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Position: Certified Tumor Registrar (CTR) / Oncology Data Specialist (ODS) Location: Brooklyn, NY 11203 (Remote Opportunity) Job Type: Contract Contract: 10 weeks with potential extension Schedule: Monday – Friday | 7-hour shifts Guaranteed hours per week: 35.00 Pay: Up to $45/hour Job Summary Pride Health is seeking an experienced Certified Tumor Registrar (CTR) / Oncology Data Specialist (ODS) for a contract opportunity in Brooklyn, NY. This role focuses on tumor registry operations, oncology data abstraction, and accreditation program support, particularly aligned with NAPBC standards. Responsibilities • Perform tumor registry abstraction and maintain accurate oncology data, • Support NAPBC (National Accreditation Program for Breast Centers) compliance and program development, • Assist in developing policies, protocols, and documentation for accreditation, • Collaborate with physicians and leadership to ensure regulatory compliance, • Prepare reports and present data during cancer committee meetings, • Monitor performance metrics and identify improvement opportunities, • Coordinate meetings, maintain records, and document minutes, • Assist with accreditation site visit preparation and execution, • Support quality improvement and value-based care initiatives, • Maintain organized documentation for oncology programs and audits Requirements • Minimum 3 years of tumor registry experience in an acute care setting, • Strong knowledge of medical terminology, anatomy, and physiology, • Experience with oncology data abstraction and registry systems, • Familiarity with accreditation standards (NAPBC/CoC preferred), • Strong analytical, organizational, and communication skills Certifications & Education • CTR (Certified Tumor Registrar) or ODS (Oncology Data Specialist) required, • RHIA or RHIT (or eligible) preferred, • Bachelor’s degree preferred Preferred Qualifications • Experience with NAPBC accreditation and oncology program development, • Ability to manage surveys, audits, and corrective action plans, • Strong data analysis and reporting skills, • Experience coordinating multidisciplinary healthcare teams Why Work with Pride Health? 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 Title- Program Manager Location - Brooklyn, NY 11203 Duration -10 weeks (This is initially a contract; however, the client might extend the contract or hire permanently based on performance and attendance.) Shift- 8:00 AM-4:30 PM Pay - $80/hr - $85/hr on W2 PURPOSE OF POSITION SUMMARY OF ESSENTIAL DUTIES AND RESPONSIBILITIES: . Program Development and Coordination: • Program development, evaluation, and implementation of the National Accreditation Program of Breast Centers (NAPBC) at Clients Hospital. o Facilitate adherence to NAPBC Standards o Ensures fulfillment of NAPBC Requirements, • Take lead in the development of required documents for initial accreditation (e.g. protocols, policies, etc.), • Assist with value-based care initiatives by leading process improvement initiatives, • Works closely with the physician chair of NAPBC to ensure compliance with and documentation of all accreditation requirements, • Attends quarterly Cancer Committee meetings (CoC and NAPBC), • Compile data and presents reports in quarterly meetings as needed, • Is present for all accreditation site visits and assists with the overall planning and execution, • Coordinate and facilitate a schedule of various types of meetings (i.e. clinical service line meetings, staff meetings, planning meetings, program development meetings, etc.); arrange scheduling details, send out reminder notices, follow-up to confirm participants’ attendance; ensure ready availability of relevant information and materials needed for discussion and/or distribution at meetings; process and coordinate meal requests/arrangements; maintain meeting records in an organized and efficient manner. Documents and distributes Committee meeting minutes. Educational Level: • Bachelors degree required, • Master’s degree preferred Knowledge, Skills, Abilities and other Requirements: • Prior experience in NPBC/CoC or any oncology standards and accreditation components, • Ability to prepare for surveys and manage corrective action plans, • Documentation management and organization, • Ability to interpret performance metrics and quality indicators, • Analytical thinking and data interpretation, • Development and implementation of policy and procedure documents, • Ability to coordinate multidisciplinary team members through accreditation steps, • Strong cross-functional communication, • Strategic planning, • Program Development Understanding of breast care pathways Years of Experience: • 2 years Note- We need candidates with prior experience with the above and it has to be over 2 years with this. Current designation should be Program Manager and experience with program management (not project but program, much senior) has to be over 2 years. Bachelors is needed and masters is preferred. Candidate will be reporting to the Director with Breast Surgery, hence core hospital and acute care setting background is required being involved with breast surgery centers.

