Drg jobs in New York, New YorkCreate job alerts

Certified Medical Coders – Outpatient/ED Certified Medical Coders – Inpatient Work Arrangement: • Onsite initially; hybrid flexibility once fully trained, • Full-time | 40 hours per week | Monday–Friday, • EPIC & 3M experience required Position Summary The Certified Medical Coder is responsible for accurately and compliantly assigning diagnostic and procedural codes for services provided in an acute care setting. Open positions include outpatient and emergency department (ED) coding, as well as inpatient coding. Candidates must demonstrate strong technical skills, regulatory knowledge, and proficiency with EPIC and 3M applications. Essential Duties (Both Roles) • Perform coding using ICD-10, CPT-4, and encoder tools in alignment with industry guidelines, • Ensure all coding complies with federal, payer, and regulatory standards, • Review clinical documentation to assign correct diagnoses and procedure codes, • Utilize EPIC, 3M/HDS, Microsoft Office, and other coding software, • Maintain knowledge of anatomy, physiology, and disease processes, • Research and resolve coding-related issues, • Support coder education/training processes as needed, • Collaborate with clinical and revenue cycle teams to promote accuracy Requirements General Requirements (Applies to Both Roles) • Minimum 3 years of acute care medical coding experience, • Strong knowledge of ICD-10, CPT-4, and encoder tools, • Experience using EPIC and 3M/HDS, • Understanding of anatomy, physiology, disease processes, payer rules, and coding guidelines, • Ability to analyze medical documentation for accurate code selection, • High School Diploma/GED required Outpatient & ED Coding – Role-Specific Requirements • Experience coding Outpatient services and Emergency Department (ED) encounters, • Proficiency in outpatient billing, CPT coding, same-day procedures, and ancillary services, • Accepted certifications:, • CCS – Required, • CPC – Accepted (Outpatient/ED only), • RHIA, RHIT, CCP – Accepted but CCS/CPC preferred Inpatient Coding – Role-Specific Requirements • Experience coding acute Inpatient hospital records, • Understanding of:, • MS-DRG / APR-DRG methodologies, • Inpatient-specific documentation and billing requirements, • Certification Required:, • CCS only (CPC is not accepted for inpatient roles) Education & Certifications • High School Diploma or GED required, • Acceptable certifications based on role:, • CCS (required for all inpatient roles), • CPC (outpatient/ED roles only), • RHIA, RHIT, CCP (accepted) 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, home insurance, pet insurance, and employee discounts with preferred vendors.

