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Certified Medical Coder – Outpatient & ED Work Arrangement: 100% Remote - Job Type: Contract " Duration : 8 weeks Job Category: Non-Clinical Schedule: Monday–Friday, 8:00 AM–4:00 PM Hours: 35 hours/week Weekend Requirement: Must be comfortable working one weekend day (Saturday or Sunday) Pay Rate : $35/hr on W2 Job Summary We are seeking an experienced Certified Medical Coder with strong Outpatient and Emergency Department (ED) coding experience. The ideal candidate will have at least 3 years of outpatient coding experience, including experience coding in an emergency room setting Required Qualifications • Minimum 3 years of outpatient medical coding experience., • Emergency Room/ED coding experience required., • Acute care coding experience., • Proficiency with 3M Coding Application., • Knowledge of HDS Coding Application., • Knowledge of ICD-10, ICD-9-CM and CPT-4., • Strong understanding of coding, payer, and federal billing guidelines., • Strong computer skills., • Ability to research and resolve coding issues., • certification CCS CCP AHIMA RHIA RHIT, • High School Diploma/GED required., • English proficiency required. Benefits • Weekly Pay, • Medical Insurance, • Dental Insurance, • Vision Insurance, • 401(k), • Dedicated Recruiter Support Equal Opportunity Employer We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, veteran status, or any other protected characteristic. AI Usage Policy Pacer Group uses AI-assisted technology to support application screening and recruitment processes. Final hiring decisions are made by human recruiters and hiring managers. Interested candidates can send their resumes prabhat@pacerhcs.com or can Text at (610)-484– 5454.

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payors. Researching state and payer regulations to identify areas of risk in a variety of healthcare settings and specialties, coordinating with various team members to ensure clear expectations are communicated and deadlines are met. Qualifications: CPC/CCS-P with a minimum of 5 years of experience in healthcare coding/auditing (E&M, CPT, HCPCS, and ICD-10), with knowledge of professional billing, coding, and documentation practices performed by physicians and other qualified healthcare providers in the outpatient setting. Proficiency in evaluating how well clinical documentation supports medical necessity and the E/M, CPT, and HCPCS codes that were billed, across a wide range of services. Experience in specialties such as primary care, dermatology, vascular, podiatry, wound care, home health, and personal care is preferred. Behavioral health and HCC coding experience is also a plus. Proven ability to identify billing and coding issues including use of modifiers, bundling issues, CCI edits, therapeutic and diagnostic procedures, supplies, materials, injections, drugs, and units of service etc. Solid understanding of both federal and state coding and documentation laws and regulations, applicable fraud statutes, and regulations, and of federal guidelines on recoupments and other anti-FWA activity. Identify and access risk of repayment or recoupment in the event of payor scrutiny. Familiarity with both UB-04 and CMS 1500 claims data, as well as understanding of payor remittances. Knowledge of anatomy, physiology, and medical terminology necessary to appropriately review assignment and documentation of diagnosis codes. Solid working knowledge of various EHR/EMR systems; experience accessing these remotely. Strong organizational skills and task management Highly organized with a high level of attention to detail Ability to work in a fast paced and rapidly changing environment. Skilled at multi-tasking with the ability to handle several different priorities simultaneously. Strong communication skills with experience in articulating audit findings and interpretation of coding regulations Experience with HIPAA, data privacy, and/or data security processes. Experience working with regulators governing (public or private) health insurance carriers. A minimum of AAPC or AHIMA certification required, that could include: • Certified Professional Coder (CPC), • Certified Outpatient Coder (COC™), • Certified Professional Medical Auditor (CPMA), • Certified Risk Adjustment Coder (CRC™), • Certified Coding Specialist (CCS), • Certified Coding Specialist – Physician based (CCS-P) For consideration please email resume and cover letter as attachments with salary expectations to careers22@marwoodgroup.com with the subject title “Certified Coding Auditor.” Marwood offers a comprehensive compensation package with full benefits. We offer a competitive wage, a collaborative work environment and an opportunity to participate in a full benefit package, including, Medical, Dental, Vision, Life, AD&D, Voluntary Life and LTD, Spouse and Dependent Life, 401k Retirement plan with a company match, Commuter, FSA/DCFSA, professional development, and professional certification renewal reimbursement. We offer paid days off, and paid holidays. Marwood prides itself on providing employees with a good work-life balance. There is no travel expected with this position. The position is based in our New York location. Currently working a hybrid schedule. Remote option will be considered. For consideration please email resume and cover letter as attachments with salary expectations to careers22@marwoodgroup.com with the subject title “Certified Coding Auditor.” We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class.

