Cpc remote jobs in New York, New YorkCreate job alerts

The Role We are hiring a Senior Sales Executive to own PGM's full commercial motion. You will qualify inbound leads, run discovery, build proposals, close new business, and stay engaged as the relationship owner for the accounts you bring in. Our client base spans a range of specialties, with laboratory making up a significant and growing share of our book — and a meaningful share of your pipeline. This is a senior individual contributor seat with real ownership: you run sales end-to-end, from inbound qualification through signed agreement and into the relationship that follows. About PGM PGM Billing Solutions is a New Jersey–based medical billing and revenue cycle management company that has served healthcare providers since 1981. We are a 100% onshore operation supporting multi-specialty physician practices, surgical centers, behavioral health groups, and laboratories — with a reputation built on close client relationships, deep operational expertise, and a commitment to doing the work right. What You'll Do: Sales Qualify inbound leads across multi-specialty physician groups, surgical centers, and laboratories Run discovery calls — understand specialty, volume, current setup, pain points, payer dynamics Build and present tailored proposals using PGM's pricing and ROI tools, including transition analysis Manage the full pipeline from first contact through signed agreement Develop targeted outbound into laboratory and other strategic prospect segments Partner with leadership on larger or more complex opportunities Represent PGM accurately and credibly — no overpromising, no scripts that don't fit the buyer Client Services Serve as the relationship owner for the accounts you close Conduct regular check-ins, performance reviews, and issue-resolution calls Monitor each client's billing performance, AR, denials, and collections at a summary level; escalate to the operations team as needed Stay close to credentialing status, payer issues, and operational friction points Coordinate with EHR/PM partners (including Amazing Charts) on client-impacting matters Identify opportunities to expand or deepen existing relationships Required Qualifications 3+ years selling RCM, medical billing, or healthcare back-office services with documented quota performance — or 5+ years hands-on medical billing with strong client-facing aptitude and a real desire to step into a revenue-generating seat Strong working knowledge of medical billing fundamentals: CPT, ICD-10, HCPCS, denials, AR, full revenue cycle workflow Excellent verbal communication — comfortable with physicians, practice managers, lab directors, and C-level owners Confident handling pricing conversations and objections Self-directed pipeline management; able to run a pipeline and a book of accounts simultaneously Preferred Qualifications Experience selling into laboratories — clinical, anatomic pathology, molecular, or toxicology Working knowledge of laboratory billing realities: PAMA, the 14-day rule, Z-codes, LCD/NCD coverage, molecular reimbursement Familiarity with lab billing platforms (XiFin, Telcor, LigoLab) and major LIS systems Credentialing experience (CAQH, PECOS, payer enrollments) CPB, CPC, or similar AAPC/AHIMA certification Experience with Amazing Charts or comparable EHR/PM systems Prior experience presenting proposals or running new-client onboarding What We Offer Competitive base salary plus uncapped commission on new business Accelerators on strategic deals Benefits: medical, dental, vision, 401(k), PTO Remote, hybrid, or onsite — we will work out the setup that fits, with travel as the role requires Warm inbound lead flow — you are not cold-dialing all day Direct access to leadership and short decision cycles A 40+ year reputation and a 100% onshore team that delivers what you sell How to Apply Send your resume and a brief note about your healthcare sales experience to .

