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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

Position Title: Orthopedic Coding Integrity Specialist Department: Revenue Integrity Job Description: New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Looking for a coding team to love at OU Health? This is it! While this role is specifically searching for an experienced Orthopedic coder, we also cover multiple specialties so there's opportunities to learn and grow. 100% remote. Flexible shifts once training is complete. Opportunity to work four 9 hour days, and one 4 hour day. So if you're work-from-home ready, work well independently, and have strong coding skills we just may be the right fit for you! Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment . *The ideal candidate would have multiple years of direct orthopedic surgery and/or teaching hospital or trauma center coding experience (coding knowledge in other specialties is a big plus). Epic and Encoder Pro experience preferred. COSC Certification from AAPC would be the ultimate secondary certification to move your application to the top of the list.* General Description: Reviews and evaluates hospital outpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and Healthcare Common Procedure Coding System/Current Procedural Terminology (HCPCS/CPT) codes. Performs coding and/or code validation across OU Health. Applies all appropriate coding guidelines and criteria for code selections. Essential Responsibilities: Responsibilities listed in this section are core to the coding positions in general. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position. Using ICD-10-CM and/or HCPCS/CPT, primarily assigns, validates, and/or edits codes for the following patient types: Orthopedic surgery (PRIMARY) Same day surgery (SDC) Observation (OBV) Wound Care Outpatient Cardiac Cath Assigns, validates, and/or edits procedure categories, modifiers (when applicable) Maintains or exceeds established productivity standards Maintains or exceeds established accuracy standards Initiates, validates, and/or edits physician queries in compliance with Company policy where appropriate Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to ensure coding knowledge and skills remain current Utilizes the complete medical record documentation in code assignment, validation, and/or editing of codes Follows all applicable coding guidance in assigning, sequencing, validation, and/or editing of codes Meets all educational requirements as stated in the current Company policy Only as needed, may also assign, validate, and/or edit codes for the following patient types: Emergency department (ED) Recurring (RCR) Clinical (CLI) records, and/or Provider Office Visit (POV) Performs other duties as assigned Minimum Qualifications: Education: High School Diploma or GED required. Associate's or Bachelor’s degree in HIM/HIT preferred. Experience: 3-5 years of experience in acute care observation and/or same day surgery hospital outpatient coding required. Licensure/Certifications/Registrations Required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), NHA CBCS or equivalent coding certification from AHIMA or AAPC required. Knowledge, Skills and Abilities: Coding Technical Skills- ICD-10-CM, HCPCS/CPT-4, and APCs. Analytical Skills - effective evaluation, synthesis and use of information gathered. Organization - establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task. Communication - communicates clearly and concisely. Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. PC Skills - demonstrates proficiency in Microsoft Office applications and others as required. Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. Work Independently - is self-supporting; not needing to rely on others to complete a job. #cb Current OU Health Employees - Please click HERE to login. OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.

Position Title: Coding Integrity Specialist - Education/Auditing Department: Revenue Integrity Job Description: New to OU Health? Ask your recruiter about our competitive wages and total rewards package! This Coding Specialist role is unique in that it works with physicians and other team members to educate on coding processes and practices while also being auditors and working in tandem with the compliance space. Due to the nature of the broad spectrum of areas involved, strong efficient communication and ability to look at the 'big picture' are a necessity. General Description: Reviews and evaluates hospital outpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and Healthcare Common Procedure Coding System/Current Procedural Terminology (HCPCS/CPT) codes. Performs coding and/or code validation across OUH. Applies all appropriate coding guidelines and criteria for code selections. Essential Responsibilities: Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position. Using, ICD-10-CM and/or HCPCS/CPT, primarily assigns, validates, and/or edits codes the following patient types: Same day surgery (SDC) Observation (OBV) Wound Care Outpatient Cardiac Cath As needed, may also assign, validate, and/or edit codes for the following patient types: Emergency department (ED) Recurring (RCR) Clinical (CLI) records, and/or Provider Office Visit (POV) Assigns, validates, and/or edits procedure categories, modifiers (when applicable) Maintains or exceeds established productivity standards Maintains or exceeds established accuracy standards Initiates, validates, and/or edits physician queries in compliance with Company policy where appropriate Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current Utilizes the complete medical record documentation in code assignment, validation, and/or editing of codes Follows all applicable coding guidance in assigning, sequencing, validation, and/or editing of codes Meets all educational requirements as stated in current Company policy General Responsibilities: Performs other duties as assigned Minimum Qualifications: Education: High School Diploma or GED required. Associate's or Bachelor’s degree in HIM/HIT preferred. Experience: 3-5 years of experience in acute care observation and/or same day surgery hospital outpatient coding required. Licensure/Certifications/Registrations Required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), NHA CBCS or equivalent coding certification from AHIMA or AAPC required. Knowledge, Skills and Abilities: Coding Technical Skills- ICD-10-CM, HCPCS/CPT-4, and APCs. Analytical Skills - effective evaluation, synthesis and use of information gathered. Organization - establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task. Communication - communicates clearly and concisely. Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. PC Skills - demonstrates proficiency in Microsoft Office applications and others as required. Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. Work Independently - is self-supporting; not needing to rely on others to complete a job. #cb Current OU Health Employees - Please click HERE to login. OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.