Job Title: RN Coder Summary: We're hiring RNs to oversee and work the claims data and review possible/flagged claims for overpayment. The main part of this job is the clinical decision making where they can either make a determination, ask for more documentation, or escalate to MDs for their review. For example, there are at times heart injuries that are upcoded to heart attacks and the payment is very large and overpaid. The nurses need to be able to review the clinical work and understand the coding and then be able to make the determination of next steps. RM will be getting batches of data with flags and comments of where they need the information and delineation from the clinical staff. They are building out an internal system that will mimic those like Cotiviti, etc. and they nurses will be trained on that program. The cases will be reviews of both inpatient and outpatient but the work will mainly skew inpatient because of the cost of the work. They will be doing both facility and physician billing as well. Overview: We are looking for an RN-Coder Clinical Validation Reviewer to support payment integrity and clinical validation workflows. The ideal candidate is an active RN who also holds a coding credential such as CPC or CCS and has experience reviewing medical records against claims, reimbursement policies, coding rules, or clinical documentation. You will review professional and/or facility claims against medical records to determine whether the billed service, diagnosis, procedure, code, or payment finding is supported. You will document clear clinical and coding rationale, help identify potential overpayments or unsupported claims, and work closely with Akita’s product and operations team to improve AI-supported review workflows. This role is especially well suited for someone who has worked in payment integrity, clinical documentation review, or coding validation. Required Skills: • Active RN license in good standing (state requirements TBC)., • Current CPC or CCS certification required; additional coding credentials are a plus., • Experience reviewing medical records in an inpatient, outpatient, payer, provider, audit, or claims review environment., • Strong understanding of medical terminology, clinical documentation, and claim coding., • Ability to determine whether a claim is supported or unsupported based on the medical record., • Ability to write clear, professional review rationales that could be used in payer, provider, audit, or recovery workflows., • Strong attention to detail and ability to maintain consistent review standards., • Comfort working independently in a hybrid environment, including 2-3 days in office required from our Flatiron office in New York, NY. Preferred Skills: • Experience in payment integrity, clinical validation, DRG validation, coding validation, CDI, utilization review, claims audit, or overpayment review. Familiarity with CPT, HCPCS, ICD-10-CM, ICD-10-PCS, DRG logic, modifiers, CMS/AMA coding rules, CMS coverage policies, or payer reimbursement policies., • Experience with medical claims platforms, coding tools, EHR/medical record systems, or audit/recovery workflows., • Experience working with Medicare Advantage, Medicaid, commercial health plans, or managed care organizations., • Experience reviewing provider disputes, appeals, rebuttals, or audit responses., • Additional credentials such as CIC, CPMA, COC, RHIT, RHIA, CCDS, or CDIP. ? Comfort giving feedback on new software tools, workflows, or AI-generated review outputs. Schedule/Shift: Monday-Friday, 40 hours a week between 8am-6pm EST Pay: $79,000-100,000+ (negotiable DOE) Location: remote or can sit in Flatiron NY office

Certified Medical Coder – Outpatient & ED \n Work Arrangement: 100% Remote - \n Job Type: Contract " \n Duration : 8 weeks \n Job Category: Non-Clinical \n Schedule: Monday–Friday, 8:00 AM–4:00 PM \n Hours: 35 hours/week \n Weekend Requirement: Must be comfortable working one weekend day (Saturday or Sunday) \n Pay Rate : $35/hr on W2 \n \n Job Summary \n We are seeking an experienced Certified Medical Coder with strong Outpatient and Emergency Department (ED) coding experience. The ideal candidate will have at least 3 years of outpatient coding experience, including experience coding in an emergency room setting \n \n Required Qualifications \n\n • Minimum 3 years of outpatient medical coding experience.\n, • Emergency Room/ED coding experience required.\n, • Acute care coding experience.\n, • Proficiency with 3M Coding Application.\n, • Knowledge of HDS Coding Application.\n, • Knowledge of ICD-10, ICD-9-CM and CPT-4.\n, • Strong understanding of coding, payer, and federal billing guidelines.\n, • Strong computer skills.\n, • Ability to research and resolve coding issues.\n, • certification CCS CCP AHIMA RHIA RHIT\n, • High School Diploma/GED required.\n, • English proficiency required.\n\n \n Benefits \n\n • Weekly Pay\n, • Medical Insurance\n, • Dental Insurance\n, • Vision Insurance\n, • 401(k)\n, • Dedicated Recruiter Support\n\n \n Equal Opportunity Employer \n We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, veteran status, or any other protected characteristic. \n \n AI Usage Policy \n Pacer Group uses AI-assisted technology to support application screening and recruitment processes. \n Final hiring decisions are made by human recruiters and hiring managers. \n \n Interested candidates can send their resumes prabhat@pacerhcs.com or can Text at (610)-484– 5454. \n

Audit and QC the coding team’s output for accuracy and compliance with HCC/ICD-10-CM guidelines.Speak directly with providers — writing and following up on provider queries for insufficient or ambiguous documentation.Educate providers on documentation practices that support accurate risk adjustm

Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an.Profee Coder - Internal Med (per diem).We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis.Pay for this role

Job Description Benefits/Perks • Competitive Compensation, • Great Work Environment, • Career Advancement OpportunitiesJob SummaryWe are a warm, "family-feel" Pediatric Office in Hackensack looking for a kind, detail-oriented Manager with a strong understanding of Medical Coding and Billing processes. The ideal candidate has excellent attention to detail, strong organizational and customer service skills. Experience with Pediatric Billing would be a big plus! Offering PTO, Bonus Pay, and Benefits. We would love to welcome you to our practice! Responsibilities • Manage a small group of friendly staff, • Processing insurance claims to private insurance companies, • Review and analyze medical records and documentation to ensure accurate coding and billing, • Assign appropriate diagnosis and procedure codes using ICD-10 and DRG coding systems, • Verify patient insurance coverage and process claims for reimbursement, • Enter all billing and payment information into the EHR/EMR system properly, • Follow up on unpaid claims and resolve billing discrepanciesQualifications, • Proven experience as a Medical Biller / Certified Coder, • Strong knowledge of coding systems and billing procedures, • Proficient in using medical billing software and electronic health record (EHR) systems, • Strong customer service skills, • Strong organization skills, • Excellent attention to detail, • High level of integrity and commitment to patient privacy, • Maintains the highest level of professionalism

