Trabajos medical coder en Newark, New JerseyCrear alertas

Certification Details • CCS, • CCP, • AHIMA, • RHIA, • RHITJob Details, • Medical coding in an acute care setting., • Must possess proficient computer skills (e.g., 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., • Competence in coder training., • Must have CCS and knowledgeable with 3M/HDS coding application., • Outpatient and Emergency Department (ED) experience required.Job Requirements, • Three years experience., • Must have EPIC and 3M experience., • CCS OR CCP certification must be from AHIMA, RHIA or RHIT., • Ideal candidate has minimum 4+ years of outpatient coding experience., • Seeking certified coders with strong inpatient coding background., • High School Diploma/GED required.Schedule Information, • This role is remote now, with 1–2 weeks of onsite training at the start., • Work arrangement: Starts onsite for training, then transitions to remote work once duties are mastered., • Hours per day: 7 hours., • Hours per week: 35 hours.Unit Specific Information, • Experience with outpatient coding and Emergency Department coding required.Additional Details, • The Hiring Manager is flexible regarding onsite training duration.

Integrated Healthcare Services is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Bronx, New York. Job Description & Requirements • Specialty: ED - Emergency Department, • Discipline: RN, • Duration: 8 weeks, • 35 hours per week, • Shift: 7 hours, days, • Employment Type: Travel We are seeking a Certified Medical Coder with expertise in outpatient and emergency department (ED) coding for an acute care setting. The ideal candidate will possess strong computer skills, including proficiency in MS Word, Excel, ICD-9-CM, CPT-4, and Encoder software. Knowledge of coding guidelines, payer and federal billing regulations, anatomy, physiology, and disease processes is essential. The role requires the ability to research coding-related issues, provide coder training, and utilize 3M/HDS coding applications effectively. Pay Range: $15.00 - $21.00 per hour (subject to variation based on supplier benefits such as medical, dental, vision, 401K, commissions, or bonuses). QUALIFICATION/LICENSURE Work Authorization : US Citizen Preferred years of experience : 2 years Travel required : No travel required Shift timings : Days RightSourcing IHS Job ID #37270447. Pay package is based on 7 hour shifts and 35 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Certified Medical Coders - Outpnt & ED (000296)

Certified Medical Coder – Inpatient (Remote) Pride Health is seeking a Certified Medical Coder – Inpatient for one of its clients in New York. This is a 8 week contract with the possibility of an extension with competitive pay and benefits. This is a fully Remote role, but the candidate must be based in the EST time zone only. Location – Remote (Brooklyn, NY) Pay range - $35 to $38 per Hour on a W2. Length of assignment – 8 weeks of Contract (Possibility of Extension) Shift – 4 weekdays and 1 weekend day, 8:00 AM – 4:00 PM EST, 35 hrs/week Job Summary Seeking an experienced Inpatient Medical Coder to perform accurate coding for acute care hospital records in compliance with ICD-10, payer, and federal billing guidelines. The role requires strong knowledge of inpatient coding processes, DRG assignment, and coding systems, including 3M and EPIC. Job Duties • Review and assign accurate inpatient medical codes, • Ensure compliance with ICD-10, CPT, and billing regulations, • Utilize 3M/HDS and EPIC coding systems, • Research and resolve coding-related issues, • Support coding quality and documentation accuracy, • Work independently in a remote environment Requirements • Minimum 5 years of inpatient coding experience, • Healthcare coding or health information certifications such as CCS, RHIA, RHIT, or CCP required, • Experience with 3M, EPIC, and ICD-10 coding, • Strong knowledge of anatomy, physiology, and disease processes, • Excellent computer and communication skills Preferred Experience • Acute care hospital coding, • Emergency Department (ED) coding experience, • Remote coding experience in healthcare settings Pride-Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors. Equal Employment Opportunity Pride-Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law. Fair Chance Employment Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.