POSITION PURPOSE The Program Coordinator will support the development, implementation, and evaluation of the National Accreditation Program for Breast Centers (NAPBC) at Kings County Hospital. The role ensures compliance with accreditation standards, supports program operations, and contributes to quality improvement and value-based care initiatives. ESSENTIAL DUTIES & RESPONSIBILITIES Program Development & Coordination • Lead the development, implementation, and evaluation of the NAPBC program., • Ensure adherence to NAPBC standards and full compliance with accreditation requirements., • Develop required documentation for initial accreditation, including policies, protocols, and procedures., • Support value-based care initiatives through process improvement activities., • Collaborate closely with the physician chair of NAPBC to ensure ongoing compliance and documentation., • Participate in quarterly Cancer Committee meetings (CoC and NAPBC)., • Attend and support all accreditation site visits, including planning and execution. Data, Reporting & Quality Improvement • Collect, compile, and analyze program data., • Prepare and present reports for quarterly committee meetings as required., • Interpret performance metrics and quality indicators to support decision-making and improvement initiatives. Meeting & Administrative Coordination • Coordinate and schedule a variety of meetings, including clinical service line, staff, planning, and program development meetings., • Manage meeting logistics including scheduling, reminders, attendance confirmation, and material preparation., • Organize catering/meal arrangements as needed., • Maintain accurate meeting records and distribute committee meeting minutes in a timely and organized manner. QUALIFICATIONS Education • Bachelor’s Degree required Experience • Minimum 2 years of relevant experience, • Experience in NAPBC, CoC, or oncology accreditation programs Knowledge, Skills & Abilities • Experience in accreditation preparation and corrective action planning, • Strong documentation management and organizational skills, • Ability to analyze performance metrics and quality indicators, • Strong analytical thinking and data interpretation skills, • Experience in policy and procedure development, • Ability to coordinate multidisciplinary teams, • Strong communication and stakeholder management skills, • Strategic planning and program development abilities, • Understanding of breast care pathways and oncology standards 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.

Title: Remote Certified Tumor Registrar Unit: SURGICAL SVCS ADMIN Duration: 3 Months contract (Possibilities of extension) Location: REMOTE Shift: 8:00 AM-4:30 PM Monday-Friday (35 hours/week) Note: Manager is looking for knowledge about accreditation and NAPBC certification specifically. CTR who has experience supporting a NAPBC-accredited breast program or has worked on NAPBC standards and audits. Job Summary: Tumor Registry experience in an acute care hospital or equivalent abstracting experience. Knowledge of medical terminology, anatomy and physiology. Required Skills & Experience: Three (3) years of experience Tumor Registry experience in an acute care hospital or equivalent abstracting experience. Knowledge of medical terminology, anatomy and physiology Knowledge, Skills, Abilities and Other Requirements: Prior experience in NPBC/CoC or any oncology standards and accreditation components Ability to prepare for surveys and manage corrective action plans Documentation management and organization Ability to interpret performance metrics and quality indicators Analytical thinking and data interpretation Development and implementation of policy and procedure documents Ability to coordinate multidisciplinary team members through accreditation steps Strong cross-functional communication Strategic planning Program Development Understanding of breast care pathways Required Education: Bachelors degree required Master’s degree preferred Required Certifications & Licensure: Tumor Registry certification (CTR) or Oncology Data Specialist (ODS) by the National Cancer Registrars Association. RHIA (or eligible). RHIT (or eligible). EEO: “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”