If you are a current Jazz employee please apply via the Internal Career site. Jazz Pharmaceuticals is a global biopharma company whose purpose is to innovate to transform the lives of patients and their families. We are dedicated to developing life-changing medicines for people with serious diseases - often with limited or no therapeutic options. We have a diverse portfolio of marketed medicines, including leading therapies for sleep disorders and epilepsy, and a growing portfolio of cancer treatments. Our patient-focused and science-driven approach powers pioneering research and development advancements across our robust pipeline of innovative therapeutics in oncology and neuroscience. Jazz is headquartered in Dublin, Ireland with research and development laboratories, manufacturing facilities and employees in multiple countries committed to serving patients worldwide. Please visit ___ for more information. Brief Description: The Sleep Accessand Reimbursement Manager (ARM)is responsible for executing the Oxybate market access business plan pertaining to the assigned geography, working with provider offices and outpatient care centers to ensure both providers and their staff are educated on payer and reimbursement policies and procedures, as well as providing expertise on the REMS program and patient support services. The ARM will work in collaboration with Field Sales, Sales Management, Patient Support Services, Managed Markets, Trade & Distribution, internal commercial teams, and other cross-functional partners to achieve the business unit objectives. The ARM will also develop relationships with all key personnel, targeted physicians, office managers, and staff vital to making Jazz's products accessible within key customer accounts. Provider and account interface, as well as billing and coding education within compliance, will be a key focus. This position will also play a critical role in ensuring REMS provider and patient enrollment, education on REMS process and requirements, and serve as an expert on patient support services. Essential Functions/Responsibilities * The ARM will implement strategies that achieve Business Unit and Corporate goals and objectives. * Analyze Data and develop Action Steps * Establish and maintain strategic relationships with assigned providers and provider accounts. * Educate and enhance awareness and utilization of patient access services, ensure providers understand payer prior authorization requirements and information, and educate offices on coding and billing * Serve as a field-based expert on the REMS program processes and procedures, including enrollment requirements for providers and patients. * Educate and inform provider offices on available patient services, collaborating and communicating with the Patient Access group and the Specialty Pharmacy to ensure optimal customer experience. * Collaborate and coordinate with area and regional sales teams to develop payer and reimbursement action plans for key provider accounts. * Monitor, document, and communicate coverage policy and changes. * Collaborate with internal and external partners to maintain a payer coverage and reimbursement database, and communicate changes to field sales and sales management teams. * Collaborates with Managed Markets to educate customers surrounding Commercial Payers, state Medicaid Agencies, Managed Medicaid Organizations, Healthcare Maintenance Organizations, Pharmacy Benefit Organizations, Health Care Plans, GPOs, DOD and Veterans Integrated Service Networks and other strategic healthcare entities specific to assigned initiatives and product requirements. * Conducts annual business development reviews for Jazz corporate and division management, as well as required updates and reviews with assigned area and regional sales team(s). * Provide managed care and reimbursement training and educational activities for internal and external stakeholders. * Remain current on key managed care, reimbursement, and policy activities, as well as serve as an expert for Jazz on business trends within key provider accounts. * Ensure all pertinent information regarding current products, new products, competitive data and overall information important to Jazz is brought to the attention of proper company personnel. * Represent Jazz at various industry functions such as payer and reimbursement meetings, payer policy meetings, professional organization meetings, and other meetings as assigned. * Demonstrates territory planning, priorities, and time management specific to geographical area of responsibility * Maintains accurate expenses within budget, timely and accurate completion of all reports, correspondence, and records as required by Jazz. * Execution of all activities within the defined Jazz regulatory and compliance program. * Maintain company manuals, reports, computer systems, records, brochures, computers and other equipment assigned to the position. #LI-Remote Required Knowledge, Skills,and Abilities * BA/BS Degree (MBA preferred), and at least 5 years of pharma, biopharmaceutical, and/or medical device experience calling on field based customers with demonstrated successful track record. * Account Management and/or Reimbursement experience working in the provider office setting, building strong customer relationships. * Experience working with HUB, Patient Services, and/or REMS programs * Experience working with Integrated Health Systems-- preferred * Managed Care and Reimbursement Knowledge --preferred * Experience in building a team atmosphere with sales representatives, either with direct or indirect leadership authority. * Ability to make sound decisions within time/resource constraints. * Proven skills in strategic decision-making and problem-solving. * Excellent analytical skills focusing on key accounts and uncovering business opportunities. * Experience working with billing and medical claims personnel in healthcare settings preferred. * Proficient with MS Office including Excel, Word, PowerPoint preferred * Candidates should live near a major airport and be willing and able to travel approximately 70-75% of the time (average 3-4 days per week). Required/Preferred Education andLicenses * BA/BS Degree (MBA preferred) * CPC, PAC or similar coding certification preferred, not require Jazz Pharmaceuticals is an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any characteristic protected by law. FOR US BASED CANDIDATES ONLY Jazz Pharmaceuticals, Inc. is committed to fair and equitable compensation practices and we strive to provide employees with total compensation packages that are market competitive. For this role, the full and complete base pay range is: $148,000.00 - $222,000.00 Individual compensation paid within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, and other pertinent factors. The goal is to ensure fair and competitive compensation aligned with the candidate's expertise and contributions, within the established pay framework and our Total Compensation philosophy. Internal equity considerations will also influence individual base pay decisions. This range will be reviewed on a regular basis. At Jazz, your base pay is only one part of your total compensation package. The successful candidate may also be eligible for a discretionary annual cash bonus or incentive compensation (depending on the role), in accordance with the terms of the Company's Global Cash Bonus Plan or Incentive Compensation Plan, as well as discretionary equity grants in accordance with Jazz's Long Term Equity Incentive Plan. The successful candidate will also be eligible to participate in various benefits offerings, including, but not limited to, medical, dental and vision insurance, 401k retirement savings plan, and flexible paid vacation. For more information on our Benefits offerings please click here: ___.

Job Locations US-NY-New York City | US-GA-Atlanta | US-NJ-Jersey City | US-MA-Boston | US-CT-Hartford | US-IL-Chicago | US-TX-Dallas | US-Remote-Remote Requisition ID 2026-13765 of Openings 4 Job Post Information* : Posted Date 3 months ago(2/11/2026 2:53 PM) Category (Portal Searching) Sales & Customer Success Yelp is on the hunt for a driven, high-energy sales professional to join our fast-growing Partner Sales team. This is not your typical Account Executive role, this is a pure hunter position focused on identifying, prospecting, and closing new agency partnerships that serve small and medium-sized businesses (SMBs). As a Partner Account Executive, you'll be on the front lines of Yelp's growth, pitching our advertising solutions to digital marketing agencies that want to help their clients win locally. You'll be building relationships from the ground up, crafting compelling pitches, and showing agencies how Yelp's platform, including our API capabilities - can drive real results for their advertisers. If you thrive in a fast-paced, high-impact environment, love the thrill of the chase, and are passionate about digital advertising, this role is for you. At Yelp, your hustle is celebrated, your wins are shared, and your career path is yours to shape. Please note that while this role is a remote position, it is required that the candidate resides within the Eastern or Central time zones of the continental US. Prospect and pitch new digital marketing agencies that align with Yelp's partner program and compliance standards. • Own the full sales cycle-from sourcing and outreach to pitching, negotiating, and closing new agency partnerships., • Deliver consultative, data-driven sales presentations that demonstrate the value of Yelp's advertising solutions (especially CPC and performance-based products)., • Communicate the value of Yelp's API integrations to agencies looking to scale or automate campaign management and reporting., • Identify key decision-makers, budget owners, and influencers within agency organizations., • Consistently exceed individual quarterly and annual revenue targets., • Provide accurate sales forecasts and pipeline updates to leadership., • Collaborate cross-functionally with internal teams to ensure a seamless onboarding experience for new partners., • Spend approximately 80% of your time driving sales and proactive outreach, with the remaining 20% dedicated to account and campaign management., • Stay up to date on industry trends, agency models, and digital advertising best practices., • Show up every day with a positive attitude, a growth mindset, and a readiness to win. 4+ years of experience in digital advertising sales, ideally selling into or working with marketing/advertising agencies. * Proven track record of exceeding sales targets in a new business/hunter role. * Strong understanding of CPC advertising models and performance-based media. * Familiarity with platforms like Google Ads, Facebook Ads, and/or Local Services Ads (LSA) is a plus. * Experience selling or working with API-based solutions, especially in the context of digital marketing or ad tech. * Excellent communication, presentation, and storytelling skills. * Self-starter with a strong sense of ownership and accountability. * Comfortable navigating ambiguity and thriving in a fast-paced, evolving environment. * Proficient in Salesforce, PowerPoint, and Excel (or similar tools). * Bachelor's degree or equivalent experience. • Effective your first day: Full medical, vision, and dental coverage, • Mental health support and services via Modern Health, • 15 days PTO (accrual begins on date of hire and increases with 2+ years of tenure thereafter), 7 paid wellness days, 12 paid holidays, plus one floating holiday, • Up to 14 weeks of parental leave, • Monthly wellness subsidy, • Flexible spending account, • 401(k) retirement savings plan, • Employee stock purchase plan, • Professional development reimbursement, • Work from home reimbursement, • For more information about US benefits at Yelp, please check out this link, • The base salary for this role is $75,000 annually., • This role is also eligible to earn uncapped quarterly incentive compensation (sales commissions)., • Target annual compensation for this role is $130,000, which includes base salary and quarterly incentive compensation assuming minimum performance expectations are met.