The coder will also coordinate with the coding team to capture all reportable services and resolve any coding or billing issues. Maintain daily updates in Epic to promote consistent cash flow and address coding issues promptly. Manage monthly charge reconciliations and collaborate with the

Job DescriptionBenefits: • 401(k) matching, • Bonus based on performance, • Competitive salary, • Employee discounts, • Opportunity for advancement, • Paid time off, • Profit sharing, • Signing bonus, • Training & development, • Vision insurance Seeking experienced medical coder and biller for chain of optical stores performing medical optometry. We are looking for someone that has worked specifically or has experience in Optical coding / billing to join our team in a fast paced working environment. We offer career development and substantial opportunity for growth within the company. Lens Lab has been serving New York for over forty years and has a deep history of promoting from within which is exactly what we plan on doing for this role. Responsibilities • Assist processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Maintains the highest level of confidentialityDesired Qualifications, • Previous experience with medical coding and billing portals such as Versant, Eyemed, Trizetto, Availity, Eyesynergy and others, • Strong organization skills, • Excellent attention to detail

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

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

Job DescriptionDescription: We are seeking a detail-oriented and experienced Billing and Coding Specialist to join our healthcare team. This role is vital in ensuring accurate and timely processing of medical claims, supporting our commitment to efficient patient care and revenue cycle management. If you have a strong understanding of medical billing and coding procedures, we invite you to become a key part of our organization’s success. Key Responsibilities: • Review and accurately code medical diagnoses, procedures, and services using ICD-10, CPT, and HCPCS coding systems., • Prepare and submit insurance claims in a timely manner, ensuring compliance with payer requirements., • Verify patient insurance coverage and obtain necessary authorizations., • Follow up on unpaid or denied claims to facilitate prompt resolution., • Maintain detailed and organized records of billing and coding activities., • Stay updated on changes in coding regulations and insurance policies., • Collaborate with healthcare providers and administrative staff to resolve billing issues., • Ensure compliance with all relevant healthcare laws and regulations. Benefits Available: • Multiple medical and prescription coverage options, • Dental and vision care plans, • Health Savings Accounts (HSAs), where applicable, • Flexible Spending Accounts (FSAs), • Voluntary critical illness, cancer, and accident insurance, • Voluntary hospital indemnity coverage, • Voluntary short-term and long-term disability insurance, • Voluntary term life insurance and AD&D (Accidental Death & Dismemberment), • 401(k) retirement savings plan, • Paid time off (PTO), • Commuter benefits, • Group Auto and Homeowners Insurance Discounts Join our dynamic team where we value accuracy, efficiency, and continuous learning. We offer opportunities for professional growth, a collaborative work environment, and learning experience to support your career development. Requirements: Skills and Qualifications: • Proven experience in medical billing and coding, preferably in a healthcare setting., • Certification such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is preferred., • Strong knowledge of ICD-10, CPT, HCPCS coding systems, and medical terminology., • Familiarity with electronic health records (EHR) and billing software., • Excellent attention to detail and organizational skills., • Ability to work independently and as part of a team., • Strong communication skills and problem-solving abilities., • Knowledge of healthcare regulations and compliance standards.

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, • Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues What You Need to Succeed: • A minimum of 3 years of recent inpatient coding facility experience, • CCS, RHIT, or RHIA preferred, • Strong verbal and written communication skills What Helps You Stand Out: • 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, • 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, • 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:$32—$42 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 DescriptionBilling Coordinator / Coder – Ambulatory Schedule: Full-time, Days Job Type: Permanent w/ Benefits Job Summary The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and supporting outpatient billing services utilizing a centralized medical information system. This position is responsible for accurately abstracting data following ICD-10-CM, CPT, and HCPCS coding guidelines and directives. The role also performs data entry of required patient information into the electronic medical record system and communicates with physicians when appropriate. Essential Job Functions • Coordinate pertinent information from patient medical records for submission to the physician billing service, • Verify patient insurance and act as a liaison regarding charges, billing inquiries, and outstanding balances, • Ensure proper receipt of authorizations/referrals and completion of all required forms, • Analyze medical records and identify documentation deficiencies, • Monitor coding and billing corrections on a daily basis, • Assign CPT, HCPCS, and ICD-10-CM codes accurately, • Assess clinical documentation and communicate with providers regarding missing or incomplete information needed for proper coding, • Address coding edits and reimbursement-related documentation requirements, • Maintain required productivity and quality standards, • Comply with organizational policies, procedures, and standards of behavior, • Report unusual circumstances, risk factors, errors, and discrepancies to management, • Perform additional duties and special projects as assigned Qualifications, • High School Diploma or GED required, • Minimum of 1 year of coding or professional billing experience preferred, • Knowledge of medical terminology, anatomy, and physiology, • Strong computer proficiency including typing accuracy and speed, • Excellent written and verbal communication skills, • Proficiency in Microsoft Office and Google Suite platforms Preferred Experience, • Outpatient hospital ICD-10 diagnosis, CPT procedural, and E&M coding experience preferred Certifications, • Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Certified Professional Coder (CPC), or equivalent certification preferred, • AHIMA or AAPC credential preferred Equal Opportunity Employer: We are committed to creating an inclusive and diverse workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, age, or any other legally protected characteristic. Applicants must be authorized to work in the United States. Employment may be contingent upon successful completion of background checks, reference checks, and any required screenings in accordance with applicable laws and client requirements.