Job Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Risk-adjustment / HCC coding leader Type: Contract Compensation: $110/hour Location: Remote Role Responsibilities • Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and ACA risk adjustment programs., • Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance., • Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation., • Conduct and oversee retrospective and prospective chart reviews for risk score optimization., • Manage RADV audit preparation and response processes., • Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes. Qualifications Must-Have • 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role., • Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies., • Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment., • Experience with RADV audit preparation and CMS compliance requirements., • Familiarity with RAPS and EDGE submission processes., • Exceptional written and verbal English communication skills., • High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs. Preferred • CRC (Certified Risk Coder), CCS, CPC, or RHIA credential., • Experience with risk adjustment analytics platforms and chart retrieval systems., • Background in health plan, Medicare Advantage organisation, or value-based care setting., • Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content., • Experience presenting risk adjustment performance to actuarial or executive teams. Application Process (Takes 20–30 mins to complete) • Upload resume, • AI interview based on your resume, • Submit form Resources & Support • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome, • For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Certified Medical Coder (ICD-10) — Multilingual Clinical Documentation & AI Evaluation Type: Contract Compensation: $45–$65/hour Location: Remote Commitment: 10+ hours/week Role Responsibilities • Review clinical documentation for accuracy, completeness, and coding integrity., • Evaluate AI-generated clinical notes against real-world documentation and coding standards., • Annotate clinical documentation against detailed guidelines and provide structured feedback., • Validate alignment between clinical documentation and assigned codes., • Contribute expert input on annotation guidelines and documentation standards., • Work independently and asynchronously with flexible hours to meet deadlines. Qualifications Must-Have • Active certification — at least one of CCDS, CHC, CCS, or CPC., • ICD-10 coding experience., • Currently working in medical coding, clinical documentation improvement, or a closely related documentation role., • US-based., • In addition to English, advanced (C1+) proficiency in at least one other language., • Availability of at least 10 hours per week. Preferred • Additional certifications (CRC, CDIP, or similar)., • Familiarity with Epic., • Experience with HCC or risk-adjustment coding., • Prior AI/ML annotation or model evaluation work experience. Application Process (Takes 20–30 mins to complete) • Upload resume, • AI interview based on your resume, • Submit form Resources & Support • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome, • For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

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 Datavant is migrating its entire retrospective risk adjustment coding platform to next-generation infrastructure and this role sits at the center of that transformation. As Senior PM for Coding Data Platform, you will own the data strategy that moves medical data reliably from customers and internal Datavant partners into the hands of users every day. You will define the roadmap for data ingestion, pipeline reliability, scalability and usage patterns. Beyond the immediate roadmap, this role offers something rarer: the opportunity to develop genuine depth in healthcare data. You will understand how clinical data flows from payer to retrieval to coding; how it gets ingested, transformed, and structured and you will have direct influence over how the underlying platform infrastructure is optimized for downstream consumption by AI models, reporting tools, and client-facing products. If you want to be the person who truly understands the data layer in a healthcare AI company, this is that seat. This is a high-visibility role at the intersection of product, data engineering, ML platform, operations, and client success, with direct influence over the pace and quality of client migrations to Datavant's flagship coding platform. The work is real, the scope is broad, and your decisions directly affect coder productivity and client outcomes, with clear senior sponsorship and visibility to VP and C-suite. What You Will Do • Roadmap & Strategy: Own the product roadmap for the Coding Data Platform. Prioritize across engineering, client, and platform demands and communicate tradeoffs to senior leadership., • Data Integration: Lead Integration strategies with clients and Datavant's retrieval business and transition to the new Document Services layer, including adoption of universal document identifiers across coding systems., • Pipeline Automation: Drive automation of the project setup lifecycle, from data receipt to its availability downstream to end users and define the metrics that make pipeline performance visible and actionable., • Client Data Onboarding: Maintain standardized data specifications and ingestion profiles across MA, ACA, and Medicaid programs. Ensure HIPAA and CMS compliance and reduce manual configuration errors., • Migration Support: Define dual-load strategies, rollback windows, and project routing logic to support client migrations to the next generation platform, • Cross-functional Coordination: Serve as the connective tissue across Data Integration, ML Platform, Data Engineering, Business Intelligence, Retrieval, Operations and Client Success owning RACI clarity and unblocking dependencies. What You Need to Succeed • Experience: 5+ years of product management experience, with at least 2 years in data platform, data integration. Experience as PM at the center of a multi-team platform migration, • Technical fluency in data pipeline concepts, including pipeline architecture, database replication, API design without needing to write code, • Execution-Oriented: Comfortable owning complex problems and delivering results in fast-paced, ambiguous environments What Helps You Stand Out Experience with cloud-based document repositories, Snowflake/Databricks, or OCR/document ingestion pipelines. We are committed to building a diverse team of Datavanters who 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. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. 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 their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is: $170,000—$200,000 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 About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Certified Medical Coder (ICD-10) — Multilingual Clinical Documentation & AI Evaluation Type: Contract Compensation: $45–$65/hour Location: Remote Commitment: 10+ hours/week Role Responsibilities • Review clinical documentation for accuracy, completeness, and coding integrity., • Evaluate AI-generated clinical notes against real-world documentation and coding standards., • Annotate clinical documentation against detailed guidelines and provide structured feedback., • Validate alignment between clinical documentation and assigned codes., • Contribute expert input on annotation guidelines and documentation standards., • Work independently and asynchronously with flexible hours to meet deadlines. Qualifications Must-Have • Active certification — at least one of CCDS, CHC, CCS, or CPC., • ICD-10 coding experience., • Currently working in medical coding, clinical documentation improvement, or a closely related documentation role., • US-based., • In addition to English, advanced (C1+) proficiency in at least one other language., • Availability of at least 10 hours per week. Preferred • Additional certifications (CRC, CDIP, or similar)., • Familiarity with Epic., • Experience with HCC or risk-adjustment coding., • Prior AI/ML annotation or model evaluation work experience. Application Process (Takes 20–30 mins to complete) • Upload resume, • AI interview based on your resume, • Submit form Resources & Support • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome, • For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job Description Medical Coder LaSante Health Center is seeking a detail-oriented in-person Medical Coder to ensure accurate coding and abstraction of patient encounters. The ideal candidate will possess strong analytical skills, attention to detail, and expertise in coding conventions. Responsibilities: Code and abstract patient encounters accurately. Research data for reimbursement needs. Analyze medical records for documentation deficiencies. Review documentation to support diagnoses and procedures. Audit clinical documentation for accuracy. Assign codes for reimbursement and compliance. Provide coding guidance to care providers. Identify and resolve billing issues Complete additional tasks as assigned by supervisor. Ensure compliance with payer guidelines and supports revenue cycle integrity Qualifications: Experience necessary Must be a Certified Medical Coder, CPC / CPC-A Must be capable of working in a fast paced environment