Job Type: Officer of Administration Regular/Temporary: Regular Hours Per Week: 35 Standard Work Schedule: Monday-Friday Building: Parker Plaza, NJ Salary Range: 80,000- 90,000 The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. Position Summary The Coding and Complex Supervisor is a key role within the centralized Clinical Revenue Office (CRO), responsible for the day-to-day supervision of the coding and coding denial teams. This position ensures accurate and compliant coding practices to optimize revenue capture and oversees the follow-up and resolution of coding-related denials and appeals. By managing Coders, Coding Denial Specialists, and SC A/R Specialists, the Coding Supervisor plays a critical role in managing denial follow-up, appeals submissions, and escalations. Through effective leadership, compliance monitoring, and process improvements, this role supports the overall efficiency and goals of the revenue cycle. Responsibilities Operational Management: • Oversee the review and resolution of pre-billing coding edits, ensuring accurate coding selection based on available documentation and payer guidelines compliance., • Supervise Coding Denial Specialists and SC A/R Specialists, coordinating denial follow-up, appeals submissions, and escalations to secure appropriate reimbursement., • Manage work queues, prioritize tasks, and coordinate resources to ensure timely processing of coding edits, denials, and appeals., • Provide expert guidance on complex coding scenarios, including preparing appeals, Letters of Medical Necessity, and additional documentation to support correct reimbursement., • Track and report on coding performance metrics, including productivity, accuracy, and denial rates, providing insights and recommendations for process improvement., • Analyze coding-related data to identify trends, opportunities for improvement, and areas of concern, using findings to drive enhancements in coding practices., • Supervise a team of Coders and A/R Specialists, providing guidance, support, and oversight to ensure accurate and timely resolution of coding-related edits, denials, and appeals., • Set performance standards and goals for the coding team, regularly monitoring progress toward productivity and quality benchmarks., • Conduct performance evaluations, provide feedback, and implement development plans to support professional growth and enhance team performance., • Lead team meetings to discuss updates, address challenges, share best practices, and ensure alignment with departmental goals., • Work closely with clinical departments, billing staff, and other revenue cycle teams to resolve coding-related issues and enhance the efficiency of the revenue cycle process., • Act as the primary point of contact for coding-related inquiries, providing guidance to staff, clinicians, and administrative teams on coding issues and best practices., • Ensure that all coding activities comply with payer requirements, institutional policies, and regulatory standards, including HIPAA and CMS guidelines., • Conduct recurring quality audits ___coding practices to identify errors, provide feedback, and implement corrective actions to improve accuracy and minimize denials., • Support coding compliance initiatives by staying current with updates in CPT, ICD-10, and HCPCS coding, and ensuring that staff are well-informed of any changes. Please note: While this position is primarily remote, candidates must live within a commutable distance in a Columbia University-approved telework state. Occasional on-site presence is required for meetings or other business events. Any commuting costs associated with travel to the office will not be reimbursed. Minimum Qualifications • Bachelor's degree or equivalent in education and experience., • Minimum of 3 years of relevant experience in a healthcare facility or medical billing office environment., • An equivalent combination of education, training, and experience may be considered., • Certified Professional Coder (CPC) required, • Advanced knowledge of CPT, ICD-10, and HCPCS coding, with comprehensive familiarity with payer guidelines, including Medicare and Medicaid., • Proven ability to lead and develop a high-performing team, with strong skills in performance management and staff development., • Excellent analytical, organizational, and communication skills, with the ability to interact effectively with clinical and administrative staff., • Additional coding certifications such as Certified Coding Specialist (CCS) preferred., • At least 1 year of direct supervisory experience., • Experience in a central billing office or revenue cycle management environment. Patient Facing Competencies Minimum Proficiency Level Accountability & Self-Management Level 3 - Intermediate Adaptability to Change & Learning Agility Level 2 - Basic Communication Level 2 - Basic Customer Service & Patient Centered Level 3 - Intermediate Emotional Intelligence Level 2 - Basic Problem Solving & Decision Making Level 3 - Intermediate Productivity & Time Management Level 3 - Intermediate Teamwork & Collaboration Level 2 - Basic Quality, Patient & Workplace Safety Level 3 - Intermediate Leadership Competencies Minimum Proficiency Level Performance Management Level 2 - Basic Equal Opportunity Employer / Disability / Veteran Columbia University is committed to the hiring of qualified local residents. Update: Leave Status and ReturntoWork Expectation

