we need now is a revenue cycle leader who can walk into a functioning department and make it extraordinary — not by rebuilding from scratch, but by asking the right questions, challenging inherited assumptions, and creating the conditions for the team to perform at their ceiling. This role reports directly to the CEO, which means you will have real proximity to strategic decision-making, real authority to drive change, and real accountability for outcomes. You will not be handed a playbook. You will be expected to write one — grounded in data, informed by experience, and built with the team, not around them. The right person for this role is equally comfortable confidently advising the C-Suite and getting into a billing queue. You bring deep revenue cycle expertise across orthopedic, physical medicine, and related specialties — with particularly strong command of out-of-network billing, one of the most complex and revenue-critical areas of this practice. You know how to read a situation before you redesign it. You synthesize complex information quickly, push back constructively when something doesn’t add up, and make confident judgment calls when the data is incomplete — because it often will be. One of your earliest priorities will be to diagnose the current billing team with clear eyes — assessing talent, workflows, tools, and culture — and then take decisive action to reset and optimize. The healthcare and insurance landscape is shifting faster than most organizations can track. NexGen needs a leader who will not just keep pace with that change but anticipate it, restructure around it, and position this team to maximize revenue generation in an environment where the rules are constantly being rewritten. What You’ll Own Revenue Cycle Leadership • Oversee all aspects of daily revenue cycle operations — billing, collections, denial management, payment posting, and accounts receivable — with a focus on efficiency, accuracy, and performance., • Develop and execute strategies to hit key metrics including net cash collections, A/R days, unbilled A/R, denial rates, and report progress with clarity and candor to the CEO., • Manage out-of-network revenue recovery, including cases where insurers issue payments directly to patients, and lead the outreach and collection process with both empathy and rigor., • Oversee internal appeals, external appeals, and arbitrations., • Ensure accurate, timely posting of all transactions, including adjustments and write-offs, and investigate discrepancies before they become patterns. Out-of-Network Billing & Revenue Recovery • Lead all aspects of out-of-network billing operations, including claim submission, appeal strategy, payer negotiation, and arbitrations — with deep expertise in navigating the unique complexity and risk of OON workflows., • Manage cases where insurers redirect payments to patients: track, communicate, and recover those funds through a structured, empathetic, and persistent process., • Develop and maintain out of network - specific billing protocols based on Fair Health data that adapt to shifting payer policies and protect NexGen’s reimbursement position in an increasingly aggressive coverage environment., • Identify patterns in OON denials and underpayments and translate those insights into proactive strategy adjustments and payer escalation., • Serve as the in-house subject matter expert on Fair Health data and OON reimbursement — educating the team, advising leadership, and ensuring the practice captures the full revenue it has earned. Team Development & Performance • Conduct a thorough, honest assessment of the current billing team — evaluating talent, workflows, tools, and performance gaps — and develop and execute a plan to reset, restructure, and optimize for revenue generation in a rapidly changing insurance landscape., • Run regular staff meetings that go beyond status updates: use them to sharpen the team’s understanding of reimbursement methodology, payer changes, and compliance requirements., • Identify development opportunities for high-potential staff and create a culture where feedback is direct, timely, and constructive., • Be a visible, present leader every day. At NexGen, culture is not built on Slack or in quarterly all-hands meetings — it is built through daily interactions, informal moments, and the example you set in person. Your on-site presence five days a week is a leadership strategy, not a scheduling requirement., • Balance workload across billing queues and ensure staffing and systems are aligned to departmental goals. Payer Strategy & Compliance • Maintain deep working knowledge of third-party billing rules, and reimbursement practices; serve as the escalation point for complex payer issues and disputes., • Stay current on changes in Fair Health data, commercial payer updates, and industry regulatory changes — and translate those updates into operational adjustments quickly. Analytics & Strategic Insight • Analyze large data sets to generate financial insight — not just reports. Regularly present trends, anomalies, and recommended action plans to leadership in a format that drives decisions., • Build and maintain departmental dashboards that surface the metrics that matter, in real time., • Conduct independent remittance analyses with meticulous attention to detail, including tracking check numbers, mailing timelines, and reissue statuses for complex payment cycles., • Evaluate payer reimbursement changes and policies to provide leadership with an honest, informed view of payer performance and risk. Operations & Systems • Review and update policies, procedures, and electronic claims formatting to reflect current standards and payer requirements., • Evaluate systems and workflows continuously; recommend and implement improvements when the evidence supports it., • Oversee the distribution of A/R and denial reports to staff and ensure dashboards are maintained and actionable. What We’re Looking For Beyond the technical qualifications, we are looking for a specific kind of thinker and operator. Someone who leads with questions before conclusions, who can hold complexity without collapsing it into oversimplification, and who earns trust through the quality of their judgment, not just the length of their experience. Required Experience • 7+ years in healthcare revenue cycle management, with at least 3 in a director-level role with direct accountability for performance outcomes., • Demonstrated expertise in out-of-network billing workflows — this is a non-negotiable. You understand Fair Health, OON claim submission, appeals, payer tactics, and patient-directed payment recovery at a deep, hands-on level., • Specialized knowledge in Orthopedic, Pain management, and patient account management. Exposure to Conservative Therapy (physical, occupational, chiropractic), Physical Medicine and Rehabilitation and vascular services strongly preferred., • In-depth knowledge of Fair Health data, third-party billing rules, payer contracts, reimbursement practices and motor vehicle claims., • Strong track record of resolving denied and underpaid claims through consistent follow-up and effective payer advocacy., • Proficiency with data tools including Excel and Google Sheets; comfort pulling and building your own reports without waiting for an analyst., • Familiarity with payer portals, major commercial insurance carriers, and claim submission processes including coordination with attorneys where applicable. What Sets You Apart • You ask the right questions before you run an analysis. You understand that bad inputs produce confident-looking wrong answers, and you don’t accept the framing of a problem at face value., • You push back on assumptions — respectfully, with evidence — and you’re comfortable being the person in the room who says “The data shows something different.”, • You synthesize information quickly across billing, operations, clinical, and finance, and make sound judgment calls even when the picture is incomplete., • You are equally strategic and operational. You can architect a multi-quarter revenue cycle vision and still get into the details of a remittance discrepancy when the moment calls for it. Leaders who only operate at altitude are not the right fit here., • You can present to the CEO and coach a billing coordinator in the same week, and both will feel like they got what they needed. Both of these tasks are within the scope of your role., • You have a measurable track record: improved net collection rates, reduced denial rates, A/R days moved. You can point to the numbers., • You have diagnosed and reset an underperforming or misaligned billing team before — you know what to look for, how to have the hard conversations, and how to rebuild momentum without losing continuity of operations., • You understand that the healthcare reimbursement landscape is not static. You stay ahead of payer policy changes, regulatory shifts, and industry trends — and you know how to reorganize a team and its workflows to stay one step ahead rather than one step behind., • Certified Professional Coder (CPC) or equivalent certification is a plus. Company DescriptionWHO WE ARE NexGen Orthopedic Health and Wellness was founded with a clear purpose: to improve the quality of life of every patient we serve. We believe orthopedic care should be compassionate, personalized, and holistic — focused not only on treating conditions, but on restoring freedom, mobility, and confidence. As a fully integrated, multi-specialty, multi-site organization spanning orthopedics, interventional pain, wellness, and ambulatory surgery, NexGen delivers care across the full continuum. Our clinical excellence is nationally recognized by leading professional organizations including the Cervical Spine Research Society, American Academy of Orthopaedic Surgeons, Society for the Study of Lumbar Spine, and the North American Spine Society. Already a highly successful provider in the communities we serve, NexGen is now entering its next chapter: intentional scale, enterprise maturity, and durable growth — without compromising the patient-first values that define who we are.WHO WE ARE\r\nNexGen Orthopedic Health and Wellness was founded with a clear purpose: to improve the quality of life of every patient we serve. We believe orthopedic care should be compassionate, personalized, and holistic — focused not only on treating conditions, but on restoring freedom, mobility, and confidence.\r\n\r\nAs a fully integrated, multi-specialty, multi-site organization spanning orthopedics, interventional pain, wellness, and ambulatory surgery, NexGen delivers care across the full continuum. \r\n\r\nOur clinical excellence is nationally recognized by leading professional organizations including the Cervical Spine Research Society, American Academy of Orthopaedic Surgeons, Society for the Study of Lumbar Spine, and the North American Spine Society.\r\n\r\nAlready a highly successful provider in the communities we serve, NexGen is now entering its next chapter: intentional scale, enterprise maturity, and durable growth — without compromising the patient-first values that define who we are.