Medical Biller (Inpatient/Medicare) for Physician Network (Remote) Our client is seeking a detail-oriented and knowledgeable Medical Biller (Remote) to join their team. This role is responsible for accurate and timely billing of inpatient, skilled nursing facility (SNF), and Medicare claims. The ideal candidate will have strong knowledge of healthcare billing regulations, coding guidelines and reimbursement processes, along with a commitment to compliance and accuracy. This organization is a regional network of credentialed physicians dedicated to improving the health status of patients and the communities they serve. This role plays a critical part in supporting that mission by ensuring the integrity of their revenue cycle operations. Full time - Remote Direct Hire Key Responsibilities: • Prepare, review, and submit accurate claims for inpatient, skilled nursing, and Medicare services • Ensure compliance with all federal, state, and payer-specific billing regulations • Verify patient insurance coverage, eligibility, and benefits • Review clinical documentation to ensure proper coding and billing accuracy • Identify and resolve claim edits, denials, and rejections in a timely manner • Follow up on unpaid or underpaid claims and work to maximize reimbursement • Collaborate with coding, clinical, and administrative teams to resolve discrepancies • Maintain up-to-date knowledge of Medicare guidelines and billing requirements • Post payments, adjustments, and reconcile accounts as needed • Support audits and provide documentation as required Qualifications: • Required Certification (one of the following): o Certified Professional Coder (CPC) o Certified Billing and Coding Specialist (CBCS) o Certified Coding Specialist (CCS) o ICD-10 Certification • Minimum of 2+ years of medical billing experience, with emphasis on: o Inpatient billing o Skilled Nursing Facility (SNF) billing o Medicare claims processing • Strong understanding of ICD-10, CPT, and HCPCS coding systems • Knowledge of Medicare regulations, reimbursement methodologies, and compliance requirements • Experience with electronic medical records (EMR) and billing systems • High attention to detail and strong analytical/problem-solving skills • Excellent communication and organizational abilities Apply to this position by simply clicking the APPLY button below Key Responsibilities: • Prepare, review, and submit accurate claims for inpatient, skilled nursing, and Medicare services • Ensure compliance with all federal, state, and payer-specific billing regulations • Verify patient insurance coverage, eligibility, and benefits • Review clinical documentation to ensure proper coding and billing accuracy • Identify and resolve claim edits, denials, and rejections in a timely manner • Follow up on unpaid or underpaid claims and work to maximize reimbursement • Collaborate with coding, clinical, and administrative teams to resolve discrepancies • Maintain up-to-date knowledge of Medicare guidelines and billing requirements • Post payments, adjustments, and reconcile accounts as needed • Support audits and provide documentation as required Qualifications: • Required Certification (one of the following): o Certified Professional Coder (CPC) o Certified Billing and Coding Specialist (CBCS) o Certified Coding Specialist (CCS) o ICD-10 Certification • Minimum of 2+ years of medical billing experience, with emphasis on: o Inpatient billing o Skilled Nursing Facility (SNF) billing o Medicare claims processing • Strong understanding of ICD-10, CPT, and HCPCS coding systems • Knowledge of Medicare regulations, reimbursement methodologies, and compliance requirements • Experience with electronic medical records (EMR) and billing systems • High attention to detail and strong analytical/problem-solving skills • Excellent communication and organizational abilities

Position: Certified Medical Coder – Outpatient & ED Location: Bronx, NY 10461 (Remote after training) Job Type: Contract Contract: 8 weeks with strong possibility of extension Schedule: 7:00 hours/day | 5 days/week Guaranteed hours per week: 35.00 Pay: Up to 37/hr on W2 Job Summary Pride Health is seeking an experienced Certified Medical Coder for a contract opportunity in Bronx, NY. This role will focus on outpatient and emergency department coding in an acute care setting, with an initial onsite training period followed by remote work. Responsibilities • Perform accurate medical coding for outpatient and emergency department cases, • Apply ICD-10, CPT-4, and coding guidelines in compliance with regulatory standards, • Utilize coding software such as EPIC and 3M/HDS systems, • Review clinical documentation for completeness and accuracy, • Ensure compliance with federal billing and payer guidelines, • Research and resolve coding-related issues, • Maintain productivity and quality standards, • Collaborate with healthcare teams as needed Requirements • High School Diploma or GED required, • Active certification (CCS, CCP, RHIA, or RHIT from AHIMA), • Minimum 3+ years of coding experience (4+ years preferred), • Strong outpatient and emergency department coding experience, • Proficiency in EPIC and 3M coding systems, • Strong knowledge of ICD-10, CPT coding, and medical terminology, • Ability to work independently with minimal supervision Preferred Qualifications • Experience in acute care hospital settings, • Strong inpatient coding background, • Ability to quickly adapt to new systems and workflows Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors.