Job DescriptionRisk Adjustment Medical Coder Location: Remote Must currently reside in New York, New Jersey, or Connecticut Schedule: Monday-Friday | 9:00 AM - 5:00 PM Job Type: Full-Time | Direct Hire Compensation: $77,500 - $87,000 annually Position Overview Medix is partnering with a well-established healthcare organization to add an experienced Risk Adjustment Medical Coder to their growing team. This is a fully remote opportunity supporting a highly specialized Risk Adjustment department focused on coding accuracy, CMS compliance, and audit readiness. The team is in a growth phase, making this a great opportunity for someone who wants to have a visible impact while working closely with leadership in a collaborative environment. The ideal candidate will have strong HCC/Risk Adjustment experience within a Health Plan, Managed Care, or auditing environment and be comfortable working in a fast-paced, compliance-driven setting. Responsibilities • Review and abstract medical records using ICD-10-CM guidelines for Risk Adjustment/HCC coding, • Ensure coding accuracy and documentation compliance aligned with CMS Risk Adjustment models, • Support quarterly RADV audit preparation and validation efforts, • Verify documentation meets CMS requirements, including MEAT criteria, provider signatures, and dates, • Identify documentation gaps and coding opportunities, • Collaborate with leadership on provider education and coding quality initiatives, • Maintain a minimum 95% coding accuracy rate while meeting productivity standards, • Stay current on Risk Adjustment regulations, coding updates, and compliance requirements Required Qualifications • 3+ years of recent HCC / Risk Adjustment coding experience, • Experience within a Health Plan, Managed Care, or coding audit environment strongly preferred, • Dual certification required:, • CPC, CCS, RHIT, or RHIA, • AND CRC (Certified Risk Adjustment Coder), • Strong working knowledge of:, • ICD-10-CM coding guidelines, • Clinical terminology, • Anatomy & physiology, • Pharmacology, • Experience reviewing documentation for CMS compliance and audit readiness, • Proven ability to maintain high coding accuracy and productivity, • Must reside in NY, NJ, or CT, • Must have a dedicated home office with reliable high-speed internet, • Must be comfortable with occasional in-person team meetings/events in Manhattan (typically 1-2 times per year) Preferred Qualifications • 8+ years of Risk Adjustment coding experience, • Prior RADV audit experience, • Health Plan or Managed Care Organization background, • Inpatient coding or auditing experience, • Strong analytical and documentation review skills, • Familiarity with claims systems and Medicare Coordination of Benefits (COB) Why Apply? • Full-time direct hire opportunity with long-term stability, • Fully remote schedule with excellent work-life balance, • No weekends or mandatory overtime, • Opportunity to join a growing, highly visible team early on, • Direct exposure to RADV audits and high-level CMS compliance initiatives, • Competitive benefits package including:, • PTO + 10 paid holidays, • Medical, Dental & Vision, • 403(b) retirement plan, • Education reimbursement We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients. Company DescriptionHere at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine. Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

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

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

Job DescriptionSalary: $24-$26/hr About us: At POD Health, we enhance patient outcomes by integrating technology and personalized care. Our servicesTelehealth, Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Community Health Initiatives (CHI)ensure patients receive the care they need, wherever they are. Through our Telehealth and RPM services, we ensure that patients have real-time access to healthcare, empowering them to manage their health proactively and avoid unnecessary hospital visits. Our Chronic Care Management programs create tailored care plans for patients with chronic conditions, ensuring ongoing support between office visits. Additionally, our Community Health Initiatives focus on addressing health disparities, making care more accessible to underserved populations. At POD Health, we strive to make healthcare personal, proactive, and accessible for all. Schedule:Monday - Friday 9am-5pm Location:On-site in Brooklyn, NY 11218 Job Summary: We are seeking an experienced Medical Biller to join our team. The ideal candidate has strong knowledge of Primary care Practice billing, CPT/HCPCS codes, ICD-10 coding, and payer-specific billing guidelines. This role is responsible for accurate claim submission, payment posting, resolving denials, and ensuring timely reimbursement for medical services. Key Responsibilities: • Prepare and submit medical claims to Medicare, Medicaid, and commercial payers., • Verify accuracy of CPT/HCPCS, ICD-10, and modifiers prior to claim submission., • Review documentation for billing compliance., • Work rejections and denials; correct and resubmit claims as needed., • Follow up on unpaid or underpaid claims to ensure timely reimbursement., • Post payments, adjustments, and reconcile accounts., • Communicate insurance companies regarding claim issues., • Maintain knowledge of payer policies, NCCI edits, LCD/NCD rules, and coverage criteria., • Ensure compliance with HIPAA and all billing regulations., • Generate and review reports to identify trends, issues, or missing charges. Required Qualifications: • High school diploma or equivalent required; degree in business administration, accounting, or a related field a plus., • Experience with EHR/EMR and billing software (specify if needed)., • CPC (Certified Professional Coder) certification a plus, • Knowledge of claim lifecycle, EOBs, ERA, and electronic claim submission., • Excellent attention to detail and problem-solving skills., • Strong communication and organizational abilities., • Ability to work independently and meet deadlines. Benefits: • Health, dental, and vision insurance, • 401(k) with company match, • Paid Vacation, Company Holidays, Sick Leave, and Floating Holidays, • Professional development opportunities, • Mission-driven work in an innovative healthcare space

A leading online tutoring platform is seeking CPC tutors to support students preparing for certification. This remote role allows you to work from home while making a significant educational impact.