Job Title: Medical Billing Specialist Work Type: Full-Time | Non-Exempt Location: Princeton, NJ, On-Site Five Days Salary Range: $18.00 - $29.00 per hour Practice Introduction: Princeton Orthopaedic Associates (POA), a division of OrthoNJ, is a Community of Extraordinary Care professionals serving Central New Jersey since 1974. With 28 physicians, including 18 Orthopaedic surgeons, across 7 office locations, urgent care centers, and surgical center, POA operates as an outcome-focused orthopaedic practice that combines extraordinary talent, advanced techniques, and cutting-edge tools with compassionate service. As part of New Jersey's largest independent orthopaedic group practice, POA physicians work collaboratively to provide personalized, patient-centered care while maintaining the values and autonomy of the private practice model. Princeton Orthopaedic Associates is built on a foundation of compassion, patient focus, quality, collaboration, honesty, and excellence. We are a community where every team member—regardless of role—is expected to embody these values in their daily work, hold themselves and colleagues accountable to high standards, and speak up when behavior falls short of our expectations. We foster a culture of continuous improvement where feedback is welcomed, mistakes become learning opportunities, and successes are celebrated together. As a member of our team, you'll be expected to contribute ideas, mentor new colleagues, and actively participate in creating an environment where both patients and staff thrive. Job Description: Princeton Orthopaedic Associates is looking for a Medical Billing Specialist to join our outstanding team! We are looking for a candidate who will be responsible ensuring accurate and timely billing processes. This position is responsible for managing invoices, verifying billing information, and resolving discrepancies to maintain financial integrity. This role requires a strong understanding of medical terminology, coding systems, and the ability to navigate electronic medical records (EMR) and electronic health records (EHR) systems effectively. The specialist will collaborate with various departments to gather necessary data and ensure that all transactions are recorded correctly. Ultimately, this role supports the financial health of the organization and enhances customer satisfaction through accurate billing practices. Responsibilities: • Review and verify patient information and insurance coverage for accuracy, • Code medical diagnoses and procedures using ICD-9, ICD-10, CPT coding, and DRG classifications, • Prepare and submit claims to insurance companies in a timely manner, • Follow up on unpaid claims and manage the medical collection process, • Collaborate with healthcare providers to resolve billing discrepancies, • Maintain organized medical records and ensure compliance with regulations, • Utilize EMR and EHR systems for efficient documentation and billing processes, • Stay updated on changes in medical billing regulations and coding practices Experience/ Qualifications: • Proven experience in medical billing, coding, or a related field is essential, • Familiarity with ICD coding systems (ICD-9 and ICD-10) is required, • Knowledge of CPT coding and DRG classifications is preferred, • Previous experience in a medical office setting is advantageous Critical Skills: • Proficiency in using EMR/EHR systems for billing purposes is necessary, • Organizational skills to maintain accurate records and ensure compliance with billing procedures, • Strong understanding of medical terminology and medical records management is essential If you are passionate about healthcare billing processes and possess the required skills, we encourage you to apply for this vital role within our organization Compensation & Benefits: OrthoNJ, LLC is required by New Jersey law to disclose the compensation range for this position. The hiring range for this role is $18.00 - $29.00 per hour. Compensation is determined based on several factors, including but not limited to the candidate’s qualifications, relevant experience, and geographic location. Certain roles may also be eligible for additional compensation, such as bonuses or incentive pay, as well as benefits. Eligible full-time employees are offered a comprehensive benefits package, which may include paid time off, medical, dental, vision, and a retirement plan. Full Time Benefits Summary: • Medical Insurance, • Dental, Vision, Life Insurance (Voluntary Options), • Paid Time Off, Paid Holiday Time, • Flexible Spending Accounts, • 401k/matching contribution EEO Disclosure: POA is an equal opportunity employer POA, as a member organization of OrthoNJ, is strongly committed to creating and preserving equal opportunity for all employees and applicants. We make all employment decisions – including recruitment, hiring, compensation, training, promotion, transfer, discipline, dismissal from employment, and other personnel matters – without regard to actual or perceived race, color, ancestry, religion, sex, national origin, age, disability, protected veteran status, marital status, sexual orientation, genetic information, citizenship, gender identity and expression, parental status, or other legally protected characteristics or conduct.