Job Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Seeking a full-time Inpatient Audit Specialist with 3+years' experience. Experience with Streamline evaluator, Cerner, 3M a plus. Will be responsible for onboarding and monthly IP coding QA;CCS certification* You Will: • Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment., • Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment., • Provide coder education through the auditing process., • Prepare preliminary results for review by the facility or CCS HIM director., • Review disagreements on APC/DRG changes with the appropriate manager., • Prepare the final reports for the coding audit and actively participates in the resolution of audit findings., • Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments., • Attend coding workshops as necessary., • Stay current with regulatory changes., • Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution., • Demonstrate versatility and exceptional work across a wide range of coded services., • Meet with client facility representatives to discuss issues and trends identified in audits., • Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation., • Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Function in a professional, efficient, and positive manner., • Adhere to the American Health Information Management Association's code of ethics., • Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession., • Conduct audits on external coding staff as needed and provides reports to the manager as directed., • Handle a high complexity of work functions and decision-making., • Demonstrate strong organizational, teamwork, and leadership skills. Seeking a full-time Inpatient Audit Specialist with 3+years' experience. Experience with Streamline evaluator, Cerner, 3M a plus. Will be responsible for onboarding and monthly IP coding QA** What you will bring to the table: • 3+ years experience coding and auditing, • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Preferred: CCS, RHIT, or RHIA credentials., • Recent experience in academic/level 1 trauma centers, • Experience coding and auditing inpatient and outpatient records for various facilities, • Track record of acceptable productivity standards, • Maintain 95% accuracy rate for APC assignment and 95% productivity rate, • Experience with various software including EMR, Encoder and Auditing software Perks: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) We are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US-based roles) and industry best practices. We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer). Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Seeking: PRN IP Audit Specialist 3+years' experience. Experience with Streamline evaluator, Cerner, 3/m a plus. Will be responsible for onboarding and monthly IP coding QA; CCS certification. You Will: • Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment., • Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment., • Provide coder education through the auditing process., • Prepare preliminary results for review by the facility or CCS HIM director., • Review disagreements on APC/DRG changes with the appropriate manager., • Prepare the final reports for the coding audit and actively participates in the resolution of audit findings., • Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments., • Attend coding workshops as necessary., • Stay current with regulatory changes., • Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution., • Demonstrate versatility and exceptional work across a wide range of coded services., • Meet with client facility representatives to discuss issues and trends identified in audits., • Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation., • Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Function in a professional, efficient, and positive manner., • Adhere to the American Health Information Management Association's code of ethics., • Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession., • Conduct audits on external coding staff as needed and provides reports to the manager as directed., • Handle a high complexity of work functions and decision-making., • Demonstrate strong organizational, teamwork, and leadership skills. Seeking: PRN IP Audit Specialist 3+years' experience. Experience with Streamline evaluator, Cerner, 3/m a plus. Will be responsible for onboarding and monthly IP coding QA. What you will bring to the table: • 3+ years experience coding and auditing, • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Preferred: CCS, RHIT, or RHIA credentials., • Recent experience in academic/level 1 trauma centers, • Experience coding and auditing inpatient and outpatient records for various facilities, • Track record of acceptable productivity standards, • Maintain 95% accuracy rate for APC assignment and 95% productivity rate, • Experience with various software including EMR, Encoder and Auditing software Perks: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) We are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US-based roles) and industry best practices. We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer). Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description Company Overview: Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents. Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it. We’re looking for talented, motivated individuals to join our growing team. Whether you’re a medical provider, administrator, or operations professional, there’s a career here for you. Join us in making a real difference in the health of our community. Position Title: Director of CodingCompliance Position Summary: The Director of Coding Compliance is responsible for leading coding compliance and audit activities related to health plan operations, risk adjustment, payer audits and regulatory requirements. This role ensures accurate medical coding, documentation integrity, and adherence to federal, state, and payer-specific guidelines. The ideal candidate will possess advanced CPC coding expertise, strong analytical skills, and extensive experience supporting compliance initiatives within a managed care or health plan environment. Key Responsibilities • Conduct complex coding audits and documentation reviews for accuracy, completeness, and regulatory compliance., • Review ICD-10-CM, CPT, HCPCS, and risk adjustment coding to ensure alignment with CMS and payer guidelines., • Identify coding trends, compliance risks, and opportunities for operational improvement., • Partner with Compliance, SIU, Clinical Operations, Provider Education, and RCM teams to support organizational initiatives., • Develop and deliver provider and staff education related to coding accuracy and compliance standards., • Monitor regulatory changes and communicate impacts to leadership and operational teams., • Assist with internal and external audit preparation, corrective action plans, and regulatory responses., • Support oversight activities related to FWA (Fraud, Waste, and Abuse) prevention and documentation integrity., • Analyze audit findings and prepare detailed reports, dashboards, and executive summaries., • Serve as a subject matter expert for coding compliance and regulatory requirements. Required Qualifications • Certified Professional Coder (CPC) certification required., • Minimum 7–10 years of medical coding and compliance auditing experience., • Minimum 5 years of experience within a health plan, managed care organization, or payer environment., • Strong knowledge of CMS regulations, Medicare Advantage, NYS Medicaid, HEDIS, and risk adjustment methodologies., • Extensive experience with ICD-10-CM, CPT, and HCPCS coding systems., • Knowledge of healthcare compliance standards and regulatory requirements., • Experience conducting coding audits and developing corrective action plans., • Strong analytical, communication, and leadership skills., • Proficiency with coding and audit software applications and Microsoft Office Suite. Preferred Qualifications • CRC, CPMA, CCS, or other advanced coding/audit certification preferred., • Experience supporting delegated vendor oversight and regulatory audits., • Knowledge of NCQA standards and healthcare quality programs., • Bachelor’s degree in Health Information Management, Healthcare Administration, Nursing, or related field preferred. Core Competencies • Regulatory Compliance, • Risk Assessment, • Medical Coding Expertise, • Audit & Monitoring, • Provider Education, • Cross-Functional Collaboration, • Strategic Problem Solving, • Data Analysis & Reporting Work Environment • Onsite - Bronx, New York Office Monday - Friday Essen Health Care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population