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. What We're Looking For: The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding healthcare professionals on improved coding practices. Collaborating closely with key stakeholders such as clients and healthcare leaders, you'll meet and exceed customer expectations through identifying and proposing solutions, and being a responsible and reliable teammate. This role offers a unique opportunity to play a pivotal role in elevating coding quality, ensuring compliance, and optimizing service outcomes in both hospitals and alternative care settings. What You Will Do: • Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS)., • Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines., • Communicate professionally with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Demonstrate strong written and verbal communication skills, • Identify documentation improvement opportunities and coding issues, • Use VPN access to ensure productive and flexible task completion, • Uphold Datavant and HIM Division policies, promoting a culture of compliance and operational efficiency., • Track continuing education credits, maintaining a high standard of professional expertise., • Attend mandatory sponsored in-service and educational meetings, ensuring alignment with industry best practices for continual improvement., • 1+ year of coding experience., • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)., • Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills., • Experience in computerized encoding and abstracting software., • Full Benefits including a 401k Savings Plan, • Access to 20-24 free CEUs per year, provided by Datavant, to support your continuous professional development, • Compensation for AAPC/AHIMA dues, • Company-provided equipment including computer, monitor, mouse, etc, • Comprehensive training led by a credentialed professional coding manager 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 Position: Risk Adjustment Coder Location: Remote (Must reside in NY/NJ/CT) Schedule: Monday - Friday 9am-5pm Compensation: $77,506.87 - 87,195.23 annual salary CPC, CCS, RHIT or RHIA and CRC are required Join VillageCare as a Full Time Risk Adjustment Coder and embrace the opportunity to work remotely while making a significant impact in the Health Care sector. This role offers the flexibility of a work-from-home environment, allowing you to balance your professional and personal commitments without the daily commute. You'll be part of a dynamic team that thrives on innovation, problem-solving, and a customer-centric approach, all while contributing to the excellence and integrity that VillageCare stands for. With a competitive salary up to $77,506.87 - $87,195.23, this is not just a job but a chance to build your career in a forward-thinking organization dedicated to healthcare improvement. As a team member you'll be able to enjoy benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life and Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. Seize the opportunity to grow in a high-performance culture that values your contributions. Apply today and help shape a healthier future! A little about us VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. What's your day like? As a Full Time Risk Adjustment Coder at VillageCare in New York, NY, you will perform critical code abstraction of medical records, ensuring accurate assignment of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes supported by clinical documentation. Your role involves a comprehensive review of medical records, validating that documentation meets CMS requirements, including provider signatures and relevant dates. You will identify improvement opportunities in documentation and coding processes and participate in quality initiatives that enhance overall outcomes. By maintaining current knowledge of coding standards and regulations, you will support the Medicare Risk Adjustment team in educating providers on compliance and consistency. Your contributions will include reporting findings from audits, assisting in analysis, and maintaining a minimum accuracy of 95% on coding quality audits while meeting productivity requirements. This is an exciting opportunity to make a meaningful impact in healthcare while advancing your coding expertise. Requirements for this Risk Adjustment Coder job To thrive as a Full Time Risk Adjustment Coder at VillageCare, candidates must possess a robust understanding of clinical terminology, disease processes, anatomy and physiology, as well as pharmacology. A strong foundation in claims processing procedures, state and federal regulations, and Medicare Coordination of Benefits applications is essential. Ideal candidates will have at least three recent years of experience in HCC/Risk Adjustment and/or inpatient coding, complemented by relevant certifications such as CPC, CRC, RHIT, or RHIA from AAPC or AHIMA. Additionally, successful candidates will exhibit exceptional attention to detail, basic computer skills, and the ability to maintain a productive home office environment with high-speed internet. Residing in New York, New Jersey, or Connecticut is also a prerequisite to ensure alignment with local regulations and standards. Strong problem-solving skills and a commitment to coding excellence are crucial for contributing to the organization's mission in improving healthcare quality. Knowledge and skills required for the position are: • Strong knowledge of clinical terminology, disease processes, anatomy/physiology and pharmacology, • Have high speed internet at their house and a distraction free home office, • Must be detail oriented and have basic computer skills, • Strong knowledge of claims processing procedures and systems, • State, Federal and Medicare Regulations and Coordination of Benefits applications required, • Must reside in NY, NJ or CT, • 5 recent years of HCC / Risk Adjustment and/or inpatient coding are required, • Certified through AAPC or AHIMA(CPC, CRC, RHIT or RHIA), • CPC, CCS, RHIT or RHIA and CRC are requiredConnect with our team today! VillageCare is an Equal Opportunity Employer. Job Posted by ApplicantPro