Job DescriptionBilling Coordinator / Coder – Ambulatory Schedule: Full-time, Days Job Type: Permanent w/ Benefits Job Summary The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and supporting outpatient billing services utilizing a centralized medical information system. This position is responsible for accurately abstracting data following ICD-10-CM, CPT, and HCPCS coding guidelines and directives. The role also performs data entry of required patient information into the electronic medical record system and communicates with physicians when appropriate. Essential Job Functions • Coordinate pertinent information from patient medical records for submission to the physician billing service, • Verify patient insurance and act as a liaison regarding charges, billing inquiries, and outstanding balances, • Ensure proper receipt of authorizations/referrals and completion of all required forms, • Analyze medical records and identify documentation deficiencies, • Monitor coding and billing corrections on a daily basis, • Assign CPT, HCPCS, and ICD-10-CM codes accurately, • Assess clinical documentation and communicate with providers regarding missing or incomplete information needed for proper coding, • Address coding edits and reimbursement-related documentation requirements, • Maintain required productivity and quality standards, • Comply with organizational policies, procedures, and standards of behavior, • Report unusual circumstances, risk factors, errors, and discrepancies to management, • Perform additional duties and special projects as assigned Qualifications, • High School Diploma or GED required, • Minimum of 1 year of coding or professional billing experience preferred, • Knowledge of medical terminology, anatomy, and physiology, • Strong computer proficiency including typing accuracy and speed, • Excellent written and verbal communication skills, • Proficiency in Microsoft Office and Google Suite platforms Preferred Experience, • Outpatient hospital ICD-10 diagnosis, CPT procedural, and E&M coding experience preferred Certifications, • Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Certified Professional Coder (CPC), or equivalent certification preferred, • AHIMA or AAPC credential preferred Equal Opportunity Employer: We are committed to creating an inclusive and diverse workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, age, or any other legally protected characteristic. Applicants must be authorized to work in the United States. Employment may be contingent upon successful completion of background checks, reference checks, and any required screenings in accordance with applicable laws and client requirements.

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Ezra Medical Center is a multi-specialty healthcare organization located in the heart of Borough Park, Brooklyn.For over 18 years, we have been dedicated to providing high-quality medical care to our community while fostering a collaborative and supportive environment for our staff.We are currently

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Clinical License and Specialty Certifications mandated by State.

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