Job Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For: As a Profee 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! What You Will Do: • Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment., • Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc, • Keeps abreast of regulatory changes, • Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution, • Provides coder education via the auditing process, • Function in a professional, efficient and positive manner, • Adhere to the American Health Information Management Association (AHIMA)'s code of ethics, • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession, • High complexity of work function and decision making, • Strong organizational, teamwork, and leadership skills What You Need to Succeed: • 5+ years of Professional Fee coding and/or auditing, • CPC (required), • CPMA (preferred), • Maintain 95% accuracy rate, • Experience with various software including Epic, Cerner, and other prevalent EMRs What We Offer: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager, • Exceptional service-style management and mentorship (we're in this together!) Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. 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 DescriptionDescription: Full time position for medical office manager and medical biller and coder Should be able to manage vaccines, inventory, staff schedules, processing claims, office work flow etc.. Manage office meetings, RCM meetings Requirements: Experience in Medical office management and medical billing and coding is required. Having worked in a pediatric office setting is a plus. Should be able to multi-task and be a team player. Should be proficient in computer skills.

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 Description Hi, we're Oscar. We're hiring a Senior Manager, Revenue Cycle Management to join our Provider Operations team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Senior Revenue Cycle Manager, Provider Operations is responsible for leading and optimizing revenue cycle operations across Oscar Medical Group. The role owns the development and execution of scalable revenue cycle strategies and processes that support accurate coding, compliant billing, timely reimbursement, and overall financial performance. This leader will serve as a subject matter expert in professional billing and coding and will partner closely with clinical, operations, finance, compliance, credentialing, product, to identify revenue cycle risks and opportunities and translate them into actionable operational strategies. The Senior Manager will establish performance standards, controls, reporting, and workflows across the revenue cycle while using data and root-cause analysis to drive measurable improvements in revenue capture, claims performance, coding accuracy, and provider documentation. This role will also provide strategic guidance to OMG leadership on revenue cycle performance, risks, and opportunities as the organization grows and evolves. You will report into the Director, Clinical Operations. Work Location: This position is based in our New York City, NY office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $135,792.00 - $178,227.00 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Own the strategy and performance of OMG's revenue cycle function, including professional billing, coding, claims management, denials, eligibility, documentation, and related workflows., • Serve as the senior subject matter expert for coding and billing, including CPT, ICD-10-CM, HCPCS, modifiers, CCI/NCCI edits, and payer requirements., • Establish and monitor revenue cycle KPIs and controls, using data and root-cause analysis to improve clean claims, coding accuracy, reimbursement, denial rates, and overall financial performance., • Lead coding and documentation integrity strategies, including pre- and post-bill review, provider queries, addendums, signatures/co-signatures, identification of inappropriate documentation practices or cloning, and proactive provider education to address documentation gaps and support accurate coding., • Lead denial prevention and resolution strategies, identifying systemic trends and partnering across teams to implement sustainable corrective actions., • Partner with clinical leadership on ICD-10/HCC documentation and coding, identifying opportunities to improve accurate capture of clinically supported diagnoses., • Evaluate payer-specific performance, requirements, and coding considerations, developing strategies to address reimbursement, eligibility, claim edits, denials, and other revenue cycle issues while incorporating payer expertise into coding and operational processes., • Partner cross-functionally with Clinical Operations, Finance, Compliance, Credentialing, Product/Technology, and other stakeholders to resolve complex revenue cycle issues and support new programs and services., • Develop scalable revenue cycle policies, workflows, governance, and vendor oversight to support a growing, multi-state provider organization., • Advise OMG leadership on revenue cycle performance, financial opportunities, operational risks, and recommended strategies, leading complex initiatives from identification through implementation and measurement., • Compliance with all applicable laws and regulations, • Other duties as assigned Requirements: • 7+ years of progressive experience in healthcare revenue cycle, professional billing, coding, or related healthcare operations., • 3+ years of experience leading revenue cycle programs, teams, or functions with accountability for operational and/or financial outcomes., • Advanced knowledge of professional billing and coding, including CPT, ICD-10-CM, HCPCS, modifiers, CCI/NCCI edits, claims management, denial management, and payer requirements., • Experience developing and executing revenue cycle strategies that improve coding accuracy, claims performance, reimbursement, and overall financial outcomes., • Experience with coding and clinical documentation integrity, including provider documentation review, provider queries, and pre- and post-bill review processes., • Demonstrated ability to analyze complex revenue cycle data, identify trends and root causes, and translate findings into actionable strategies and recommendations., • Demonstrated experience leading complex, cross-functional initiatives, partnering with clinical, operations, finance, compliance, credentialing, and other stakeholders to drive results., • Strong executive communication skills, with the ability to clearly communicate complex revenue cycle performance, risks, opportunities, and recommendations to senior leadership. Bonus points: • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician-based (CCS-P), Certified Professional Medical Auditor (CPMA), or comparable coding/revenue cycle certification., • Experience leading or overseeing coding professionals and/or certified coders., • Experience working within a multi-state medical group, telehealth organization, or other complex healthcare delivery environment., • Experience working within both provider and payer environments, providing an understanding of revenue cycle from both perspectives., • Experience with risk-adjustment coding, including ICD-10/HCC documentation and coding practices., • Experience with credentialing and payer enrollment processes and their downstream impact on revenue cycle performance., • Experience managing external revenue cycle, coding, or billing vendors. This is an authentic Oscar Health job opportunity. 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 Description ENGLEWOOD ORTHOPEDIC ASSOCIATES JOB DESCRIPTION Department: Billing Title: Medical Biller Location: Englewood Cliffs Supervision Received: Reports to Team Lead Englewood Orthopedic Associates is currently recruiting a Full-Time Temporary Medical Biller Individuals must be experienced in medical billing, and initiate & monitor prior authorizations. Candidate Qualifications and Position Responsibilities: • The Medical Billing Specialist applying must have 2 or more solid years of medical billing and authorization experience., • Performs ongoing prospective coding and documentation chart reviews for physician services to ensure that the coding supports the services billed., • The candidate should have excellent oral and writing skills., • Proven experience in insurance verification and obtaining authorizations for office and hospital procedures, • Preparing, reviewing, and submitting claims, • Researching and appealing denied claims, • Ability to multi-task, efficient, while providing high standards of customer service., • Provide account and billing information to patients, explain to patients the reason for their balance., • Other duties as assigned., • Preferred Orthopedic experience but not required, • Preferred Certified Professional Coder (CPC) Typical Physical Demand: Involves sitting for prolonged periods of time. Englewood Orthopedic Associates is an Equal Opportunity Employer. Job Type: Temporary Full-time Benefits: • 401(k), • Dental insurance, • Flexible spending account, • Health insurance, • Life insurance, • Paid time off, • Vision insurance Schedule: • 8 hour shift, • Monday to Friday Ability to Commute: • Englewood Cliffs, NJ 07632 (Required)