Job Description Classification: Exempt Reports to: Vice President of Housing Stability Location: Bronx Sites Status & Hours: This is a full-time, exempt position with a regular schedule from Monday-Friday, 9:00 am to 5:00 pm. Lantern staff may be asked to change the work schedule and hours depending on the operational needs of the site and the agency. Salary Range: $70,000 - $90,000 salary Who We Are: Lantern Community Services helps New Yorkers impacted by homelessness move from surviving to thriving by pairing safe, supportive housing with wraparound services that build lasting stability and independence. If you believe a steady home can be the start of everything else, you’ll fit right in with our mission-first team. Lantern was also recognized as a Top 2025 Workplace by City & State New York - a great place to do meaningful work with people who care! Where You Will Work: This position requires travel to various low-income and special needs buildings in the Bronx, including our Jasper, Cedars, Vicinitas, Lindenguild & Silverleaf sites. About The Role: This Housing Stability Manager oversees operations across multiple Lantern supportive housing sites in the Bronx, ensuring smooth day-to-day functioning and coordination between programs, property management, and leadership. The position requires flexibility, strong organizational skills, and the ability to travel between sites to support staff and maintain overall program effectiveness. Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Referrals and Intake:, • Along with Assistant Director of Housing Stability and Vacancy Management, responsible for filling vacancies and managing intakes for eligible applicants for the supportive housing buildings in the Lantern portfolio using various funder programs HPD, HASA, ACS and following the CoC HUD guidelines., • Assist with leasing any new residential buildings., • Host Open Houses for new applicants., • Arrange unit viewings with various Program Directors for eligible applicants., • Collect subsidy application documentation and determine eligibility and completeness of subsidy requirements., • Provide Housing Stability team and program staff with approved applicant documentation for preparation of move-in files., • Review subsidy applications for completeness and accuracy prior to submission to property management and HPD., • Determine vacancy priorities and ensure timely filling of vacancies coordinating with funders, property management and program staff., • Ensuring occupancy levels of all current projects are at least 95% and working with site staff to determine solutions if occupancy falls below the target level., • Housing Stability, • Provide guidance and monitor housing stability issues with the Housing Stability team., • Review building summaries to determine need for non-payment proceeding and follow up with leasing and housing advocacy staff., • Collaborate with Program leadership and Property Management to support tenants remaining stably housed and reduce arrears., • Monitor monthly spreadsheet report of lease renewals and subsidy recertifications for assigned Leasing Specialist and ensure leases are prepared 120 & 90 days before lease expiration date., • Facilitate lease renewal events, open houses, and One Shot Deal applications., • Facilitate, along with program staff, financial literacy workshops for tenants., • Team Supervision, • Provide training, direct oversite, supervision, and support to the Housing Stability team, including Housing Stability Specialist(s) and Housing Stability Assistant(s), as they work with tenants., • Lead the team in meeting all compliance deadlines, responding to external audits, and filing timely corrections to ensure strict program compliance., • Ensure that staff performance and expertise are sufficient to meet all compliance and reporting requirements for all NYC properties., • Monitor staff completion of required trainings and oversee the review and approval of all team members' timesheets., • Track and approve all staff vacation requests and ensure sufficient coverage at building sites., • Conduct onsite inspection of leasing files and work with staff to implement corrective action plans., • Ensure Leasing team members comply with agency’s policies and procedures., • Accountable for deliverables related to vacancies, lease renewals, and arrears., • A Bachelor's degree from an accredited school OR an Associate’s degree with a minimum of 5 years of related experience., • Prior experience working in a shelter or supportive housing., • 2 to 3+ years of experience providing direct service to one or more of the following populations: persons living with AIDS /HIV, formerly and chronically homeless persons and families, young adults aged out of foster care, persons with mental illness, persons with substance use disorder, or medical conditions., • Familiarity with various funder programs, such as HPD, HASA, ACS and following the CoC HUD guideline, • Working knowledge of Low-Income Housing Tax Credits and Section 8 program guidelines. Physical Demands: While performing the duties of this job, the employee is regularly required to stand, walk, sit, stoop, climb stairs and/ or kneel. They must also use their hands to type, handle, or feel. The employee is frequently required to talk or hear and must occasionally lift and/or move up to 5 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Note: Lantern Community Services provides equal employment opportunities to all employees and applicants for employment. Lantern Community Services (Lantern) values the diversity of all our clients, staff, Board of Directors, and partners. By bringing diverse individuals and viewpoints together, we create more vibrant, healthy, and just communities.