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 Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. 2,500 Sign on Bonus* As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Preferred: In need for a FT IP auditing specialist. Auditing specialist will be responsible for reviewing and validating DRGs specific to Medicare and Medicare Managed Care. Interest in coding IP charts in the event the contract ends. Must be able to work 40 hours/week M-F. Systems: Cerner PowerChart, 3M360; CCS certification. You Will: • Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment., • Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment., • Provide coder education through the auditing process., • Prepare preliminary results for review by the facility or CCS HIM director., • Review disagreements on APC/DRG changes with the appropriate manager., • Prepare the final reports for the coding audit and actively participates in the resolution of audit findings., • Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments., • Attend coding workshops as necessary., • Stay current with regulatory changes., • Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution., • Demonstrate versatility and exceptional work across a wide range of coded services., • Meet with client facility representatives to discuss issues and trends identified in audits., • Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation., • Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Function in a professional, efficient, and positive manner., • Adhere to the American Health Information Management Association's code of ethics., • Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession., • Conduct audits on external coding staff as needed and provides reports to the manager as directed., • Handle a high complexity of work functions and decision-making., • Demonstrate strong organizational, teamwork, and leadership skills. Preferred: In need for a FT IP auditing specialist. Auditing specialist will be responsible for reviewing and validating DRGs specific to Medicare and Medicare Managed Care. Interest in coding IP charts in the event the contract ends. Must be able to work 40 hours/week M-F. Systems: Cerner PowerChart, 3M360. What you will bring to the table: • 3+ years experience coding and auditing, • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Preferred: CCS, RHIT, or RHIA credentials., • Recent experience in academic/level 1 trauma centers, • Experience coding and auditing inpatient and outpatient records for various facilities, • Track record of acceptable productivity standards, • Maintain 95% accuracy rate for APC assignment and 95% productivity rate, • Experience with various software including EMR, Encoder and Auditing software Perks: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) We are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US-based roles) and industry best practices. We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer). The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on level, responsibilities, skills, and experience for a specific job. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job DescriptionNitra is the AI-native operating platform for independent healthcare practices — combining financial automation, medical procurement, and patient management into a single system. Having grown 740%+ in 2025 to $33M ARR across 700+ clinics and $1B+ in annualized processing volume, we are now scaling aggressively toward 3,000 clinics and $150M ARR in 2026. The Role:Nitra's growth has surfaced a clear gap: we need someone who has lived inside healthcare back offices and can translate that operational depth into product insight, customer success, and go-to-market strategy. This is not a clinical role — it is a role for someone who understands the business of running a practice: where the money flows, where it gets stuck, and what it actually takes to change the way a practice operates financially. You will be the internal subject matter authority on healthcare operations, sitting at the intersection of product, sales, and customer success. You will be the person our AEs call before a complex demo, our product team calls when designing a new billing workflow, and our customers trust to actually understand their world. What You Will Own Revenue Cycle & Billing Intelligence: • Serve as the internal expert on how independent practices bill, code, and collect — across multiple specialties including primary care, dermatology, orthopaedics, ophthalmology, urology, and medspas, • Define and document which practice segments accept credit cards for vendor payments and why — including working capital cycles, payment terms with distributors, and cash flow constraints by specialty, • Build Nitra's internal knowledge base on prior authorization workflows, eligibility verification