Job DescriptionJob Title: Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets. No prior AI experience is required—your coding expertise and attention to detail are what matter most. Key Responsibilities Review and annotate medical records to accurately assign ICD-10 and CPT codes based on clinical documentation. Apply Evaluation & Management (E&M) guidelines to assess coding levels and validate healthcare datasets. Ensure compliance with current medical coding standards and guidelines. Analyze clinical documentation and identify coding-related ambiguities or inconsistencies. Provide expert feedback on coding guidelines, edge cases, and documentation scenarios. Collaborate with project teams through written and verbal communication to improve AI training data quality. Required Skills Medical Coding ICD-10 CPT CPC Certification Evaluation & Management (E&M) Clinical Documentation Review Coding Accuracy & Compliance Attention to Detail Written & Verbal Communication Preferred Qualifications Active AAPC Certified Professional Coder (CPC) certification required. Strong knowledge of ICD-10, CPT coding systems, and E&M leveling guidelines. Experience working with diverse clinical documentation types. Ability to interpret complex medical records and apply appropriate coding standards. Strong written and verbal communication skills. Familiarity with digital annotation tools or healthcare data projects is a plus. Commitment to accuracy, quality, and continuous learning in healthcare coding and technology

Job DescriptionJob Title: Billing & Credentialing Manager (hybrid), MDLand/iClinic EMR experience A BIG PLUS Location: Hybrid - 3 days a week across offices in Manhattan, New York City with option for 2 work from home days. Salary: $100,000 - $120,000 (Dependent on Experience). Hours: 40 hours/week. About Us: Join our dynamic outpatient medical practice specializing in primary care, endocrinology, psychotherapy, and dermatology. Located in the heart of New York City, we are committed to providing exceptional care to our diverse patient population. Our dedicated team thrives on professionalism, innovation, and a patient-centric approach. Position Overview: We are seeking an experienced Billing Manager to oversee our billing and collections process for 2,000-4,000 claims per month. This role is integral to maintaining the financial health of our practice while ensuring compliance with policies and regulations. The ideal candidate will have at least 5 years of experience in medical billing & credentialing, including supervising a billing team, and will ideally possess expertise in MDLand EMR. If you are detail-oriented, organized, and ready to make an impact, we want to hear from you! Key Responsibilities: • Manage the billing and collections processes for all services rendered, ensuring accuracy and timeliness., • Ownership of provider credentialing with all our contracted payors for new applications and maintenance of existing ones, including Medicare and NYS Medicaid, • Supervise and mentor the billing team, fostering a collaborative environment and promoting best practices in the billing workflow., • Oversee the submission of insurance claims and follow up on outstanding claims., • Analyze billing data and generate reports to identify trends and discrepancies., • Work closely with healthcare providers and office managers and staff in daily operations to resolve billing issues and ensure optimal revenue cycle management and clinical workflows, • Maintain compliance with billing regulations and guidelines., • Provide training and support to staff on billing procedures and software usage., • Develop and implement strategies to enhance billing efficiency and collections. Qualifications: • Certified Professional Coder (CPC) certification required., • Proven experience (minimum of 5 years) in medical billing and collections, including supervising a billing team., • Billing experience with primary care practice in NYC is a big plus, • Strong understanding of medical coding, billing regulations, and reimbursement processes., • Experience with MDLand is a big plus, • Excellent analytical and problem-solving skills., • Exceptional communication and interpersonal skills., • Ability to work independently in a remote environment while managing multiple tasks effectively. What We Offer: • Competitive salary and benefits package., • A supportive remote work environment with flexible scheduling., • Opportunity to be part of a dedicated team focused on patient care and satisfaction., • Professional development and growth opportunities within the organization. How to Apply: If you are interested in this exciting opportunity, please submit your resume along with a cover letter outlining your relevant experience. We look forward to welcoming a new member to our team who shares our commitment to quality healthcare!