Pride Health is hiring a remote Certified Tumor Registrar (CTR) to support our client’s medical facility based in Brooklyn, NY. This is a 13-week assignment with a contract-to-hire opportunity and a great way to start working with a top-tier healthcare organization! Job Title: Certified Tumor Registrar (CTR) Location: Remote Weekly blended pay: $40/hr to $45/hr Schedule: 8:00 AM-4:30 PM Start date: 05/11/2026 Key Responsibilities: Ensure accreditation compliance, prepare documentation, lead process improvements, coordinate meetings, present reports, and support site visits. Supports tumor registry and leads development/coordination of NAPBC (breast center) accreditation program Requirements: Experience: 3+ years in tumor registry or abstracting (acute care preferred). CTR or ODS required; RHIA/RHIT (or eligible) Bachelor’s required (Master’s preferred). Medical terminology, anatomy & physiology, accreditation knowledge (NAPBC/CoC), data analysis, documentation, and program development. Pride Global 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, home insurance, pet insurance, and employee discounts with preferred vendors. Equal Employment Opportunity Pride Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law. Fair Chance Employment Pride Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Sign on Bonus 1,500** Preferred: Experienced OP coder (CPC or CCS required) with a strong background in resolving clam edits and denials. Requires a strong understanding of coding guidelines and payer edits with the ability to identify and correct discrepancies to ensure accurate, compliant claim submission *** What You Will Do: • Review medical records and assign accurate codes for diagnoses and procedures., • Assign and sequence codes accurately based on medical record documentation., • Assign the appropriate discharge disposition., • Abstract and enter the coded data for hospital statistical and reporting requirements., • Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution., • Maintain a 95% coding accuracy rate and a 95% accuracy rate for APC assignment and meet site-designated productivity standards., • Be responsible for tracking continuing education credits to maintain professional credentials., • Attend Datavant Health sponsored education meetings/in-services., • Demonstrate initiative and judgment in the performance of job responsibilities., • Communicate 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., • Be customer-service focused and exhibit professionalism, flexibility, dependability, and a desire to learn., • Handle a high complexity of work function and decision-making., • Possess strong organizational and teamwork skills. *Preferred: Experienced OP coder (CPC or CCS required) with a strong background in resolving clam edits and denials. Requires a strong understanding of coding guidelines and payer edits with the ability to identify and correct discrepancies to ensure accurate, compliant claim submission * What You Need to Succeed: • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)., • 2+ years of coding experience in a hospital and/or coding consulting role., • Proficiency with most or all of these coding specialties (Same Day Surgery, Observation, Injections/Infusions), • Proficiency with most or all of these coding specialties (Ancillary, Emergency Department, Injections/Infusions, E/M leveling), • Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills., • Experience in computerized encoding and abstracting software., • Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually, • Experience in computerized encoding and abstracting software What We Offer: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Benefits for PRN employees: 401k savings plan w/match, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC), • 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!) 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:$20—$35 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 We are sharing a specialised part-time consulting opportunity for professionals experienced in revenue cycle management, medical billing, medical coding, prior authorization, payer policy, denial review, and structured healthcare reimbursement workflows. This role supports current and upcoming remote consulting opportunities focused on structured revenue cycle review, billing workflow analysis, medical coding assessment, prior authorization documentation, payer correspondence, denial and appeal review, and high-quality project execution. Selected professionals will apply their revenue cycle expertise to review realistic healthcare reimbursement scenarios, evaluate documentation requirements, prepare structured written outputs, and support accurate, evidence-based revenue cycle workflow tasks. Key Responsibilities Professionals in this role may contribute to: Eligibility, Prior Authorization & Charge Review • Review revenue cycle scenarios involving eligibility verification, prior authorization, payer responses, charge entry, source documentation, and front-end billing workflows, • Evaluate eligibility and prior authorization outputs against payer rules, documented responses, required fields, and healthcare documentation requirements, • Support structured review of charge entry materials, encounter documentation, claim preparation, and billing workflow outputs, • Review coding scenarios involving ICD-10, CPT, HCPCS, modifier selection, coded encounters, claim forms, and source-supported code sets, • Evaluate coding decisions against documented clinical information, coding rules, modifier requirements, and payer expectations, • Support structured review of billing records, coded encounters, claim forms, coding notes, and reimbursement documentation, • Review denial scenarios involving root cause analysis, payer policy, appeal documentation, claim outcomes, and payer correspondence, • Evaluate denial appeals against documented payer rules, policy references, required evidence, and known claim outcomes, • Support structured review of appeal letters, denial analyses, payer communications, claim history, and reimbursement support materials Strong candidates may have: • 3+ years of experience in revenue cycle management, medical billing, medical coding, denials management, prior authorization, claims follow-up, payer policy review, or related healthcare reimbursement roles, • Experience with one or more areas such as ICD-10 coding, CPT coding, HCPCS coding, modifier selection, denial appeals, prior authorization, charge entry, payer correspondence, or Medicare and commercial payer policy, • Familiarity with EHR or billing workflows using systems such as Epic, Cerner, athenahealth, eClinicalWorks, Meditech, NextGen, AdvancedMD, or similar platforms, • Comfort reading and preparing revenue cycle artifacts such as coded encounters, claim forms, denial appeals, payer correspondence, prior authorization records, charge entry notes, and billing documentation, • Strong written communication skills and ability to explain revenue cycle decisions clearly, • A degree or professional background in health information management, medical billing, medical coding, healthcare administration, revenue cycle management, nursing, business administration, or a related field is helpful, • CPC, CCS, COC, RHIT, RHIA, CPB, CRC, or equivalent coding, billing, or health information credential, • Experience with denials and appeals, payer policy interpretation, prior authorization workflows, coding audits, or claim correction processes, • Familiarity with Medicare, commercial payer policies, ICD-10, CPT, HCPCS, modifier rules, claim forms, or reimbursement documentation, • Experience preparing or reviewing coded encounters, claim forms, denial appeals, payer correspondence, prior authorization documentation, or billing records, • Apply revenue cycle, billing, and coding expertise to structured remote project work, • Contribute to high-quality billing workflow review, coding assessment, denial analysis, and payer documentation support, • Work on flexible, project-based assignments aligned with your professional background, • Use your revenue cycle judgment in a focused, detail-oriented consulting environment, • Independent contractor role, • Fully remote with flexible scheduling, • Part-time commitment depending on project availability, • Competitive rates between $50–$75 per hour depending on expertise, • Weekly payments via Stripe or Wise, • Projects may be extended, shortened, or adjusted depending on scope and performance This opportunity is available through 24-MAG LLC. We connect experienced professionals with remote consulting opportunities across technical, evaluation, and project-based workstreams. By submitting this application, you acknowledge that your information may be processed by 24-MAG LLC for recruitment and opportunity matching in accordance with our Privacy Policy:

Job Description We are sharing a specialised part-time consulting opportunity for professionals experienced in healthcare operations, revenue cycle workflows, medical billing and coding, patient administration, clinical documentation support, compliance, and care coordination processes. This role supports current and upcoming remote consulting opportunities focused on structured healthcare operations review, revenue cycle workflow analysis, patient access documentation, clinical documentation support, compliance review, and high-quality project execution. Selected professionals will apply their healthcare operations expertise to review realistic healthcare scenarios, evaluate process requirements, prepare structured written outputs, and support accurate, evidence-based healthcare workflow tasks. Key Responsibilities Professionals in this role may contribute to: Revenue Cycle, Claims & Billing Review • Review healthcare operations scenarios involving claims submission, denial appeals, prior authorization, medical coding, charge entry, billing inquiries, and payer documentation, • Evaluate claim forms, coded charts, denial materials, charge records, and billing outputs against documented requirements and source materials, • Support structured review of ICD-10, CPT, HCPCS, payer policy, prior authorization workflows, and reimbursement documentation, • Review healthcare administration scenarios involving patient scheduling, intake, eligibility verification, referral coordination, records requests, and patient communications, • Evaluate scheduling, intake, eligibility, referral, and records workflows against required fields, process rules, provider availability, and documentation standards, • Support structured review of patient communication templates, records request letters, scheduling workflows, referral notes, and administrative healthcare artifacts, • Review clinical documentation support scenarios involving chart abstraction, note formatting, discharge summary preparation, order entry support, and template management, • Evaluate care coordination and compliance materials involving HIPAA documentation, care plan tracking, case management notes, and regulatory quality reporting, • Support structured review of care plans, patient communications, coded charts, denial appeals, clinical documentation, and compliance materials Strong candidates may have: • 3+ years of experience in healthcare operations, revenue cycle management, medical billing, medical coding, clinical documentation, healthcare administration, patient access, payer operations, or provider operations, • Working fluency in at least two areas such as ICD-10/CPT coding, claims workflows, denial management, EHR systems, prior authorization, HIPAA documentation, scheduling, intake workflows, or care coordination, • Familiarity with healthcare systems and tools such as Epic, Cerner, athenahealth, eClinicalWorks, Meditech, NextGen, payer portals, billing systems, or similar platforms, • Comfort reading and preparing healthcare artifacts such as claim forms, denial appeals, coded charts, care plans, patient communications, intake forms, referral notes, and clinical documentation materials, • Strong written communication skills and ability to explain healthcare workflow decisions clearly, • A degree or professional background in healthcare administration, health information management, medical billing and coding, nursing, public health, clinical documentation, business administration, or a related field is helpful, • CPC, CCS, COC, CPB, RHIT, RHIA, CRC, RN, MA, healthcare administration credential, or equivalent healthcare operations background, • Experience with claims submission, denial appeals, prior authorization, charge entry, coding review, patient scheduling, referral coordination, or records requests, • Familiarity with HIPAA documentation, payer workflows, EHR documentation, clinical note workflows, case management, or quality reporting, • Experience preparing or reviewing claim forms, coded charts, denial letters, care plans, intake forms, patient communications, or compliance documentation, • Apply healthcare operations expertise to structured remote project work, • Contribute to high-quality revenue cycle review, patient access workflow analysis, clinical documentation support, and compliance assessment, • Work on flexible, project-based assignments aligned with your professional background, • Use your healthcare workflow judgment in a focused, detail-oriented work environment, • Independent contractor role, • Fully remote with flexible scheduling, • Part-time commitment depending on project availability, • Competitive rates between $35–$75 per hour depending on expertise, • Weekly payments via Stripe or Wise, • Projects may be extended, shortened, or adjusted depending on scope and performance This opportunity is available through 24-MAG LLC. We connect experienced professionals with remote consulting opportunities across technical, evaluation, and project-based workstreams. By submitting this application, you acknowledge that your information may be processed by 24-MAG LLC for recruitment and opportunity matching in accordance with our Privacy Policy: .