processes, and where administrative bottlenecks create the most friction and cost, • Partner with product to ensure our financial automation and bill pay features map precisely to how practices actually process payables — not how software vendors assume they do Procurement & Vendor Ecosystem: • Own Nitra's understanding of medical and biopharma purchasing behavior — GPO relationships, distributor dynamics (McKesson, Medline, Henry Schein), and how practices make buy vs. contract decisions, • Identify the highest-value procurement categories by specialty and build the internal logic for how NitraMart should price, bundle, and sequence its product catalogue to maximize adoption, • Advise on vendor onboarding strategy — which suppliers matter most by practice type, where incumbents are vulnerable, and how to position Nitra's procurement agents against existing purchasing workflows, • Surface the nuances around controlled substance purchasing, specialty pharmaceutical procurement, and compliance considerations that generic fintech competitors will miss Sales & GTM Enablement: • Build the specialty-specific sales playbooks that allow AEs to have credible, operational conversations — not product demos — with practice managers and physicians, • Create the objection library and competitive positioning for the scenarios where prospects push back: 'we already use a GPO,' 'our billing company handles that,' 'we can't put pharma spend on a card', • Join strategic sales calls and serve as the operational credibility anchor in deals where the buyer needs to know Nitra understands their world, not just their spend, • Define the ICP more precisely by specialty, size, and operational maturity — helping the sales team qualify faster and close more confidently Customer Success & Expansion: • Partner with CS to develop specialty-specific onboarding frameworks that accelerate time-to-activation and increase card adoption as primary payment method, • Identify the leading indicators of practice health on the platform — which behaviors in the first 60 days predict high LTV versus early churn, • Design the expansion motion: once a practice is on the card, what is the sequenced path to procurement, bill pay, and patient payments adoption by specialty type What We Are Looking ForNon-Negotiable Experience: • 5+ years inside healthcare practice operations, revenue cycle, or practice management, • Direct experience with prior authorization workflows across at least 3 specialties, • Deep familiarity with medical and biopharma purchasing — GPOs, distributors, formulary management, • Understands working capital dynamics: how practices manage cash, float, and vendor payment timing, • Has navigated the question of credit card acceptance for B2B medical spend — knows why practices do and don't, • Eligibility verification and insurance workflow experience — not conceptually, but operationallyStrongly Preferred:, • Experience spanning multiple specialties — the person who has only worked in one setting will have blind spots, • Background at a practice management software company, RCM vendor, GPO, or medical distributor is a strong signal, • Has sat in the room with physicians, practice managers, and office staff — not just sold to them from the outside, • Comfortable with fintech and payments concepts — you don't need to be an engineer, but you need to understand interchange, working capital facilities, and charge card economics at a conceptual level, • Startup experience or demonstrated comfort operating without playbooksWhat This Role Is Not This is not a clinical role, a billing coder position, or a customer support function. We are not looking for someone to process claims or manage a revenue cycle team. We are looking for someone who has enough operational depth across the healthcare back office to reshape how Nitra builds, sells, and retains — and who can translate that depth into leverage across a fast-moving Series B company. Why This Role, Why Now 740%+ Revenue growth in 2025 700+ Active clinics on platform $1B+ Annualized processing volume 3,000+ Target clinics by end of 2026 We are at the inflection point where operational expertise becomes the primary growth driver. The product is proven. The sales motion is established. What scales us from 700 to 3,000 clinics — and from $33M to $150M ARR — is the depth of healthcare understanding embedded in every customer conversation, every product decision, and every expansion motion. That is what this role builds. Nitra values diversity. We are committed to equal opportunities and creating an inclusive environment for all our employees. We welcome applicants regardless of ethnicity, national origin or ancestry, gender, race, religious beliefs, disability, sex, sexual orientation, age, veteran status, genetic information, citizenship, or any other characteristic protected by law.