Job Description Revenue Cycle Management Specialist – Needed for Accurate, Detail-Driven Excellence Are you someone who finds pride in getting things right? Accuracy matters to you, not just because it’s expected, but because it’s who you are. You thrive in structured environments where clear guidelines, consistency, and accountability allow you to do your best work. In this role, your careful attention to detail, patience, and analytical mindset will be valued and respected. You’ll have the space to master your craft, the trust to work independently, and the satisfaction of knowing your precision directly impacts patient experience and organizational success. The Role As our Revenue Cycle Management Specialist, your day is grounded in focus, structure, and meaningful outcomes. You’ll be responsible for supporting end-to-end revenue cycle processes to ensure accurate billing, timely reimbursement, and positive patient financial experience. This role focuses on benefit verification, prior authorizations, claims processing, denial resolution, and patient communication across in-network and out-of-network scenarios. You’ll work closely with internal teams and insurance carriers, ensuring compliance while resolving issues thoughtfully and professionally. Success in this role comes from consistency, strong documentation habits, and the ability to see patterns others miss. This is an ideal role for someone who values stability, clear expectations, and becoming a trusted subject-matter expert over time. Our Company At Neurosurgeons of New Jersey, excellence is not a slogan, it’s our standard. For more than 30 years, we’ve been a trusted leader in neurosurgical care across New Jersey and New York, consistently recognized by Castle Connolly, U.S. News, and Healthgrades as a top practice nationwide. Our culture values precision, professionalism, and collaboration, with deep respect for the behind-the-scenes experts who make patient care possible. We invest in our people, support focused and independent work, and believe that consistency and accountability drive long-term success. Here, your work matters, your expertise is valued, and your contributions are recognized. If you’re a reliable, detail-oriented professional who takes pride in accurate, meaningful work and you’re ready to apply your expertise in a supportive, high-performing environment—we’d love to hear from you. Apply today or reach out directly to Elizabeth Morales at 201-327-8600, ext.161 to start the conversation. Position Overview • Highlights, • End-to-end revenue cycle ownership, • High-focus, accuracy-driven work, • Independent, hybrid role, • Job Type, • Full-Time, • Work Hours, • Monday–Friday, 9:00 AM – 5:00 PM, • Annual Compensation, • $56,420-$61,880, • Benefits, • Health, Medical, Dental, Vision, • HSA, Insurance options, • 401(k), • Location, • 3–5 years of healthcare revenue cycle management or medical billing experience, • Strong knowledge of insurance verification, prior authorizations, claims submission, and denial management, • Familiarity with ICD-10 and CPT coding standards, • Understanding of payer guidelines, reimbursement methodologies, and compliance requirements, • Experience researching, correcting, and appealing denied or underpaid claims, • Ability to analyze billing and claims data to identify trends and improvement opportunities, • Proficiency with EHR and billing systems; eClinicalWorks (ECW) preferred, • Excellent written and verbal communication skills, • Strong organizational skills with the ability to manage deadlines consistently, • Ability to work independently in a remote environment with high accuracy, • Commitment to maintaining strict HIPAA compliance and confidentiality, • CPC certification preferred, • Neurosurgery or surgical specialty experience preferred

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 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. What We're Looking For: The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding healthcare professionals on improved coding practices. Collaborating closely with key stakeholders such as clients and healthcare leaders, you'll meet and exceed customer expectations through identifying and proposing solutions, and being a responsible and reliable teammate. This role offers a unique opportunity to play a pivotal role in elevating coding quality, ensuring compliance, and optimizing service outcomes in both hospitals and alternative care settings. What You Will Do: • Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS)., • Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines., • Communicate professionally with co-workers, management, and hospital staff regarding clinical and reimbursement issues., • Demonstrate strong written and verbal communication skills, • Identify documentation improvement opportunities and coding issues, • Use VPN access to ensure productive and flexible task completion, • Uphold Datavant and HIM Division policies, promoting a culture of compliance and operational efficiency., • Track continuing education credits, maintaining a high standard of professional expertise., • Attend mandatory sponsored in-service and educational meetings, ensuring alignment with industry best practices for continual improvement., • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)., • Experience working in a process-driven, high-volume coding environment; Strong knowledge of CPT II codes, • Demonstrated ability to meet productivity and performance standards, • Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills., • Experience in computerized encoding and abstracting software., • 401k Savings Plan, • Company-provided equipment including computer, monitor, mouse, etc, • 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—$28 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 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.

A healthcare company is seeking a detail-oriented Certified Medical Coder to work remotely. Responsibilities include analyzing medical records, assigning accurate codes for surgeries, and resolving billing issues. Ideal candidates will have at least 3 years of experience in a busy medical setting an

A health system is looking for a medical coder to work 100% remote, handling coding and abstraction of outpatient medical records.The ideal candidate should possess an Associate's degree, relevant certifications (CCS, CPC-H, CO, RHIT, or RHIA), and 1-3 years of experience.This role includes reviewin

A community-based healthcare organization is looking for a Full Time Risk Adjustment Coder, offering a remote work option for residents of NY/NJ/CT.