Summary of Position Responsible for upholding the standard for code review functions in the setting of business/industry/legislative issues relating to, and impacting, quality coding audit and compliance issues. Identify inconsistencies and coding compliance risks between EH reimbursement policies and claims which directly impact claim payment (i.e. authorizations) and responsible for working with leadership to bring to resolution. Audit inpatient and outpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Principal Accountabilities • Audit internal and external business partners (processes and results) for accurate claim coding reviews for various programs, pre- and post-payment., • Review reporting for outlier provider claims; request patient medical records to assign diagnoses, treatments, and surgical and non-surgical procedures for facility and medical services for coding and payment integrity., • Analyze and audit claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities., • Identify potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs)., • Provide audit reporting, results, and recommendations to management and SIU as appropriate., • Analyze results to assess compliance with regulations, identify procedural weaknesses and education needs that contribute to instances for non-compliance both to business, external business partners, and providers., • Prepare formal written reports summarizing current state (findings), desired future state, and critical success factors., • Perform audits of changes to coding introduced by new medical policies, reimbursement policies, regulatory changes, and business requirements on a quarterly basis., • Participate in RPC, RPCW, Medical Policy Committee (MPC) and Medical Policy Committee Workgroup (MPCW) as added Coding Integrity representation at meetings; ensure that decisions are appropriate and will result in accurate., • Claim reimbursement., • Identify reimbursement and coding variances from industry standards and brings to leader's attention., • Continuously gains knowledge of CPT, ICD, HCPCS and business/industry/legislative issues relating to and impacting Quality Coding Audit and Compliance issues., • Bachelor's degree, preferably in a healthcare, quantitative/analytical, or business-related field of study, • AAPC CPC (AAPC Certified Professional Coder) & AAPC CIC (Certified Inpatient Coder)/or CCS (AHIMA Certified Coding Specialist), • AAPC CPMA (AAPC Certified Professional Medical Auditor), • 4 - 6+ years of coding experience, • 1+ year auditing experience, • Extensive knowledge of inpatient DRG clinical documentation review, • Additional related work experience/specialized training may be considered in lieu of educational requirements, • Proficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.), • Attention to detail; and ability to communicate or escalate issues in a timely manner, • Ability to independently prioritize and complete multiple tasks with competing priority levels and deadlines, • Ability to perform effectively in a fast-paced work environment, • Excellent communication skills (verbal, written, presentation, interpersonal) with all types and levels of audiences Additional Information • Requisition ID: 26037, • Hiring Range: $68,040-$118,800

Manager, Claims Analytics AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm with offices in the U.S., India, and Europe. Our name comes from the Greek word for excellence: "Arete." And excellence is exactly what we strive for. We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and our success starts with our people. From robust career development planning to competitive life and wellness benefits, AArete's "Culture of Care" takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing personal development and fulfillment. The Role We are seeking a Manager, Claims Analytics to lead analytic workstreams that help health plans better understand their claims data, uncover cost and utilization trends, improve reimbursement accuracy, and enhance overall operational performance. This individual will manage project delivery, mentor team members, and develop analytic solutions that generate meaningful insights for payer and provider clients. This role requires strong experience working with healthcare claims data, technical and analytical expertise, and the ability to translate complex findings into clear, actionable recommendations for stakeholders. Work You'll Do • Lead day-to-day delivery of claims analysis projects for multiple payer and provider clients, • Design analytic approaches that evaluate utilization, cost drivers, reimbursement patterns, and operational opportunities, • Develop advanced SQL queries, data models, and automated workflows to create scalable analytic solutions, • Guide managers and consultants in working with complex datasets including medical, pharmacy, eligibility, provider, and pricing files, • Validate data accuracy, ensure consistency across multiple data sources, and maintain rigorous quality checks, • Build dashboards and reporting frameworks using BI tools to support client decision making, • Translate large volumes of claims data into clear, compelling insights tailored to executive-level stakeholders, • Manage project plans, timelines, and prioritization across concurrent engagements, • Partner with clients to understand goals, develop custom analyses, and make strategic recommendations, • Support business development through proposals, scoping discussions, and client presentations, • Contribute to internal best practices, methodologies, and analytics frameworks, • 7+ years of experience in claims analytics, healthcare data analytics, actuarial analysis, or payer/provider operations with a Bachelor's Degree, or 11+ years of equivalent experience, • Demonstrated experience leading project teams or mentoring analysts and consultants, • Strong experience analyzing healthcare claims datasets, including medical and pharmacy, • Understanding of reimbursement methodologies across Medicare, Medicaid, Commercial, and other lines of business, • Proficiency in SQL or similar query languages used to analyze complex datasets, • Ability to identify trends, anomalies, utilization patterns, and cost drivers within claims data, • Working knowledge of healthcare coding and reimbursement structures including CPT, HCPCS, ICD, DRG, APC, and fee schedules, • Experience with BI tools such as Power BI, Tableau, or Qlik, • Strong communication skills with ability to explain analytic findings clearly, • Advanced proficiency in Excel or equivalent data tools, • Knowledge of payer operations, provider contracting concepts, and healthcare financial analysis, • Willingness to engage in direct client interaction, including travel to client locations, • Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements • Experience supporting practice growth, solution development, or analytics capability expansion, • Experience designing automated analytic workflows or ETL processes, • Experience with SQL Server, SSIS, Python, Snowflake, or similar data environments, • Familiarity with data warehousing concepts and healthcare data architecture, • Experience building visual analytics dashboards for ongoing monitoring and reporting, • Based in Chicago, IL, and flexible to work from our Chicago office as needed Compensation & Benefits • Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays, • Own Your Day flexible work policy, • Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match, • Generous paid parental leave options, • Employer-paid Life Insurance, Short Term Disability, Long Term Disability, • Charitable contribution matching program, • New client commission opportunities and referral bonus program AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results. But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI

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

The Opportunity We are seeking a Diabetes Care Advisory Board Member to join DRG’s Advisory Board. Advisory Board members will have a meaningful voice in that future. Board Member Compensation Equity investment opportunity (IRA/401K eligible) Quarterly dividend distributions tied to equity ownersh

A prominent nonprofit organization in New York City is looking for a General Counsel to advise executive leadership and ensure legal compliance across its operations.

Job Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Seeking an Inpatient Auditor that MUST have 3-5+ years of academic/Trauma Level 1 facility auditing experience. Familiarity with SMART audit tool preferred but not necessary. Requires extensive knowledge and experience in IP auditing; CCS certification What You Will Do: • Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs., • Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc., • Keeps abreast of regulatory changes., • Organizes and prioritizes multiple cases concurrently to ensure optimal workflow and turnaround time, • Provides coder education via the auditing process, • Function in a professional, efficient, and positive manner, • Adhere to the American Health Information Management Association's code of ethics., • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession., • High complexity of work function and decision making, • Strong organizational, teamwork, and leadership skills Seeking an Inpatient Auditor that MUST have 3-5+ years of academic/Trauma Level 1 facility auditing experience. Familiarity with SMART audit tool preferred but not necessary. Requires extensive knowledge and experience in IP auditing.** What You Need to Succeed: • 5+ years of facility inpatient coding experience and/or auditing., • CCS (preferred), RHIA or RHIT preferred, • Maintain 95% DRG accuracy rate, • Experience with various software including Epic, Cerner, and other prevalent EMRs. 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, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

The General Counsel partners closely with the Chief People and Culture Officer (CPCO) to ensure that CJA maintains and advances employment policies and practices that are legally compliant with prevailing employment laws and regulations, mitigating risk to the organization, and providing counsel for