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.

Job Description Keith M. Blechman, M.D., P.C. Blechman Plastic Surgery d/b/a Breast Surgery Group Midtown Manhattan, New York | In-Office Medical Biller – Revenue Cycle Management Full-Time | In-Office (Midtown Manhattan) | Experienced Hire About the Practice Breast Surgery Group is a boutique plastic surgery practice in Midtown Manhattan specializing in breast reductions, breast lifts, and top surgery (chest masculinization and breast augmentation for transgender and non-binary patients). Our clinical team includes two board-certified plastic surgeons and two physician assistants. We are in-network with Cigna and accept out-of-network benefits for most other plans. Position Overview We are seeking an experienced Medical Biller to join our revenue cycle team. This role owns the full billing lifecycle — from claim submission and payer follow-up through payment reconciliation and AR management — with particular emphasis on out-of-network billing, No Surprises Act (NSA) compliance, and the Independent Dispute Resolution (IDR) process. The position works closely with our external RCM partner and reports to the Practice Manager. Key Responsibilities • Submit clean claims to commercial payers for surgical and office-based services, including both in-network (Cigna) and out-of-network cases, • Manage the full NSA billing workflow: good faith estimates, Explanation of Payment (EOP) review, and required notices to patients, • Submit NSA claims to CMS and manage the federal and New York DFS IDR processes from initiation through resolution, • Track and reconcile IDR case statuses; coordinate with our RCM partner (CH Revenue Management) on arbitration strategy and invoice documentation, • Conduct payer follow-up on unpaid and denied claims; write and submit appeals with supporting clinical documentation, • Monitor AR aging; identify trends in denials, underpayments, and NSA cases and escalate appropriately, • Verify insurance eligibility and benefits, including out-of-network benefit parameters, prior to scheduled procedures, • Post payments, contractual adjustments, and patient responsibility balances accurately, • Collaborate with PAs and clinical staff to obtain documentation needed for prior authorizations and appeals, • Maintain compliance with HIPAA, payer contracts, and applicable state and federal billing regulations, • Support monthly reporting on collections, denial rates, IDR outcomes, and payer mix for Practice Manager review, • Address all mail pertaining to billing, • Manage payor takebacks Required Qualifications • Minimum 2 years of medical billing experience in a clinical or surgical setting, • Demonstrated experience submitting NSA claims to CMS and managing the IDR process (federal and/or NY DFS), • Working knowledge of out-of-network billing, Qualified Payment Amounts (QPAs), and FAIR Health benchmarks, • Proficiency with CPT and ICD-10 coding for surgical and office-based services, • Experience with AR management, denial management, and payer appeals, • Familiarity with commercial insurance EOBs, coordination of benefits, and patient responsibility calculations, • Strong attention to detail and ability to manage a high-volume, multi-payer claims environment, • Effective written and verbal communication skills; ability to work independently and meet deadlines Preferred Qualifications • Plastic surgery or surgical subspecialty billing experience, • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification, • Experience working with an external RCM partner or billing service, • Familiarity with New York DFS IDR process in addition to federal IDR Work Arrangement This is a full-time, in-office position based at our Midtown Manhattan location. Candidates must be able to reliably commute to the office five days per week. Compensation Salary range: $60,000 – $80,000 annually, commensurate with experience. Benefits package available. How to Apply Qualified candidates should submit a resume and a brief cover letter describing their experience with NSA billing and the IDR process to annmarie@breastsurgerygroup.com. Applications without relevant billing experience will not be considered. Breast Surgery Group is an equal opportunity employer.

Job Description Job Title: Certified Medical Coder – Inpatient (ICD-10 / ED Coding) Location: Brooklyn, NY Setting: Acute Care Hospital (Inpatient & Emergency Department) Shift: Day Shift | 8:00 AM – 4:00 PM Schedule: Monday – Friday We are seeking an experienced Certified Medical Coder (Inpatient) to support acute care coding operations in a hospital setting in Brooklyn, New York. The ideal candidate will have strong inpatient and emergency department coding experience along with advanced knowledge of ICD-10 coding guidelines and hospital reimbursement standards. This role requires a detail-oriented professional who can accurately code complex inpatient medical records while ensuring compliance with federal, payer, and facility regulations. Responsibilities Perform accurate inpatient and ED coding using ICD-10-CM, CPT, and HCPCS guidelines Abstract and assign diagnoses and procedure codes from clinical documentation Ensure compliance with federal, state, and payer coding regulations Utilize 3M/HDS encoder systems and coding tools for accurate assignment Review clinical documentation for completeness and accuracy Identify and resolve coding discrepancies and documentation issues Maintain productivity and quality standards in a fast-paced environment Collaborate with clinical staff, auditors, and revenue cycle teams Apply anatomy, physiology, and disease process knowledge for accurate coding Participate in coding audits and quality improvement initiatives Requirements High School Diploma or GED required Active certification required (CCS, CCP, RHIA, or RHIT) Minimum 3 years of inpatient coding experience required Strong knowledge of ICD-10-CM coding guidelines Proven experience in inpatient and emergency department coding Familiarity with 3M/HDS encoder systems preferred Strong understanding of anatomy, physiology, and disease processes Ability to research and resolve complex coding issues independently Excellent attention to detail and analytical skills Strong computer proficiency (MS Word, Excel, and coding systems) For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169. About Navitas Healthcare, LLC It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