Job Description Hi, we're Oscar. We're hiring a SIU Investigator to join our SIU 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 SIU Investigator identifies and investigates aberrant behavior observed in medical claims data and member enrollment data. You will manage an investigative caseload from case identification through to resolution, including data mining, investigation planning, data analysis, sampling, medical records requests, audit interpretation, overpayment recovery, reporting to regulatory agencies and monitoring ongoing provider behavior. The Senior Analyst will meet metrics set forth related to caseload, turn around times, and other unit-wide goals. You will report into the Investigations Manager, SIU. Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. If you live within commutable distance to our New York City office (in Hudson Square) or our Tempe office (off the 101 at University Ave), you will be expected to come into the office at least three days each week. Otherwise, this is a remote / work-from-home role. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. The base pay for this role in the states of New Jersey and New York is: $72,036 - $94,546 per year. The base pay for this role in all other locations is: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Identify and conduct investigations into suspected FWA with high autonomy, • Document findings to include formal investigative reports, tables, graphs, audit logs, and other supporting documentation, • Met metrics to align with caseload, turn around times, and other unit-wide goals, • Continue to monitor providers with substantiated findings to track behavior change, • Participate in the development and presentation of FWA-related education for Oscar teams, • Build evidentiary files for potential recovery, legal action, and/or referrals to appropriate outside agencies, • Compliance with all applicable laws and regulations, • 3+ years of healthcare fraud investigation experience or professional investigation experience with law enforcement agencies, • Bachelor's degree in Criminal Justice or a related field, • Experience with HIPAA, data privacy, and/or data security processes, • Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), or similar 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 Do you geek out on Media Buying and love driving revenue through direct response marketing? Want to get in the door at an extremely fast growing marketing agency? Want to work with world class copywriters, videographers, operations, and other media buyers, to help clients grow to new heights? Well then look no further! As we continue to grow our advertising agency, Client Accelerators is seeking a Media Buyer / Digital Marketing Manager to research, strategize, & then run ads across YouTube, Facebook, TikTok, Google & other platforms. We currently spend over $3 Million Dollars a Month across these platforms and you’ll be helping increase that to $5 Million a month this year. You will be working with some of the biggest names in the expert & consulting industry, clients like Russell Brunson, Anik Singal, Mike Tyson, Dan Bilzerian, & many more. You’ll work within a pod of videographers, copywriters, strategists, and data scientists to plan each client, forecast the targets we need to hit, script & direct each creative, then launch and work to hit forecasted targets every single quarter. Responsibilities: • Media Buying: We work across a ton of different advertising platforms, mainly YouTube, Facebook, TikTok, Google Search & Display. You will be managing upwards of $50,000 - $75,000 a day on these platforms. Some of our clients will scale very hard when we hit a winning campaign, so you will need to be prepared to do so., • Forecasting: You will be forecasting & creating different scenarios to hit clients targets. This includes mapping out current ad metrics, conversion rates & coming up with new improved forecasts based upon us lowering CPC, increasing conversion rates, etc.., • Data-Driven Decision Making: In our company, every decision is based upon data. You will be compiling and analyzing performance data for ad creative, landing pages, and offers to assess effectiveness and identify optimization opportunities., • Funnel Strategy: Every client we work with has a sales funnel and you will need to be able to identify where there are pages in the funnel that aren’t hitting industry benchmarks. This will allow us to increase conversion rate & drive more revenue with the same amount of traffic., • Creative Strategy: Creative is at the heart of everything we do. Great creative is the key to actually scaling on paid traffic (All other things being equal). You will be working with our creative team to come up with new angles, big ideas, and ultimately drive creative strategy for our clients., • Brainstorm new and creative growth strategies and campaign ideas that set us apart from the competition., • Competitor Research: At CA, we don’t throw sh*t up against the wall and hope it sticks. We look at what’s already working in a particular niche, and look to use that to inspire what we do with ads & funnels that we are running. No need to reinvent the wheel. Results: • Hit 80% of Projected Quarterly Bonus Compensation From Client Roster, • 75% of all Clients Quarterly Profit Goals Are Hit, • 100% of Projected Quarterly Ad Budgets Are Hit, • Maintains a ‘B+’ rating or higher during Quarterly Reviews COMMUNICATION EXPECTATIONS • We use Slack for Client Communications, • We value over-communication (more context the better), • We value speed in communication (be prompt in responding or provide context as to why you may be slow to respond), • Weekly Full Team Meetings, • Daily Stand Ups with Pod Leads WHO ARE WE? Client Accelerators is the 'go to' company for coaches, consultants, experts, & authors who want to achieve sustained growth through paid acquisition channels like YouTube, Facebook, TikTok & Google. We were the 207th fastest growing company on the Inc 5000 list last year, and have had record growth for an advertising agency, growing an incredible 2,574% over the past 3 years. We’ve been able to have this record growth because of the incredible results we’ve been able to get for our clients, which has allowed us to speak on stages all over the world on our strategies & tactics to doubling, tripling or even 10x their profits by working with us. We take a hands-on approach to growing each client we bring in by scripting all of their creatives, video production, tracking, & running their ads on these channels to hit agreed upon targets. Our proven approach has allowed us to spend over $150 Million Dollars & generate over $300 Million Dollars in verified sales in the past 5 years. Currently, our company is focused on founder-led businesses across the e-learning, SaaS and service-based internet space. We believe great people are at the center of every successful business. Employees are provided a full suite of benefits, including competitive compensation, healthcare, unlimited paid time off, and a fully remote working environment. (We also have offices in New Jersey, Georgia, & Florida if you’d prefer to work in-person