Job Description Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. Pay Transparency: The base pay for this role in the states of New Jersey and New York is: $65,412 - $85,853 per year. The base pay for this role is: $58,870 - $77,267 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities • Develop a depth of expertise on CPT, HCPCS, and ICD-10 Coding guidelines and other insurance billing submission requirements., • Perform complex audits of assigned medical records and claims on both a prepayment and post payment basis to determine accuracy of claims submitted to Oscar., • Document findings including reference to sources used to support decision making and in a way that can be easily understood by non clinicians or coders., • Create audit report findings, tools, and reference guide that can be used by other team members to communicate findings or more effectively perform similar reviews., • Help draft written communications to providers to convey audit findings., • Participate in educational calls with providers., • Help train new team members., • Develop and document processes to improve the effectiveness of the team., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • 2+ years of coding or auditing experience across multiple specialties is required, • Bachelor's degree or 4+ years of work experience, • Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC) designation or similar certification, • Experience working in production-based environment, • Experience of both outpatient and inpatient auditingBonus Points, • Certified Professional Medical Auditor (CPMA), • Additional certification applicable to this work such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), other coding certifications or similar, • Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity, • Demonstrated experience translating technical jargon to non-technical end users., • Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting., • Experience with HIPAA, data privacy, and/or data security processes At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Hi, we're Oscar. We're hiring an Associate, Itemized Bill Review to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Associate, Payment Integrity, Itemized Bill Review (IBR) will be responsible for executing internal payment integrity solutions requiring billing and coding expertise with and continual improvement and development of the solutions. You will ensure claims are paid accurately and timely with the highest quality. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Manager, Payment Integrity (Pre-Pay). Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $91,908 - $120,629 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Perform line-by-line review of high-dollar facility itemized bills and corresponding claim forms (e.g., UB-04s), • Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services, • Compare billed charges against both payor-specific contracts and industry guidelines to confirm appropriate billing practices., • Apply working knowledge of national coding systems (e.g., CPT, HCPCS, ICD-10, MS-DRGs) to validate the accuracy of codes used for services billed., • Review claims eligible under specific reimbursement scenarios: a percentage of charges or those exceeding stop-loss levels, ensuring the claim exceeds the minimum dollar threshold set by the payor, • Prepare clear, concise, and professional documentation of all findings, including savings identified, policy violations, and recommended claim adjustments, • Contribute to the refinement of internal audit processes and tools to enhance efficiency and accuracy in identifying claim inaccuracies, • Serve as a subject matter expert for internal and external stakeholders regarding complex billing issues, coding guidelines, and payor policies, • Provide subject matter expertise and in-depth understanding of Payment Integrity internal claims processing edits, external vendor edits and Oscar reimbursement policies, • Identify claims payment issues from data mining, process monitoring, etc., provide scoping and action steps needed to remediate the issue, • Respond to internal and external inquiries and disputes regarding policies and edits., • Document industry standard coding rules and provide recommendations on reimbursement policy language and scope, • Ideate payment integrity opportunities based on a deep knowledge of industry standard coding rules. Translate into business requirements; submit to and collaborate with internal partners to effectuate change, • Provide training and education to team members when necessary, • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate, • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership, • Compliance with all applicable laws and regulations, • A bachelor's degree or 4+ years of commensurate experience, • 2+ years of bill / coding audit experience with a focus on hospital or facility billing (UB-04), • 4+ years experience in medical coding, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • 3+ years of experience working with large data sets using excel or a database language, • Knowledge management, training, or content development in operational settings, • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description MISSION STATEMENT: Are you ready to give back to the community while pursuing your passion? For over 50 years, Acacia Network and its affiliates have been committed to improving the quality-of-life and wellbeing of underserved communities in New York City and beyond. We are one of the leading human services organizations in New York City and the largest Hispanic-led nonprofit in the State, serving over 150,000 individuals every year. Our programs serve individuals at every age and developmental level, from the very young through our daycare programs to mature adults through our older adults centers. Our extensive array of community-based services are fully integrated, bilingual and culturally competent. POSITION OVERVIEW: The Vice President of Social Services is responsible for the overall leadership, strategy, and operations of the organization’s social services portfolio, including OMH community residences, supportive housing, and OPWDD programs. Reporting to the SVP of Program Operations, the Vice President brings a deep understanding of city, state, and federal regulations, including OMH and OPWDD requirements, supportive housing frameworks, landlord/tenant regulations, Justice Center reporting, and funding and reimbursement structures. This role oversees program performance across multiple service lines, ensuring high-quality care, regulatory compliance, and financial sustainability. As a key member of the executive team, the Vice President collaborates across departments to drive organizational goals, expand services, and enhance integration across housing, behavioral health, and social service programs. KEY ESSENTIAL FUNCTIONS: • Provide executive oversight of the Social Services portfolio, including OMH community residences, supportive housing, and OPWDD programs, ensuring alignment with organizational goals and regulatory requirements., • Oversee and manage multiple departments, ensuring strong leadership, accountability, and high performance across all program areas., • Develop and strengthen internal and external partnerships that drive program growth, expansion, and long-term sustainability., • Maintain and expand supportive housing and residential programs, identifying opportunities for innovation and service enhancement., • Act as a liaison with government, private, and community-based organizations, maintaining strong relationships with oversight and funding agencies including OMH, OPWDD, OASAS, HRA, OTDA, HPD, HUD, and Continuums of Care (CoC)., • Representing the organization’s interests with internal and external stakeholders, clearly communicating priorities, challenges, and solutions to foster collaboration and mutual understanding., • Ensure administrative, operational, and financial policies and procedures are consistently implemented and adhered to across all programs., • Lead, supervise, and develop program directors and department heads to ensure the delivery of high-quality, efficient, and person-centered services., • Promote interdepartmental collaboration to ensure continuity of care and integrated service delivery across housing, behavioral health, and social service programs., • Analyze, track, and evaluate program performance, identifying gaps and implementing strategies, systems, and policies to improve outcomes, efficiency, and fiscal viability., • Establish and maintain comprehensive tracking and reporting systems to monitor service delivery, compliance, incident management, and financial performance, ensuring data accuracy and timeliness., • Oversee compliance and reporting through systems and platforms such as AWARDS, eSNAPS, IRMA, NIMRS, CAIRS, and other regulatory or funder-required portals., • Oversee the preparation and submission of monthly, annual, and ad hoc narrative and quantitative reports for funders, regulatory agencies, and internal stakeholders., • Lead the development, administration, and oversight of program budgets and billing processes, implementing improvements to enhance efficiency, revenue capture, and cost control., • Monitor financial performance against targets, analyze variances, and implement corrective actions to optimize resources and reduce expenses., • Implement policies and procedures aimed at removing operational barriers, increasing efficiency, and strengthening fiscal sustainability., • Partner with Senior Leadership and the Executive Team to assess program strengths, identify areas for improvement, and recommend new resources, services, and growth opportunities., • Identify workforce development needs, ensure staff completion of mandatory training, and implement systems to track training compliance and attendance., • Master’s degree in social services, Human Services, Psychology, Social Work, Business Administration, Health Care Administration, or a related field required; relevant licensure (e.g., LCSW, LMSW) strongly preferred., • Minimum of five (5) to seven (7) years of progressively responsible leadership experience overseeing programs serving individuals with disabilities, including OMH, OPWDD, and/or supportive housing populations., • Demonstrated knowledge of electronic health records and case management systems, including AWARDS (Foothold Technology), required., • Strong leadership, organizational, and operational management skills, with the ability to oversee multiple programs and priorities simultaneously., • Proven ability to build and sustain relationships across diverse stakeholders and effectively lead through influence, collaboration, and strategic communication. Acacia Network provides a comprehensive and competitive benefits package to our employees. In addition to a competitive salary, our benefits include medical, dental, and vision coverage. We also offer generous paid time off, including vacation days and paid holidays, to support a healthy work-life balance. We prioritize the well-being of our employees both professionally and personally. As an Equal Opportunity Employer, we encourage individuals from all backgrounds to apply.