Job DescriptionDescriptionThe Practice Transformation Coach serves as a strategic advisor and subject matter expert, driving clinical quality improvement and operational performance across provider practices within Astrana’s value‑based care network in the New York metropolitan area. This role partners closely with physicians, practice leadership, and care teams to analyze practice‑level performance, identify gaps, and develop targeted, data‑driven strategies that improve quality outcomes, financial performance, and operational efficiency. Operating with a high degree of autonomy, the Coach assesses practice needs, prioritizes interventions, and leads workflow redesign and population health initiatives within a complex, diverse urban healthcare environment. The Practice Transformation Coach plays a critical role in aligning provider performance with value‑based care objectives and driving measurable clinical, operational, and financial improvements across the market. What You'll DoPractice Engagement & Coaching • Serve as a strategic advisor to provider practices, assessing clinical, operational, and financial performance and identifying opportunities for improvement, • Exercise independent judgment in prioritizing practice engagements and determining the most effective intervention strategies based on performance data and business impact, • Develop and lead execution of customized transformation plans to improve quality metrics, operational workflows, and financial outcomes Workflow Design & Optimization, • Lead the design and implementation of workflow redesign initiatives, including EHR optimization, clinical documentation, and billing practices, • Diagnose root causes of quality and financial underperformance and develop targeted, data-driven solutions, • Provide guidance to providers and care teams to support adoption of optimized workflows and sustainable operational improvements Data Analysis & Performance Improvement, • Analyze and interpret complex performance data, including HEDIS, pay-for-performance metrics, and medical cost trends, to inform strategic recommendations, • Translate data insights into actionable performance improvement strategies tailored to individual practices and market needs, • Monitor progress against established goals and adjust strategies as needed to ensure performance targets are achieved Cross-Function Leadership & Influence, • Partner with internal stakeholders across Market Operations, Quality, and Population Health to ensure alignment on performance improvement initiatives, • Influence provider and practice-level decision-making through data-driven insights, education, and consultative engagement, • Serve as a key liaison between provider practices and organizational leadership to escalate risks, share insights, and drive alignment Continuous Improvement & Thought Leadership, • Identify trends and systemic opportunities across practices to inform broader market-level or enterprise performance strategies, • Contribute to the development of best practices, tools, and frameworks that enhance practice transformation efforts across the network, • Support special projects and strategic initiatives aligned with value-based care performance goals Qualifications • Bachelor’s degree in nursing, healthcare administration, business, public health, or related field, or equivalent combination of education and progressively responsible experience. Equivalent combination of education and progressively responsible experience may be considered, • 3+ years of analysis or provider/medical operations experience, preferably in the healthcare or managed care industry, • Experience analyzing performance and healthcare data to develop actionable, data‑driven strategies, • Strong understanding of value‑based care models, population health strategies, and healthcare quality improvement frameworks, • Ability to assess quality metrics, cost drivers, and performance incentives to inform operational and strategic decisions, • Ability to influence provider behavior and drive change through consultative, relationship‑based partnerships, • Excellent communication and presentation skills, with experience engaging physicians, care teams, and leadership, • Strong project management skills, including managing multiple initiatives in a fast‑paced environment, • Proficiency with EHR systems and healthcare analytics tools, • Ability to work independently while thriving in a dynamic, evolving environmentYou're great for the role if:, • You have a License/Certifications: Licensed Vocational Nurse (LVN), Registered Nurse (RN), or Certified Professional Coder (CPC) license preferred • Certified Professional in Healthcare Quality (CPHQ), Master of Health Administration (MHA), Master of Public Health (MPH), Project Management Professional (PMP), or Lean/Six Sigma (Green or Black Belt), • Experience working directly with provider groups, physicians, or clinical teams, • Experience in value-based care, practice transformation, or quality improvement initiatives Environmental Job Requirements and Working Conditions • This role operates in a hybrid, field-based environment supporting provider practices across the New York City metropolitan area, including the five boroughs and surrounding downstate regions (excluding upstate New York)., • The position requires frequent local travel (approximately 50–70%) using a combination of public transportation and/or other local transit options to conduct onsite coaching, workflow assessments, and performance improvement initiatives across multiple provider sites. Responsible for independently managing practice engagements within a highly dense and complex urban healthcare market., • When not conducting onsite visits, the role supports remote work, including analysis of performance data, development of practice-specific strategies, and participation in virtual meetings with internal teams and provider partners., • The annual total compensation target pay range for this role is: $78,000 - $85,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Job Description Job Title: Certified Medical Coder – Inpatient Location: Brooklyn, New York Job Duration: Contract Schedule: Monday – Friday | 7:00 AM – 3:00 PM Hours: 35 per week Job Summary "Navitas Healthcare, LLC" is seeking an experienced Inpatient Medical Coder to work in an acute care hospital environment. The coder will be responsible for accurate assignment of ICD-10 codes and ensuring compliance with federal, payer, and hospital coding guidelines. Key Responsibilities • Perform inpatient and ED medical coding in an acute care setting, • Assign accurate ICD-10-CM, CPT, and procedure codes, • Use encoder systems (3M/HDS) for coding support, • Ensure compliance with payer and federal billing guidelines, • Research and resolve coding-related issues, • Apply knowledge of anatomy, physiology, and disease processes, • Maintain accuracy and productivity standards, • Work with electronic medical record systems and coding software, • Support coder training and quality initiatives when neededRequired Qualifications, • High School Diploma or GED (minimum), • Minimum 3 years coding experience in inpatient setting, • Strong experience with ICD-10 coding, • CCS certification (required), • Experience with 3M/HDS encoder system, • Inpatient + Emergency Department coding experience required, • Strong understanding of coding and billing guidelines For more details reach at sthakur@navitashealth.com About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

Outpatient Medical Coder - Same Day Surgery - Remote - PRN Fully Remote Medical Biller: $80K - $85K (Prefer Louisiana based) Medical Biller (DME) - Contract / Consultant Medical Coder II/III (Emergency Department) Boston, MA $75,000. Clinical/Medical Coder - Evernorth - Remote CERTIFIED INPATIENT ME

Sage Clinical RCM, LLC is seeking experienced Inpatient Coders for a part-time remote role supporting weekend coverage. Ideal for certified coders wanting to supplement income with a fast-growing firm, this position values accuracy, integrity, and autonomy.