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

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

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

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

Job Description At Solve Intelligence, we’re building the AI-powered infrastructure for the global Intellectual Property landscape. We need a rare hybrid - a Legal and Product Engineer who sits at the exact intersection of patent law and AI innovation to ensure our engine is technically superior and legally airtight. 🏗️ The Role: Legal and Product Engineer This isn't your typical client-facing role or traditional R&D position. You are the bridge between the complex nuances of patent practice and the cutting-edge AI technology transforming it. You will translate the "language of law" into the "logic of code." What you’ll own: AI Output Engineering: Partner with our AI researchers to iterate on algorithms and prompt engineering, specializing our LLMs for patent-specific tasks like claim analysis, prior art comparison, and obviousness assessments. Legal Benchmarking: Build proprietary datasets and evaluation frameworks to measure AI performance against real-world USPTO and international patent office requirements. Product Roadmap: Serve as the internal voice of the practitioner. You’ll translate deep client insights from global firms into high-priority product features. Strategic Partnership: Act as a technical thought partner for IP teams at firms like DLA Piper, leading pilots and ensuring our AI scales seamlessly across their prosecution and litigation workflows. Playbook Development: Document and scale best practices for AI adoption across diverse sectors, from biotech to deep-tech software. 💡 About Solve Intelligence We’re the fastest-growing startup transforming the IP industry. Traction: 20-30% MoM revenue growth; selling to 200+ global IP teams (DLA Piper, tech boutiques, and global enterprises). Proven Value: Users report 50-90% efficiency gains using our AI platform. Backing: Recently featured in Sifted following our $40M Series B announcement, bringing our total funding to $55M from elite investors including Y Combinator, 20VC, Visionaries and others. 👋 Your Team You’ll work directly with a founding team of AI PhDs and systems experts: Sanj (CRO): PhD in AI (Gatsby Unit, UCL), ex-Huawei R&D, former lead at Magic Carpet AI (acquired). Chris (CEO): PhD in AI (UCL), published researcher, ex-Dyson and Alan Turing Institute. Angus (CTO): MEng Computer Science, ex-Qualcomm and Coremont (Brevan Howard). 🚀 Who You Are We are a high-performance culture of "hackers" and builders. Bilingual: You can speak "Patent" to an attorney and "Prompt" to an engineer without losing anything in translation. Speed & Feedback: You want to put tools in users' hands in days, not months, and you thrive on rapid iteration. Extreme Ownership: You take responsibility for the accuracy of our AI's legal reasoning and the success of our global client deployments. Driven & Humble: You are a high-achiever willing to go the extra mile to tackle unsolved AI problems in the patent space. 🛠️ What You Bring Must-Haves: Qualified Professional: Admitted to practice before the USPTO, EPO or JPO. 3+ Years Experience: Direct experience in patent prosecution, understanding the "pain points" of the industry first-hand. Technical Foundation: Undergraduate degree in Engineering, Computer Science, or Life Sciences. Preferred & Nice-to-Haves: AI Tinkerer: Hands-on experience with prompt engineering and LLM tools. Client-Facing Pro: Proven ability to manage relationships and lead strategic product demos. Coder-Lite: Familiarity with Python or a background in software development. Visionary: A deep belief that AI will fundamentally redefine the legal landscape. 🎁 What We Offer Competitive Salary + Significant Equity: We want you to have true ownership in the success of the company. Founding Impact: You will be the architect of how AI is applied to patent law globally. Support: Full visa sponsorship and private medical insurance. The Environment: Free meals and a seat at the table with an incredibly smart, ambitious team. Ready to define the future of Intellectual Property? Apply now. 🚀 Compensation Range: $100K - $220K