Job Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Revenue Cycle Expert Type: Contract Compensation: $45–$65/hour Location: Remote Role Responsibilities • Build long-horizon revenue cycle tasks with deterministic rubrics to evaluate agent performance against verifiable ground truth., • Develop scenarios in Front-end eligibility and prior authorization, charge entry, ICD-10/CPT/HCPCS coding, and denial analyses., • Create tasks with checkable answers, avoiding open-ended essays and subjective judgment calls., • Collaborate to ensure scenarios are challenging and require focused sessions. Must-Have • 3+ years in medical billing, coding, or revenue cycle., • Expertise in ICD-10/CPT/HCPCS coding, denials and appeals, prior authorization, payer policy, or EHR billing workflows., • Comfortable with revenue cycle artifacts: coded encounters, claim forms, denial appeals, payer correspondence., • Hourly contractor, • Upload resume, • AI interview based on your resume #hiringmercor

Job Description Title: Case Manager Report to: Program Director Status: Full Time Compensation: $27.47 an hour Non-Exempt Work Schedule: Monday - Friday 9 AM - 5 PM Office Location: Brooklyn, NY 11208 Organization Overview: HousingPlus is a value driven nonprofit organization focused on assisting women in building community and transforming their lives. HousingPlus is actively seeking to provide support, training and opportunities that foster growth and well-being for its staff as well as the women we serve. The mission of HousingPlus is to provide permanent, affordable housing and comprehensive services to women, including women with children, and gender expansive people to support them in overcoming poverty, homelessness, addiction, trauma and the effects of incarceration, in order to build lives of stability, and to define and realize goals for themselves and their families. Since its beginning in 2002, HousingPlus has worked to address the lack of housing and services for women who have historically been underserved and marginalized, especially women impacted by the criminal justice system, and for the past 10 years, also female Veterans. Over the next three years, HousingPlus' programs will continue to grow, along with its commitment to serving vulnerable populations. Please consider joining a team committed to building brighter futures for all! Please visit our website for more information regarding our organization: . Please do not call or email HousingPlus regarding the status of your application Position Summary: The Rapid Rehousing Case Manager is a key part of the Housing Plus RRH program. The case manager carries a caseload of families, individuals, or a combination of both, and will deliver services to support the goals of housing stability, family stabilization, independent living, and financial security. Duties/Responsibilities: • Conduct initial intakes and assessments and annual assessments as required., • Develop initial Individual Service Plan (ISP) including relapse prevention plans with all caseload tenants. Conduct quarterly ISP reviews and annual ISP updates with caseload tenants as required., • Provide case management, counseling sessions and support services as required., • Refer tenants to other agencies, community service providers and resources as needed., • Collaborate with providers to ensure compliance., • Assist families and/or individuals with achieving goals of self-sufficiency and independent living., • Work with individual and/or the entire family to improve family functioning., • Maintain/update case notes and other data in AWARDS database as required. Document all interactions with tenants in AWARDS within 72 hours., • Ensure progress notes provide accurate and detailed notes on needs, challenges and barriers, and progress and successes for all family members., • Maintain tenant case files that are organized and easy to navigate., • Ensure case files include AWARDS and supporting documentation for all family members as required., • Maintain housing goal of zero rental arrears for each family and/or individuals., • Provide emergency and crisis interventions., • Conduct monthly home visits as required for entire caseload., • Attend program meetings, agency-wide meetings, and staff training., • Perform program objectives in accordance with NYC CoC and all protocols according to HousingPlus and government funder policies and procedures and requirements., • Ability to work onsite 5 days per week, • Experience working with justice-impacted populations, preferably working with women experiencing homelessness histories, behavioral health needs, and/or criminal legal history., • Solid knowledge of case management and motivational interviewing., • Proficiency in using Microsoft Office, AWARDS, and Google Meet, • Good organizational, interpersonal communication, and writing skills, • Ability to work as a team member., • Ability to work as a team member., • Familiarity with Human Resource Administration (HRA) policy and procedures., • Excellent organizational, interpersonal communication, and writing skills., • Proficient computer skills including Microsoft applications (Outlook, Work, Excel, PowerPoint) and Google Suite., • Must possess the ability to format and work within spreadsheets and Word Documents., • Experience using case management databases preferred., • Associate or Bachelor's in Human Services or Social Services or related field, • Prolonged periods of sitting at a desk and working on a computer., • Must be able to lift up to 15 pounds at times.Benefits:, • Medical, Dental, Vision, Flexible Spending Account, Commuter Benefits, • 403B Matching, • Supplemental Insurance at your discretion, • Access to discounted entertainment benefits