Job Description About Us PBACO supports independent physicians with the tools, services and incentives to thrive - without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You're not just a participant - you're our partner. Position Overview The Healthcare Practice Transformation Specialist will serve as a key liaison between physician practices and our organization. This role combines EHR training, clinical documentation review, risk adjustment coding, and billing support. The ideal candidate will be a Certified Professional Coder (CPC) with strong experience in Medicare, risk adjustment, and healthcare analytics. Key Responsibilities • Manage and support a physician network to ensure successful EHR integration and troubleshooting., • Consult with medical practices to analyze workflows, configure EHR systems, and develop customized training plans., • Train physicians and office staff on EHR best practices, regulatory compliance, and specialty-specific workflows., • Review clinical documentation and medical records to ensure accurate ICD-10, CPT, and HCPCS coding for risk adjustment and quality gap closure., • Conduct coding audits and provide education to providers on compliant documentation., • Monitor payer guidelines and coding updates, especially for Medicare Advantage and accountable care organizations., • Assist with billing, claims submission, payment posting, and collections as needed., • Perform financial analysis and reporting using Microsoft Excel (pivot tables, trend analysis)., • Analyze denial reports, identify trends, and recommend corrective actions., • Support quality improvement initiatives by ensuring accurate coding for chronic conditions., • Answer patient billing and claims questions in a professional and clear manner., • Maintain compliance with HIPAA, coding regulations, and company policies., • Participate in special projects, audits, and continuous process improvement initiatives. Qualifications • Certified Professional Coder (CPC) or equivalent certification., • Experience with Medicare Advantage (MA) plans, risk adjustment, or insurance companies., • High school diploma or GED required; associate’s or bachelor’s degree preferred., • 2+ years of medical coding, billing, or risk adjustment experience., • Proficiency in EHR systems (Athena, eClinicalWorks, or similar) and MS Office Suite (Excel expertise strongly preferred)., • Strong knowledge of ICD-10, CPT, and HCPCS coding and regulatory compliance., • Excellent communication and training skills for working directly with providers and staff. This position requires 50-75% local travel and is eligible for standard IRS mileage reimbursement.

Job Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Coding Manager / HIM Coding Leader Type: Contract Compensation: $80/hour Location: Remote Role Responsibilities • Oversee professional fee and/or facility inpatient coding operations. Ensure accuracy, productivity, and compliance with coding guidelines., • Evaluate AI-generated coding assignments, including ICD-10-CM/PCS, CPT/HCPCS, and DRG assignments. Ensure accuracy and compliance., • Conduct coding quality audits. Provide targeted feedback to coding staff and AI systems., • Monitor coding KPIs, including coder productivity, accuracy rates, unbilled accounts, and claim denial rates due to coding errors., • Manage coding workflow queues, work distribution, and turnaround time compliance., • Collaborate with CDI, billing, and compliance teams. Address coding-related revenue integrity issues. Qualifications Must-Have • 5+ years of experience in medical coding. At least 2 years in a coding manager or HIM leadership role., • Expert knowledge of ICD-10-CM/PCS, CPT/HCPCS, and Official Coding Guidelines., • Proficiency in professional fee (profee) coding and/or facility inpatient coding with DRG assignment experience., • Experience conducting coding audits and developing coding quality improvement programs., • Proficiency with coding software (3M, Nuance, Optum360, TruCode) and EHR platforms., • Exceptional written and verbal English communication skills., • High attention to detail. Ability to identify coding errors, compliance risks, and AI output inaccuracies. Preferred • CPC, CCS, RHIA, or RHIT credential., • Experience with computer-assisted coding (CAC) tools and NLP-based coding platforms., • Background in inpatient facility coding with DRG optimisation experience., • Familiarity with AI coding tools. Comfort evaluating AI-generated coding assignments., • Experience presenting coding performance data and quality metrics to leadership. Application Process (Takes 20–30 mins to complete) • Upload resume, • AI interview based on your resume, • Submit form Resources & Support • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome, • For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