Job Description About the Role We are seeking a highly motivated and experienced Email Marketing Coder to join our dynamic team. In this role, you will be responsible for developing and deploying email marketing campaigns across various internal systems, ensuring high-quality performance, and maintaining a strong adherence to industry best practices. You will work closely with the creative, marketing, and technical teams to bring designs to life and optimize campaigns for maximum effectiveness. Your expertise will play a key role in enhancing our email marketing efforts and contributing to the overall success of our digital strategy. Responsibilities include but are not limited to; • Email Coding & Development: Code responsive email templates based on design files provided by the creative team or direction from marketing managers. Ensure emails are optimized for various devices and email clients., • Quality Assurance & Troubleshooting: Perform QA on HTML email files using tools such as Litmus, EmailOnAcid, or other similar inbox rendering tools. Troubleshoot and resolve any rendering or deliverability issues that arise during testing., • Link Tracking: Generate and implement tracking codes for all links within email campaigns to ensure accurate performance tracking and reporting., • Collaboration with Marketing: Work closely with marketing leads to define the scope for new projects, identifying opportunities for optimization and growth within the email marketing strategy., • Industry Best Practices Compliance: Ensure that all email campaigns deployed across multiple internal systems adhere to industry best practices regarding design, accessibility, deliverability, and user engagement., • Campaign Deployment: Oversee the deployment of email campaigns, ensuring timely execution while maintaining the integrity and quality of the final output. Requirements • Experience: Minimum of 1+ years of hands-on experience with Salesforce Marketing Cloud (SFMC)., Klaviyo, Braze, Attentive or any other ESP., • Technical Expertise: Proficiency in HTML, CSS, SQL, and email scripting languages such as Ampscript or Jinja. Strong experience with hand-coding HTML and CSS, particularly for responsive email design., • Email Marketing Experience: 3 to 5 years of experience in the email marketing field, with a focus on email production, preferably using large enterprise email platforms., • Project Management: Proven ability to manage multiple projects and collaborate with internal stakeholders and partners. Strong client-service skills with an ability to manage expectations and deadlines., • Industry Knowledge: Solid understanding of email technologies, best practices, and current trends. Ability to troubleshoot and optimize campaigns for performance and deliverability., • Organizational Skills: Excellent organizational skills with the ability to prioritize tasks and manage multiple campaigns and deadlines with minimal oversight. Our interview process includes, but is not limited to the following: • Cognitive Aptitude, Excel and Typing Test, • Logic assessment on Excel We offer a competitive salary and benefits based on education, experience, and skills level, including: • Unlimited vacation policy, • Monthly Phone Stipend, • Comprehensive Medical, Dental, and Vision insurance options, • 401(K) plan with matching, • Dog friendly office, • Hybrid work opportunity, • Professional Development Program, • Bonus Perk - Seamless allowance Total compensation based on education, experience, and skills level ($58,000-$101,200) • Level 1 - $58,000-$62,000, • Possesses essential capabilities, • Level 2 - $62,000-$71,800, • Possesses developing capabilities, • Level 3 - $71,800-$81,600, • Possesses notable capabilities., • Level 4 - $81,600-$91,400, • Possesses strong capabilities, • Level 5 - $91,400-$101,200, • Possesses advanced capabilities. About WITHIN WITHIN is the world's first Performance Branding company, partnering with some of the biggest brands in the world to drive business growth through innovative marketing strategies. Our integrated operating model collapses the traditional marketing silos between creative and media, performance and brand, and across media channels. With a full suite of offerings including media, creative, SEO, Lifecycle, Retail Media, Affiliate and Influencer, we're able to work with our brand partners in an integrated fashion, allowing us to align marketing strategies back to core business objectives. Client teams at WITHIN are trained on how to always act as a trusted business partner, acting as a fiduciary to client needs above our own. Teams at WITHIN have the ability to work with iconic brands such as The North Face, Timberland, Ben and Jerry's and Jose Cuervo. Everyone at WITHIN wants to grow and be challenged. It's a collaborative place made up of small, closely knit and versatile teams that are fast and adaptive to solve problems and build systems. Check out some of our work! We weave AI into everything we do, using the latest tech across all teams to innovate, work smarter, and make better decisions. Whether it's in creative, operations, or anything else, AI helps us level up and do things at a whole new scale. We expect our people to use AI in their daily work, fully embracing it as a critical tool to help us succeed. Join Our Network! Stay connected with us and be the first to know about new opportunities, industry insights, and updates. Follow us on: • LinkedIn, • WhatsApp Community, • Instagram, • Tik Tok Locations • New York City: 43-01 22nd St, Suite 602, Queens, NY 11101, United States, • Bogotá: WeWork Av. Carrera 19 #100-45 Usaquén, Piso (Floor) 10, Bogotá, Distrito Capital de Bogotá 110111, Colombia, • Mexico City: Av. Insurgentes Sur 1082, Piso (Floor) 2, Oficina 2008, Ciudad de México, CDMX 03100, México AI-Assisted Screening NoticeAs part of our initial application review process, we may use an AI-assisted tool to help compare skills and job titles from your resume with the requirements of the role. This tool evaluates information based on contextual relevance and is used only to support our manual review process. It is not used to make hiring decisions.If you are a resident of New York City and would like to request an alternative evaluation process or a reasonable accommodation, please contact us at legal@within.co.