Job Description Do you geek out on Media Buying and love driving revenue through direct response marketing? Want to get in the door at an extremely fast growing marketing agency? Want to work with world class copywriters, videographers, operations, and other media buyers, to help clients grow to new heights? Well then look no further! As we continue to grow our advertising agency, Client Accelerators is seeking a Media Buyer / Digital Marketing Manager to research, strategize, & then run ads on YouTube. We currently spend over $3 Million Dollars a Month across these platforms and you’ll be helping increase that to $5 Million a month this year. You will be working with some of the biggest names in the expert & consulting industry, clients like Russell Brunson, Anik Singal, Mike Tyson, Dan Bilzerian, & many more. You’ll work within a pod of videographers, copywriters, strategists, and data scientists to plan each client, forecast the targets we need to hit, script & direct each creative, then launch and work to hit forecasted targets every single quarter. Responsibilities: • Media Buying: We work across a ton of different advertising platforms, mainly YouTube, Facebook, TikTok, Google Search & Display. You will be managing upwards of $50,000 - $75,000 a day on YouTube. Some of our clients will scale very hard when we hit a winning campaign, so you will need to be prepared to do so., • Forecasting: You will be forecasting & creating different scenarios to hit clients targets. This includes mapping out current ad metrics, conversion rates & coming up with new improved forecasts based upon us lowering CPC, increasing conversion rates, etc.., • Data-Driven Decision Making: In our company, every decision is based upon data. You will be compiling and analyzing performance data for ad creative, landing pages, and offers to assess effectiveness and identify optimization opportunities., • Funnel Strategy: Every client we work with has a sales funnel and you will need to be able to identify where there are pages in the funnel that aren’t hitting industry benchmarks. This will allow us to increase conversion rate & drive more revenue with the same amount of traffic., • Creative Strategy: Creative is at the heart of everything we do. Great creative is the key to actually scaling on paid traffic (All other things being equal). You will be working with our creative team to come up with new angles, big ideas, and ultimately drive creative strategy for our clients., • Brainstorm new and creative growth strategies and campaign ideas that set us apart from the competition., • Competitor Research: At CA, we don’t throw sh*t up against the wall and hope it sticks. We look at what’s already working in a particular niche, and look to use that to inspire what we do with ads & funnels that we are running. No need to reinvent the wheel. Results: • Hit 80% of Projected Quarterly Bonus Compensation From Client Roster, • 75% of all Clients Quarterly Profit Goals Are Hit, • 100% of Projected Quarterly Ad Budgets Are Hit, • Maintains a ‘B+’ rating or higher during Quarterly Reviews COMMUNICATION EXPECTATIONS • We use Slack for Client Communications, • We value over-communication (more context the better), • We value speed in communication (be prompt in responding or provide context as to why you may be slow to respond), • Weekly Full Team Meetings, • Daily Stand Ups with Pod Leads WHO ARE WE? Client Accelerators is the 'go to' company for coaches, consultants, experts, & authors who want to achieve sustained growth through paid acquisition channels like YouTube, Facebook, TikTok & Google. We were the 207th fastest growing company on the Inc 5000 list last year, and have had record growth for an advertising agency, growing an incredible 2,574% over the past 3 years. We’ve been able to have this record growth because of the incredible results we’ve been able to get for our clients, which has allowed us to speak on stages all over the world on our strategies & tactics to doubling, tripling or even 10x their profits by working with us. We take a hands-on approach to growing each client we bring in by scripting all of their creatives, video production, tracking, & running their ads on these channels to hit agreed upon targets. Our proven approach has allowed us to spend over $150 Million Dollars & generate over $300 Million Dollars in verified sales in the past 5 years. Currently, our company is focused on founder-led businesses across the e-learning, SaaS and service-based internet space. We believe great people are at the center of every successful business. Employees are provided a full suite of benefits, including competitive compensation, healthcare, unlimited paid time off, and a fully remote working environment. (We also have offices in New Jersey, Georgia, & Florida if you’d prefer to work in-person

Job Title : Certified Medical Coders.Assign accurate ICD-9/ICD-10-CM and CPT/PCS codes for inpatient records.Review medical records to ensure complete and compliant documentation.Utilize EMR systems, 3M encoder, and HDS coding applications.Support proper billing, reimbursement, and revenue cycle pro

The Center for Human Reproduction (CHR), located in New York City, is a globally renowned fertility center, known as a leading destination for patients seeking advanced infertility care.As one of the first IVF centers in the U.CHR specializes in treating complex cases, including diminished ovarian r

Must have EPIC and 3M experience CCS OR CPC certification required.

Medical coding in an acute care setting; must possess proficient computer skills (e.MS Word, Excel, ICD 9 CM, CPT 4, Encoder); knowledge of coding guidelines, payor guidelines, federal billing guidelines; knowledge of anatomy, physiology & disease processes; ability to research coding related issues

Flexible work schedule (Hybrid or Remote options).

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. Technical Requirements (for remote workers only, not applicable for onsite/in office work):.

For over two decades, Aspirion has delivered market-leading revenue cycle services.We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers’ compensation, Veterans Affairs, and out-of-state Med

This is not a Remote position; it is in the Office Monday - Friday.

This position is open to Hybrid And Remote Work Locations. Remote can be anywhere in the United States. However, we may be willing to consider remote candidates within the US.

This is a remote position with the possibility of occasional travel to Kalispell, MT.

We are seeking a detail-oriented and analytical financial reporting & billing/collections specialist to manage the full cycle of billing operations, from insurance verification and prior authorization to accounts receivable, collections, and financial reporting.The ideal candidate ensures accurate f

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

The Billing Specialist (Biller) is responsible for the performance of a broad range of billing activities related to processing of claims for physician and practice-related ancillary services.The Billing Specialist will maintain expertise in claims submission, accounts receivable management, interpr

Primarily Remote – Must be within 25 miles of Lakewood, CO. This position is a remote position that requires use of your own personal computer, smartphone and high-speed internet connection in order to work in all of our cloud-based software programs.

While this is a remote based position, you may be asked to connect with the local team periodically.

Technical Requirements (for remote workers only, not applicable for onsite/in office work):. In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed.

CPC or CCS coding credentials are required. Required qualifications include CPC or CCS credentials. The position is fully remote after a 90-day in-office training.

Stable remote work environment.

Verify that all assigned codes (ICD, CPT, and HCPC) are compatible, appropriate, and accurate for billing. Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS) from AHIMA.