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Responsibilities include assisting physicians and healthcare professionals with clinical tasks, managing patient care, maintaining accurate medical records, and handling day-to-day operations in a medical office setting. Proficiency in Medical Assisting, with experience in supporting physicians in c

This is an incredible opportunity for pre-med, PA, nursing, and other healthcare-focused students looking to gain meaningful, hands-on clinical experience in women's healthcare.

The Medical Assistant will be responsible for providing clinical and administrative support to ensure smooth operations in the podiatric practice.

Seeking a skilled Medical Assistant to support clinical operations by performing patient care tasks, including vitals, EKGs, and documentation in Epic.

Assistant to the doctor(s) (administrative & clinical support). Comprehensive training with on-the-job didactics for valuable clinical experience. Provide administrative & clinical support to doctors (assistant roles).

As a Medical Assistant, you will play a vital role in providing quality patient care and assisting healthcare professionals in various clinical and administrative tasks. Manage a smooth office flow by assessing and anticipating physician schedules and using clinical space effectively. Previous exper

The 61st Street Service Corporation, provides administrative and clinical support staff for. This position will work closely with providers across multiple specialties as well as with other clinical and administrative staff to deliver an exceptional patient experience that contributes to positive he

This presents an exceptional opportunity for dynamic leaders to contribute to both clinical excellence and robust departmental oversight within a leading Transfusion Medicine/Blood Bank service. American Board of Pathology (ABP) certification/eligibility in Clinical Pathology. Our professionals are

Billing Specialist/Billing Analyst (Legal).Position: Billing Specialist/Billing Analyst (Legal).Company: AM 100 Law Firm Location: New York, NY.Comp Package: Base up to $90K, Paid Overtime, Tuition Reimbursement, Full Benefits, Bonus, 401K+, etc.Summary: The Billing Specialist/Analyst is required to

Coordinate with clinical and administrative teams to resolve billing discrepancies and obtain missing information.

Legal Billing Specialist (Hybrid).Our client is a distinguished and forward-thinking law firm with a longstanding history of providing exceptional legal services.Known for its collaborative culture, innovative solutions, and unwavering commitment to excellence, the firm serves a diverse range of cli

PJT Camberview Administrative Assistant.PJT Camberview, PJT Partners' industry leading shareholder advisory business, advises public company boards and management teams on building productive relationships with investors and navigating complex shareholder matters, including on shareholder engagement

Legal Administrative Assistant.MG+M The Law Firm (MG+M) has an immediate opening for a Legal Administrative Assistant in our New York office.MG+M is a nationally renowned litigation law firm concentrating on complex civil matters.The firm's expertise is diverse but focused in the areas of toxic tort

Executive Administrative Assistant.New York, NY Starting at $30 / per hour Full time.Assist the team in various administrative tasks, including document management, data entry, and report generation.Collaborate with team members to gather, organize, and maintain tax-related documents, ensuring accur

Build your big career with the firm that does Big Law, Better.McDermott Will & Schulte is a leading global law firm that brings together more than 1,750 lawyers and 1,400 business professionals.We celebrate excellence, collaboration, and community and have been recognized as a top workplace by USA T

Take detailed clinical phone messages for physician or advanced allied healthcare provider. Graduate of a Medical Assistant Program if performing clinical duties. Provides secretarial and clinical support to physicians and surgeons and performs administrative duties necessary to deliver quality pati

The 61st Street Service Corporation, provides administrative and clinical support staff for. This position will work closely with providers across multiple specialties as well as with other clinical and administrative staff to deliver an exceptional patient experience that contributes to positive he

Billing & Collections Specialist.Allen Matkins, a law firm with over 285 attorneys, was founded with deep roots in real estate and has leveraged that foundation to grow and build prominent litigation, corporate, tax, labor and employment, land use, and environmental practices allowing us to partner

Rilla Billing And Ar Specialist.Rilla's the leading virtual ridealong software for outside sales.Think home improvement, home builders, property managers, and other sales people who talk to customers face to face.Sales reps talk, our mobile app records their conversations, and our AI automatically t

Additionally, you will track client authorizations, notifying clinical staff of renewals, and produce KPI reports for management review.

Destinationone Consulting specializes in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, Food and more.We are proactively building a data bank for opportunities in these fields.By applying, you ensure our recru

Community Healthcare Network Billing Position.Community Healthcare Network (CHN) is a not-for-profit organization providing more than 65,000 New Yorkers with primary and behavioral healthcare, dental, nutrition, wellness, and needed support services.Our network is made up of 14 federally qualified h

Graduate of a Medical Assistant Program if performing clinical duties. Provides secretarial and clinical support to physicians and surgeons and performs administrative duties necessary to deliver quality patient care. Take detailed clinical phone messages for physician or advanced allied healthcare

The primary purpose of the Billing Specialist position is to ensure accurate and timely processing of all patient and insurance billing, follow-up and correspondence for University Hospital.Performs pre-billing preparations as required for electronic and manual claims submission.Reviews pre-bill edi