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, • Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues What You Need to Succeed: • A minimum of 3 years of recent inpatient coding facility experience, • CCS, RHIT, or RHIA preferred, • Strong verbal and written communication skills What Helps You Stand Out: • 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, • Experience in computerized encoding and abstracting software What We Offer: • 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, • 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:$32—$42 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 Job Title: Certified Medical Coder – Inpatient (ICD-10 / ED Coding) Location: Brooklyn, NY Setting: Acute Care Hospital (Inpatient & Emergency Department) Shift: Day Shift | 8:00 AM – 4:00 PM Schedule: Monday – Friday We are seeking an experienced Certified Medical Coder (Inpatient) to support acute care coding operations in a hospital setting in Brooklyn, New York. The ideal candidate will have strong inpatient and emergency department coding experience along with advanced knowledge of ICD-10 coding guidelines and hospital reimbursement standards. This role requires a detail-oriented professional who can accurately code complex inpatient medical records while ensuring compliance with federal, payer, and facility regulations. Responsibilities Perform accurate inpatient and ED coding using ICD-10-CM, CPT, and HCPCS guidelines Abstract and assign diagnoses and procedure codes from clinical documentation Ensure compliance with federal, state, and payer coding regulations Utilize 3M/HDS encoder systems and coding tools for accurate assignment Review clinical documentation for completeness and accuracy Identify and resolve coding discrepancies and documentation issues Maintain productivity and quality standards in a fast-paced environment Collaborate with clinical staff, auditors, and revenue cycle teams Apply anatomy, physiology, and disease process knowledge for accurate coding Participate in coding audits and quality improvement initiatives Requirements High School Diploma or GED required Active certification required (CCS, CCP, RHIA, or RHIT) Minimum 3 years of inpatient coding experience required Strong knowledge of ICD-10-CM coding guidelines Proven experience in inpatient and emergency department coding Familiarity with 3M/HDS encoder systems preferred Strong understanding of anatomy, physiology, and disease processes Ability to research and resolve complex coding issues independently Excellent attention to detail and analytical skills Strong computer proficiency (MS Word, Excel, and coding systems) For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169. About Navitas Healthcare, LLC It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

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

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

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

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

Advanced knowledge of medical terminology, anatomy and physiology, disease process, pharmacology, complex surgical procedures Advanced knowledge of accepted medical abbreviations and their meanings Advanced knowledge of hospital information systems, encoders and other technology to facilitate a su

Direct message the job poster from The Judge Group Healthcare Recruiting Lead - Permanent Placement at The Judge Group Position: Remote E/M Medical Coder Location: Remote (U. This range is provided by The Judge Group. Apprenticeship ("-A") status is acceptable Seniority level Seniority level Associa

This full-time position involves coding medical records using ICD-10-CM, CPT-4, and mentoring junior coders.

High School Diploma Must be available for the required training schedule To apply, please email your resume, including CPC or CCS certification, to NMendesFeitosa@judge.