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 We're looking for experienced and credentialed inpatient 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! What You Will Do: • Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes, • Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation, • Oversee and audit the work of Level 1 & 2 Coders, where applicable, • Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders, • Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments, • Maintain site-specific productivity benchmarks, • A minimum of 3 years of recent inpatient coding facility experience, • CCS, RHIT, or RHIA preferred, • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AHIMA/AAPC with a preference for CCS, • Minimum of 3 years of inpatient coding experience at a Level I Trauma Center, preferably within an academic medical facility., • Experience with significant level of coding quality review feedback, • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC), • Equipment: monitor, laptop, mouse, headset, and keyboard, • 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 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: As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication with providers to enhance documentation clarity, completeness, and overall medical record quality. By ensuring accurate and comprehensive physician documentation, you will be at the forefront of influencing the precision of code assignment, making a tangible difference in the accuracy of healthcare data. Join us in this critical role where your efforts will have a direct and meaningful impact on the quality and effectiveness of patient care. Preferred: A candidate that can perform daily evaluations pertaining to the quality and accuracy of clinical documentation in medical records. What You Will Do: • Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation., • Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients., • Demonstrate understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG., • Improve coding specificity by educating physicians and caregivers on the importance of clear documentation throughout a patient's stay., • Follow AHA guidelines and coding clinics for accurate coding and required documentation to ensure compliance., • Query physicians regarding missing, unclear, or conflicting health record documentation to obtain necessary details., • Maintain daily production logs for evaluation, tracking cases reviewed, queries placed/responded, etc., • Perform follow-up reviews to confirm recorded points of clarification in the patient's medical record., • Ensure confidentiality of all files, documents, and records. What You Need to Succeed: • 3+ years of CDI experience, • 3+ years of clinical experience in an academic medical center, • Registered Nurse license, Bachelor's degree in Nursing, • CCDS or CDIP certification required, • Must pass a CDI skills competency assessment, • Must be able to accommodate a min of 15 hours per week 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:$40—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description Company: Davey Resource Group, Inc. Locations: Staten Island, NY, Newark, NJ, Newark, NJ, Newark, NJ, Newark, NJ, Newark, NJ, Newark, NJ, Newark, NJ, Staten Island, NY, Staten Island, NY, Staten Island, NY, Staten Island, NY, Staten Island, NY, Staten Island, NY, Staten Island, NY, Staten Island, NY, Staten Island, NY, Staten Island, NY, Staten Island, NY Additional Locations: Staten Island, NY Work Site: Hybrid Req ID: 220668 Position Overview The Field Engineer supports aerial utility design projects through a combination of field data collection and remote design analysis. This role conducts field audits of electric and telecommunication infrastructure throughout Staten Island, NY (approximately three days per week) and performs pole loading analysis and aerial design work remotely (approximately two days per week). Utilizing GIS and software such as SpidaCalc and Katapult, the Field Engineer develops safe, code-compliant solutions in accordance with National Electric Safety Code (NESC) standards and client specifications. This position requires strong technical aptitude, attention to detail, and the ability to work independently while collaborating effectively with internal teams and external stakeholders. Compensation Data * Starting pay range: $27.00 – $30.00 per hour, based on experience and qualifications. * Company vehicle provided for field-based work. * Monthly cell phone stipend provided. * Travel: Approximately 60% local travel within Staten Island, NY. Potential for overnight travel may be required based on project needs. * All approved business travel expenses are covered in accordance with company policy. Job Duties * Conduct field audits of existing electric and telecommunication utility infrastructure by visually identifying, inspecting, measuring (including use of a fiberglass measuring stick), and accurately recording asset information. * Collect, validate, and document detailed field data using hand-held computers, GPS units, cameras, and other field technology to support aerial utility design work. * Operate as a lone worker when required or as part of a two-person field team, effectively managing assigned production goals, schedules, and