Job Description Hi, we're Oscar. We're hiring a Senior Analyst to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Senior Analyst, Payment Integrity role organizes, scopes, prepares, investigates and/or executes on solutions and process improvements within edits and ideation. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Sr. Manager, Payment Integrity. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $72,036 - $94,547 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity internal claims processing edits and external vendor edits., • Respond to internal and external inquiries and disputes regarding policies and edits., • Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope., • Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change., • Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions., • Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems., • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate., • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership., • Compliance with all applicable laws and regulations, • A bachelor's degree or 4+ years of commensurate experience, • 3+ years of experience in claims processing, coding, auditing or health care claims operations, • 3+ years experience in medical coding within payment integrity, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices., • 2+ years experience deriving business insights from datasets and solving problems, • 1+ years experience improving business workflows and processes, • 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar), • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Who we're looking for** - 3+ years in medical billing, coding, or revenue cycle - CPC, CCS, COC, or equivalent certification strongly preferred - Expertise in one or more of the following: ICD-10/CPT/HCPCS coding, denials and appeals, prior authorization, payer policy (Medicare, commercial), an EHR

WHAT YOU'LL DO Perform casefinding, abstraction, and follow-up for cancer cases according to VA, CoC, and NAACCR standards Ensure data accuracy, completeness, and timeliness across all assigned records Maintain oncology registry data using approved VA software and reporting systems Participate in qu

Responsible for reviewing medical records to abstract information according to the standards of the Commission on Cancer (CoC) and the State Central Cancer Registry. Performs timely abstraction of assigned cases to ensure compliance with CoC or appropriate State Central Cancer Registry standards, i.

The Position: Quality Reviewer RN. The Quality Reviewer is a Registered Professional Nurse who will ensure the accuracy, completeness and integrity of documentation completed by the COC. No Quality Reviewer experience required; We will train the right person!.

The VA New York Harbor Healthcare System provides care to eligible Veterans via 3 medical centers and 2 community-based outpatient clinics. The Brooklyn Campus provides acute inpatient medical and surgical services with a major affiliation with SUNY-Health Science Center - Brooklyn. The Margaret Coc

Requirements Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or equivalent AHIMA certification (CCS). The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment in accordan

The VA New York Harbor Healthcare System provides care to eligible Veterans via 3 medical centers and 2 community-based outpatient clinics. The Brooklyn Campus provides acute inpatient medical and surgical services with a major affiliation with SUNY-Health Science Center - Brooklyn. The Margaret Coc

Job Description Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will be responsible for supporting payment integrity disputes and issue resolution in the Oscar claim environment for both the Oscar Insurance business. You will scope, triage, investigate and execute on solutions and process improvements. You will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Manager, Payment Integrity (Pre-Pay). Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $72,036 - $94,547 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity disputes, internal claims processing edits and external vendor edits., • Respond to internal and external inquiries and disputes regarding policies and edits., • Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope., • Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change., • Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions., • Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems., • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate., • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever leadership escalates and assigns issues., • Compliance with all applicable laws and regulations, • Experience in Payment Integrity focused on Disputes and/or appeals, • 4+ years of experience in claims processing, coding, auditing or health care operations, • 3+ years experience in medical coding, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices., • 2+ years experience deriving business insights from datasets and solving problems, • 1+ years experience improving business workflows and processes, • 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar), • 2+ years of experience working with large data sets using excel or a database language, • Experience in a professional healthcare claims organization, • Knowledge management, training, or content development in operational settings, • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Your Impact: As a CoC Analyst, you will oversee a portfolio of CoC grants and work with subrecipients operating permanent supportive housing programs in New York City. Attend the New York City Coalition on the Continuum of Care (NYC CoC) at large quarterly meetings to remain current on HUD rules and

Your responsibilities include overseeing a portfolio of CoC grants under the supervision of the Director of Continuum of Care Contracts, completing the Notice of Funding Opportunity (NOFO) renewal project applications for the Continuum of Care grants on an annual basis, reviewing the Annual Progress

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you.Whether you’re looking for a si