A healthcare provider is seeking a Clinical Coding Auditor & Trainer to develop training and quality auditing programs.

A healthcare provider is seeking a Coder III for remote work, responsible for coding outpatient services in psychiatry and neurology. Applicants should have CPC or CCS certification and three years of relevant coding experience. Strong expertise in CPT, ICD-10, and HCPCS coding applications is essen

The ideal candidate will enhance billing processes and address claim denials while working remotely, allowing healthcare practices to focus on patient care. A healthcare coding company is seeking remote medical coders responsible for translating patient encounters into standardized codes.

Coding and Medical Records Auditor- Remote Anesthesia Coding Specialist II, PB Coding, Full-time, Days, (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible) Outpatient SDS Coding Specialist, Fully Remote, CCS or RHIT certified, FT, 08A-4:30P Florida, United States $26. HIM Coder (Par

The ideal candidate will have a high school diploma, professional coding credentials, and at least 2 years of coding experience, particularly with ICD-10 and CPT codes.

Customer Communication Help explain model decisions, error analyses, and coding rationales to clients Support customer success and implementation teams in understanding coding outputs Prepare clear written summaries of coding patterns, documentation issues, or model behavior Represent coding acc

MedStar Health’s Washington Hospital Center is seeking a Coding Specialist III to ensure accurate coding for medical services.

Minimum of 3 years of coding experience, with a focus on neurovascular and/or interventional radiology preferred. The ideal candidate will have a strong background in coding complex neurovascular procedures, ensuring accuracy and compliance with official coding guidelines, payer requirements, and or

Key Responsibilities: Assigns and sequences diagnoses and procedures in accordance with ICD-10 CM Official Coding Guidelines, CPT Assistant, Physician at Teaching Hospital Rules and Evaluation and Management Documentation Guidelines Experience with billing, collections from insurance companies and p

Responsibilities: Conducts auditing of work performed by staff and present findings and recommendation for areas of improvement to management Under minimal supervision responsible for all aspects of auditing projects that are broad in nature and require originality and/or ingenuity Assists with r

This may include monitoring and reviewing clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Start Date: 2/24/2025 Contract: 6 month CTH HARD Requirements: Facility outpatient complex coding experience (5+ years experien

Will work with leadership on projects for coding as needed to assist with workflows. Medical coding of Cardiology evaluation and management, Non-Invasive procedures, Remote and Pacer Monitoring, Cardiac Cath and Electrophysiology billing. Maintains coding knowledge and billing regulations associated

Optum is looking for a Medical Coder to join their team in the United States.This role involves assigning accurate diagnostic and procedure codes, ensuring compliance with coding standards, and supporting healthcare providers by validating patient records.Required qualifications include a high schoo

Ovation Healthcare is looking for a Coder, Auditing (PRN) to apply coding standards to medical records and assist in documentation discrepancies resolution.

Integrated Management Strategies is seeking an experienced Medical Coding Auditor to join their healthcare consulting practice. Candidates must possess a coding credential from AHIMA or AAPC and have DoD medical coding experience. This fully remote position involves maintaining contract coder docume

Qualifications 2–5 years of hospital surgical coding experience Experience with outpatient coding CCS, CPC, RHIA or RHIT certifications Experience working with denials Advanced knowledge of medical terminology, anatomy, physiology, pharmacology, and coding guidelines Epic experience Job Det

The ideal candidate must have at least five years of coding experience for physician practices, including various surgical specialties. Responsibilities include accurately coding medical records and preparing reports.

Candidates should have a minimum of 3 years of recent coding experience and relevant certifications. A healthcare staffing agency is seeking a Remote Inpatient Facility Medical Coder to ensure accurate coding of inpatient records.

Analyzing the performance of bill processing contractors by reviewing claim transactions to ensure accurate billing and processing, designing and implementing medical coding studies, and providing analysis and recommendations on medical coding practices, and response to customer inquiries. Benefits:

We’re Hiring: Nurse DRG Auditors (Payment Integrity) + Inpatient & RN Coders | Remote We’re growing and looking for detail-driven, high-impact healthcare professionals to join our team! If you’re passionate about coding accuracy, DRG validation, and revenue integrity, this is your opportunity