work locations. * Utilize GIS, Katapult, SpidaCalc (or similar pole loading analysis software), and other utility design platforms to analyze field data and develop compliant aerial utility design solutions. * Apply engineering principles, National Electric Safety Code (NESC) requirements, and client-specific standards to perform pole loading analysis and ensure safe, code-compliant aerial utility designs. * Identify and maintain accurate records of existing telecommunication and electric utility infrastructure and equipment within designated software and document management systems. * Review and correct data integrity errors within GIS and related databases to ensure accuracy and completeness of design deliverables. * Navigate (in vehicle and on foot) through various terrains and weather conditions utilizing maps, GPS, and other navigation tools. * Drive, operate, and maintain a company vehicle in a variety of terrains and surfaces; ensure proper care and routine inspection of assigned vehicles and equipment. * Positively and effectively communicate with property owners, municipalities, utilities, and internal stakeholders to arrange site access, coordinate project requirements, and support timely project completion. * Recognize unacceptable safety risk conditions and hazards related to field and design work environments, federal standards, and client specifications; comply with all safety regulations and company policies. * Collaborate with Project Managers, Supervisors, Engineers, Designers, Technicians, and Administrative staff to meet production targets, maintain project timelines, and report progress accurately and timely. Qualifications Required: * High school diploma or GED required. * 1–2 years of experience in utility field data collection, utility design, or related infrastructure environment. * Electric hazard identification, electric equipment identification, or communication equipment identification capability. * Experience utilizing GIS platforms and field data collection technology (GPS units, hand-held devices, cameras). * Valid driver’s license along with a clean Motor Vehicle Report. Must attend and pass the Davey Driver’s Safety Course. * Ability to work independently in field environments and navigate various terrains and weather conditions. * Strong attention to detail, organizational skills, and ability to meet production targets and deadlines. * Strong communication skills including written and verbal. Read and comprehend instructions, correspondence, and memos. Draft intelligible, professional, and accurate correspondence. Effectively and clearly communicate and present information in one-on-one and group. * Perform basic arithmetic computations. * Demonstrated proficiency in Microsoft Office applications, Google Workspace, and data entry. Preferred: * Bachelor's or Associate's degree in Engineering Technology, Engineering, or a related technical field. * 3-4 years of experience in utility field data collection, utility design, or related infrastructure environment. * Proficiency in CAD/Outside Plant Engineering design software, and/or PLA software * Familiarity with electric utility design standards (NESC) Additional Information What We Offer [Benefits]: We invest in our employees by offering industry-leading training, technology, and benefits that lead to a rewarding and safe work experience for employees at all levels. • Group health plans*, • Short-term and long-term disability insurance*, • Life insurance*, • Paid parental leave, • 401k with up to a 4% company match**, • Employee Stock Purchase Plan: Opportunity to buy company stock at a 15% discount, • Holidays and paid time off*, • Payroll savings plan*, • Charitable matching gift program*, • Employee referral bonus program*, • Employee Educational Scholarship*, • Davey Family Scholarship*, • 20% discount on all Davey services*, • Cell phone discounts*, • Vehicle purchase discount program*, • Plus, so much more! Utility Asset Management is a division of Davey Resource Group, Inc. (DRG), a Davey company. Davey has been employee-owned since 1979. Our engineering, field services, inspection, and construction teams help keep the world connected, supporting the infrastructure of our electric utility and communications partners. The Davey Tree Expert Company provides research-driven tree services, grounds maintenance and environmental and utility infrastructure consulting for residential, utility, commercial and environmental partners in the U.S. and Canada. We care about our clients, each other and the world around us. We offer the resources, size and stability of a big company while maintaining the culture, entrepreneurial spirit and feel of a small one. We invest in our people, offering industry-leading training, technology, and benefits that lead to a rewarding and safe work experience at all levels. Wherever you want to grow your career, there’s a place for you at Davey. To learn more, visit Davey.com. Accommodations: If requested by employee or otherwise as required by law, reasonable accommodations will be made to enable employees with disabilities to perform essential job functions. If you need assistance at any time, please contact us at 1-877-411-7601 or at . Employment Type: Permanent Job Type: Full Time Travel Expectations: Up to 75%

Job DescriptionBenefits: • 401(k), • Bonus based on performance, • Competitive salary, • Dental insurance, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development Knowledge of out of network billing is a plus however we do provide training. Responsibilities • Process and submit medical claims to insurance companies in a timely manner., • Review patient records for accuracy and completeness prior to billing., • Utilize ICD-10 and ICD-9 coding systems to ensure proper billing codes are applied., • Manage accounts receivable by following up on outstanding claims and payments., • Collaborate with healthcare providers to resolve billing discrepancies or issues., • Maintain accurate records of all billing transactions and communications., • Stay updated on changes in medical coding regulations and insurance policies., • Assist in the collection of patient payments and manage payment plans as necessary., • Ensure compliance with all relevant laws and regulations regarding medical billing.Qualifications, • Proficiency in medical billing software and systems is essential., • Strong knowledge of medical terminology, coding (ICD-10, ICD-9), DRG, and medical collection processes., • Previous experience in a medical office or healthcare setting is preferred., • Excellent attention to detail with strong organizational skills., • Ability to communicate effectively with patients, healthcare providers, and insurance representatives., • Familiarity with medical records management practices is a plus.Job Type: Full-time Flexible work from home options available.

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 We're looking for experienced and credentialed inpatient 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! What You Will Do: • Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes, • Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation, • Oversee and audit the work of Level 1 & 2 Coders, where applicable, • Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders, • Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments, • Maintain site-specific productivity benchmarks, • A minimum of 3 years of recent inpatient coding facility experience, • CCS, RHIT, or RHIA preferred, • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AHIMA/AAPC with a preference for CCS, • Minimum of 3 years of inpatient coding experience at a Level I Trauma Center, preferably within an academic medical facility., • Experience with significant level of coding quality review feedback, • Benefits for PRN employees: 401k savings plan w/match, • Equipment: monitor, laptop, mouse, headset, and keyboard, • 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 DescriptionPosition Overview: We are seeking an experienced Project Manager to lead strategic and operational payment integrity initiatives within our healthcare organization. The ideal candidate embodies a proactive, detail-oriented approach to driving project success in a regulated environment and is responsible for managing: Business projects related to healthcare initiatives (DRG validation, Cost outlier, readmission reviews), and the integration of technology solutions that support these functions. Cross-functional teams, project timelines, ensuring efficient deployments, and bridging the gap between technical resources, and business operations. Please be advised that position is in-office Monday to Thursday and remote on Friday. Responsibilities: • Project Management: Tactically plan, execute, monitor, and close all projects particularly those involving healthcare, • Team Coordination: Collaborate with internal teams (IT, Business operations) and external vendors to ensure effective project execution, • Requirements Gathering: Work with stakeholders to define scope, requirements, milestones, and resource needs for each project, • Scheduling & Budget Tracking: Develop project schedules, track progress, monitor budgets, and manage timelines, • Risk & Issue Management: Identify risks and develop mitigation strategies. Escalate issues appropriately to senior leadership or technical teams, • Communication: Provide regular updates to project sponsors, stakeholders, and team members. Maintain clear documentation and status reports, • Quality & Compliance: Ensure project outcomes comply with healthcare regulations (HIPAA/HITRUST), IT security policies, and internal quality standards, • 4+ years’ experience in healthcare project management, and 2+ years’ experience with DRG validation, hospital bill audits, or claims adjudication reviews., • Knowledge of HITRUST, HIPAA, HITECH, and general compliance standards in healthcare/IT., • Proficiency with MS Project, MS Excel (pivot tables, v-lookups), MS Office suite (Excel, Power Point, Word) for documentation/presentations and familiarity with Power BI is a plus., • Deep understanding of ICD-10 coding and healthcare audit practices., • Strong interpersonal skills and ability to communicate effectively both orally and in writing., • Ability to manage competing priorities and influence cross-functional teams., • Organizational and time management skills to keep teams and projects on schedule., • Bachelor’s degree or equivalent experience in health information management, healthcare administration or related field., • Familiarity with payment integrity, claims adjudication, or healthcare fraud/waste/abuse prevention., • Baseline technical knowledge whereby complex technical information is translated for non-technical stakeholders and business goals for technical teams., • Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents., • 401(k) with Employer Match - Join the team and we will invest in your future, • Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, and 11 observed holidays., • Wellness - We care about your well-being. From Commuter Benefits to FSAs we’ve got you covered. Powered by JazzHR v8ccuLG2ZO

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

Job Description We are partnered with an excellent organization that is seeking a skilled Project Manager to lead strategic and operational payment integrity initiatives. This role requires a proactive, detail-oriented professional who can successfully manage projects in a highly regulated environment. The Project Manager will oversee: • Healthcare business projects, including DRG validation, cost outlier analysis, and readmission reviews, as well as the integration of technology solutions to support these functions., • Project Management: Plan, execute, monitor, and close healthcare-related projects., • Team Coordination: Partner with internal teams and external vendors to ensure seamless execution., • Requirements Gathering: Collaborate with stakeholders to define project scope, requirements, milestones, and resources., • Scheduling & Budget Management: Develop project schedules, monitor progress, track budgets, and ensure timely delivery., • Risk & Issue Management: Identify risks, create mitigation strategies, and escalate issues when necessary., • Communication: Provide clear, consistent updates to stakeholders and leadership; maintain accurate documentation and reports., • Quality & Compliance: Ensure all project deliverables meet healthcare regulations (HIPAA/HITRUST), IT security standards, and internal quality benchmarks., • 4+ years of experience in healthcare project management, with at least 2 years in DRG validation, hospital bill audits, or claims adjudication., • Expertise with payment integrity initiatives, • Strong knowledge of healthcare compliance standards including HITRUST, HIPAA, and HITECH., • Proficiency in MS Project, Excel (pivot tables, VLOOKUPs), Word, and PowerPoint; Power BI experience a plus., • In-depth understanding of ICD-10 coding and healthcare audit practices., • Excellent communication skills with the ability to convey technical information to non-technical audiences., • Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field (or equivalent experience)., • Familiarity with payment integrity, claims adjudication, or healthcare fraud/waste/abuse prevention., • Technical aptitude to bridge business needs with IT solutions in a fast-paced, collaborative environment. Company DescriptionThe Bachrach Group (TBG) is a New York-based staffing and recruiting agency founded in 1974 by Richard Bachrach. The agency specializes in facilitating placements for professionals across various industries on a nationwide scale. TBG's overarching mission is to deliver tailored staffing solutions to its client base while simultaneously providing job seekers with career prospects. The company relies on its team of recruiters, who leverage their industry knowledge and networks to connect employers with top talent. TBG provides a comprehensive range of staffing services, including direct hire, temporary staffing, Recruitment Process Outsourcing (RPO), and contract staffing. The agency has consistently achieved notable rankings in Crain's lists, ranking as the largest search firm in NYC since 2020.The Bachrach Group (TBG) is a New York-based staffing and recruiting agency founded in 1974 by Richard Bachrach. The agency specializes in facilitating placements for professionals across various industries on a nationwide scale. TBG's overarching mission is to deliver tailored staffing solutions to its client base while simultaneously providing job seekers with career prospects. The company relies on its team of recruiters, who leverage their industry knowledge and networks to connect employers with top talent. TBG provides a comprehensive range of staffing services, including direct hire, temporary staffing, Recruitment Process Outsourcing (RPO), and contract staffing. The agency has consistently achieved notable rankings in Crain's lists, ranking as the largest search firm in NYC since 2020.

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25/hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You do

Certified Professional Coder / Bill Review Expert.Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds.Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned.Assign proper codes as needed based on review outcome.Use various r

Three years experience Knowledge of ICD10.High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS.Must have EPIC and 3M experience CCS OR CPC certification required.Ideal candidate has minimum 4+ years of outpatient coding experience.Medical coding in an acute care setting; must possess profici

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

We are seeking a detail-oriented and customer-focused Email Support Specialist to join our remote team.In this role, you will assist customers by responding to inquiries through email, resolving issues, and providing helpful information about our products or services.The ideal candidate has strong w

We are seeking a Virtual Customer Service Representative to join our team! You will be responsible for helping customers by providing product and service information and resolving technical issues.Responsibilities: · Handle customer inquiries and complaints · Provide information about the products

Call Center / Remote] - Anywhere in U.Competitive pay / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Planet Home Lending, you will: Respond to borrower inbound calls concerning their account, ensuring high quality service and adhering to productivity and regulatory requiremen

The S:US Support Services team is comprised of the infrastructure/administrative departments that provide resources to those staff who work in direct service to the people supported by S:US.The Support Services team is committed to being respectful and responsive to the needs of our customers, and m

Requisition Number: RECEP001167.Corporate Office New York, NY 10281, USA.The Receptionist manages the reception area and provides is expected to interact positively with all telephone callers, visitors, colleagues, and other building employees coming to the reception area.This is a part-time positio

Customer Service Representative.Location: Staten Island, NY 10301 Duration: 12 Months Contract.Responds to calls and inquiries from families reaching out to FWCs for support by setting up appointments and/or completing requests for assistance, including follow up and documenting in FWC systems Under