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 About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Coding Manager / HIM Coding Leader Type: Contract Compensation: $80/hour Location: Remote Role Responsibilities • Oversee professional fee and/or facility inpatient coding operations. Ensure accuracy, productivity, and compliance with coding guidelines., • Evaluate AI-generated coding assignments, including ICD-10-CM/PCS, CPT/HCPCS, and DRG assignments. Ensure accuracy and compliance., • Conduct coding quality audits. Provide targeted feedback to coding staff and AI systems., • Monitor coding KPIs, including coder productivity, accuracy rates, unbilled accounts, and claim denial rates due to coding errors., • Manage coding workflow queues, work distribution, and turnaround time compliance., • Collaborate with CDI, billing, and compliance teams. Address coding-related revenue integrity issues. Qualifications Must-Have • 5+ years of experience in medical coding. At least 2 years in a coding manager or HIM leadership role., • Expert knowledge of ICD-10-CM/PCS, CPT/HCPCS, and Official Coding Guidelines., • Proficiency in professional fee (profee) coding and/or facility inpatient coding with DRG assignment experience., • Experience conducting coding audits and developing coding quality improvement programs., • Proficiency with coding software (3M, Nuance, Optum360, TruCode) and EHR platforms., • Exceptional written and verbal English communication skills., • High attention to detail. Ability to identify coding errors, compliance risks, and AI output inaccuracies. Preferred • CPC, CCS, RHIA, or RHIT credential., • Experience with computer-assisted coding (CAC) tools and NLP-based coding platforms., • Background in inpatient facility coding with DRG optimisation experience., • Familiarity with AI coding tools. Comfort evaluating AI-generated coding assignments., • Experience presenting coding performance data and quality metrics to leadership. Application Process (Takes 20–30 mins to complete) • Upload resume, • AI interview based on your resume, • Submit form Resources & Support • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome, • For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Work Locations: With the exception of some select roles that have in-office requirements, A+E Global Media operates on a flexible model that allows for remote, hybrid or full time in office work (in certain locales). Office locations include New York City, Los Angeles, Chicago, and Stamford, CT. Our list of eligible states in which employees may work remotely includes: California, Connecticut, Florida, Georgia, Illinois, Indiana, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Hampshire, New Jersey, New York, North Carolina, Oregon, South Carolina, South Dakota, Texas, West Virginia, Wisconsin, and Wyoming. A+E's Technology team is deep-rooted in the heart of our business. We have great people and great technologies, and together we take on the toughest challenges. As innovators, we choose to iterate, pivot, and adapt quickly. We've reinvented the way A+E leverages technology to produce and sell world-class content. We've modernized our core solutions and embraced a cloud first approach. Perched on the virtues of our "Technology Code", we make technology better, create solutions together, and most of all, we have fun with it. Our team members are motivated individuals who help each other do remarkable things every day. Together we deliver best-in-class solutions that transform the way A+E works. If this sounds like something you want to be a part of, we want to hear from you! THE ROLE: Director, Applied AI & Strategy We are seeking a Director, Applied AI & Strategy who views "doing more with less" as a creative challenge, not a budget constraint. In this role, you will be the architect of our internal productivity revolution. Partnering across business functions as well as within Technology & Operations, you will analyze medium-to-highly complex workflows, identify opportunities to apply agentic AI, design those agentic interventions, and help implement those, thus freeing up our people for higher-value work. This is a "boots-on-the-ground" leadership role for someone that has demonstrated the ability to build production-grade AI solutions using LLMs and agents. Ideally, you are also someone that has experience with the modern concept of harness engineering, using popular coding agents for orchestrated software development. Additionally, you should be external-focused and have your finger on the pulse of AI advancements that are relevant to our business. MORE ABOUT WHAT YOU'LL DO: Hands-on AI Orchestration • Rapid Prototyping: Rapidly prototype and demonstrate agentic solutions that can make existing workflows more efficient. Based on business feedback, you will refine those prototypes to align with what needs to be built for production. You will help provide cost estimates required to build the business case and make a decision., • Agent Development: Help build and deploy production grade AI agents using various AI tools, incorporating guardrails, evaluations, and observability to ensure accuracy, reliability, and safety., • Agent Integration: Integrate AI agents with enterprise resources through MCP. Integrate enterprise applications, including legacy, with agents through APIs., • Partner with Legal & Business Affairs (L&BA) and Cyber Security to ensure AI adoption respects guardrails and governance., • Define and track Productivity & ROI measuring hours reclaimed, cost savings and increase in efficiency., • Maintain composability in toolsets to ensure future agility. Industry Insights • Stay at the forefront of AI developments specifically relevant to the Media Industry and update leadership on findings., • Move beyond updates to provide leadership with actionable "Buy, Build, Ignore" frameworks based on the relevant AI tools that solve friction points for media & entertainment. Administration • Translate high-level leadership vision into a tactical technical roadmap, prioritizing workstream that yield the highest ROI., • Rigorously manage scope and stakeholder expectations to move from Proof-of-Concept to Production-Ready., • Perform technical and functional audits of emerging AI tools that align with media industry workflows., • Create sensible budgets in high-ambiguity environments. BASIC REQUIREMENTS: • Bachelor's degree or demonstrated practical experience., • 8+ Years of total experience in a technical function (i.e. Solutions Architecture, Digital Transformation, or Technical Operations) with a proven track record of delivering enterprise-grade solutions and advanced workflow integration including demonstrated experience in systems integration and workflow automation., • Expert in architecting logic across complex SaaS ecosystems, not just automation., • 2+ years of hands-on experience building with LLMs for production ready agents. This must include demonstrated proficiency in advanced prompting techniques, multi-agent orchestration, RAG Frameworks and a solid grasp of unstructured content and techniques for curation, enrichment, and accurate retrieval for injecting context into LLMs., • 3+ years of experience managing complex stakeholder relationships, with a proven ability to translate high-level business strategy into tactical execution plans, • Rapid Prototyping: Demonstrated ability to act as a "Vibe Coder", utilizing AI-augmented development tools (i.e. Cursor, Replit, Claude, etc) to ship functional code and automations at high velocity., • Hands-on experience implementing RAG architectures at scale and/or fine-tuning large language models., • Certifications in AI/ML technologies and cloud platforms will be an added advantage, • Background in statistical modeling or mathematics is a plus. Compensation Annual Pay Range: $188,034 - $220,000Annual Incentive Target: 17.50% The annual/hourly pay range displayed serves as a good faith estimate of the minimum and maximum base pay range for this role. Compensation for the role will be based on a number of different factors such as a candidate's qualifications, skills, competencies, location, and experience. A+E offers a competitive total compensation package, which includes healthcare coverage, 401k matching, and a range of other benefits. Learn more at www.aegm.com/careers. A+E Global Media proudly provides equal employment opportunity for all employees and job applicants, and makes employment decisions consistent with this principle. The company's employment actions and decisions including recruitment, hiring, training, promotion, demotion, compensation, transfer, layoff, and termination are made without regard to an employee's race, color, religion, creed, age, national origin, ancestry, sex (which includes pregnancy, childbirth, breastfeeding, and related medical conditions), gender, sexual orientation, gender identity, gender expression, marital status, alienage or citizenship status, physical and/or mental disability, medical condition, family and medical leave status, genetic information, military or veteran status, or any other characteristic protected by applicable law. A+E Global Media is a joint venture of the Hearst Corporation and The Walt Disney Company. We are proud to be an Affirmative Action/Equal Opportunity Employer/Disabled/Veterans.

NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Work Shifts: 9:00 A.M 5:00 P.M Purpose of Position: Under direction, provides centralized oversight of medical records and coding staff specializing in health information and clinical documentation management to ensure the maximum clinical documentation quality and coding. Analyzes and reviews provider documentation, claims and clinical data to ensure accuracy of all reported International Classification of Diseases (ICD) diagnoses and procedure codes to the highest-level descriptor to support the patient's acute/chronic conditions and treatment plans as well as reflect the appropriate severity of illness/risk of mortality of NYC Health + Hospitals' patient population. Performs quality reviews of health information documentation, contributes to the proper reporting of code assignment in order to facilitate consistent and efficient claims processing, data collection and quality metrics. Ensures patient centered quality of care; providing optimal utilization of resources, service delivery, and adheres to all relevant regulatory policies, procedures, and meet standards of care for better outcomes and improved patient experience. Essential Duties and Responsibilities: Performs pre-visit/retrospective current and/or longitudinal reviews for completeness. In addition, substantiate all ICD Procedural Coding System (PCS) diagnostic and therapeutic procedures or the AMA Current Procedural Terminology (CPT) Codes are reported affecting utilization and statistics. Captures and assesses physician documentation and queries for compliance in accordance with established guidelines, conventions and industry standards and meet the criteria for the ICD diagnoses codes used for Risk Adjustment Factors (RAF) scores to identify areas for educational opportunity for clinical and non-clinical staff, which will impact patient care and supportive services. Generates physician queries based on documentation and clinical indicators for suspected conditions that impact quality and/or reporting, so the physician may consider a definitive diagnoses and/or document clarification of specificity as requested into the health record. Provides feedback to facility staff on missed opportunities for documentation improvement. Ensures adherence to established policy and procedures. Engages in the evaluation of administrative systems employed in maintenance and utilization of health information records. Performs data quality assurance reviews for system functions and usage. Analyzes usage reports to identify trends in documentation inconsistencies, inadequacies and other issues to determine root cause, including but not limited to focused reviews i.e. Patient Safety Indicators (PSI) and Hospital Acquired Conditions (HAC) and identify process improvement opportunities in collaboration with the Quality professionals. Performs post-billing quality reviews and analysis of coding edits to identify resolution, automation, education or re-training to facilitate the processing of clean claims for billing. Participates in the denial review process to establish evidence of clinical or documentation to support the current billing which may include writing an appeal letter with said evidence to retain proper reimbursement. Ensures all denials are responded to in a timely manner for tracking and provides feedback to appropriate staff, as needed. Assists in the development, implementation and management of performance standards and strategic planning through preparation and/or presentation of financial statistics for Enterprise-level reporting for physician advisors, clinical leadership and key stake holders. Responsible for maintaining knowledge of regulations and updates in the reporting of ICD codes, disease pathophysiology and documentation requirements. Provides updates to staff, as necessary. Participates in the development and/or facilitating of training programs that provide systemwide education on documentation requirements in various healthcare settings, reimbursement and regulatory changes. Participates in facility new associate orientation, instructs and mentors appropriate staff, as needed. Acts as a subject matter expert resource and liaison with internal and external professional groups. Acts as a departmental representative on various committees or work groups. Assists in interdisciplinary efforts to review existing documentation and coding policies and procedures and makes necessary recommendations for improvement. May participate in performance measures and research activities. Performs related duties, as assigned. 1. Three (3) years of clinical experience as a Registered Professional Nurse (RN) and an additional two (2) years of Clinical Documentation experience; and valid certification from a nationally accredited organization in Coding or Clinical Documentation; or 2. One (1) year of clinical experience as a Nurse Practitioner (NP) or Physician Assistant (PA) and an additional two (2) years of Clinical Documentation experience; and valid certification from a nationally accredited organization in Coding or Clinical Documentation; or 3. Medical School Graduate; and two (2) years of medical record review, utilization review or case management experience; and valid certification from a nationally accredited organization in Coding or Clinical Documentation; or 4. Valid Registered Health Information Administrator (RHIA) credential from the American Health Information Management Association (AHIMA) or a Registered Health Information Technician (RHIT) credential from AHIMA; and three (3) years of satisfactory experience in Diagnosis-Related Group (DRG) validation and coding; or 5. High school diploma or its educational equivalent; and valid coding certificate from a nationally accredited association (i.e., Certified Coding Specialist (CCS) from AHIMA or Certified Professional Coder (CPC)); and six (6) years of satisfactory experience in coding, abstracting medical records and DRG validation in a healthcare environment. NYC Health and Hospitals offers a competitive benefits package that includes: Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts Loan Forgiveness Programs for eligible employees College tuition discounts and professional development opportunities College Savings Program Union Benefits for eligible titles Multiple employee discounts programs Commuter Benefits Programs

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Analyzes

Northwestern Medicine is seeking a medical coder to assign ICD-10-CM and CPT-4 codes for outpatient visits, leveraging technical coding expertise.

Certified Coding Specialist (CCS) by AHIMA, Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) or Certified Medical Billing Specialist (CMBS) by the Medical Association of Billers (MAB); and two (2) years of experience in coding and/or abstracting medical record

AHIMA or CAHIIM); and one (1) year of experience in coding and/or abstracting medical records in a health care setting; or Certified Coding Specialist (CCS) by AHIMA, Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) or Certified Medical Billing Specialist (CMB

We are looking for coders who can commit to a minimum of 20 hours per week, as business needs require Experience with Surgery, Professional Fee, IP, Auditing is A PLUS Certification: Candidates hired for Outpatient Medical Coding position must possess one of the following certifications: American He

Position Summary: We have an exciting opportunity to join our team as a Revenue Integrity Analyst (FGP) - Manhattan, CBO North Billing. Reporting to the Assistant Director, Professional Billing, the Revenue Integrity Analyst is responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection and ensures the overall integrity of the charge capture process. The incumbent will also assist with the identification of front-end operation improvements in the Faculty Practices. Job Responsibilities: • Conducts internal audits and reviews activities to improve the revenue cycle, claims production and coding integrity., • Assist with special projects on as-needed basis., • Provides onsite support and assistance for new practices; train the staff on workflows and EPIC Charge and Edit work queues., • Monitor the Ambulatory Open Encounters report to ensure that charges are submitted time., • Leads and participates in moderately complex projects related to revenue cycle initiatives., • Analyzes billing error and denial data to identify root causes. Executes on work plans to correct identified deficiencies., • Conducts special projects and special studies to facilitate revenue management as required for system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc., • Identify front-end operation improvements and assist with the conduct re-retraining., • Provides guidance and education related to billing and charge capture of services to multiple staff levels; facilitates proper recording of transactions in compliance with state, federal, and other third-party payer guidelines., • Maintains collaborative relationships with internal and external teams to ensure integration and alignment of department priorities., • Reviews, monitors, and facilitates implementation of billing and coding changes affecting charge capture processes in accordance with payer requirements., • Performs charge reconciliation process to ensure that charges are captured., • Performs various financial analyses and provides recommendations based on activities. Review monthly FGP revenue cycle metrics for areas of improvement within practices., • Implements charge capture corrective measures and monitoring tools to ensure sustainability of changes; performs, reviews, and monitors statistics and key performance indicators to identify improvement opportunities., • Works directly with Faculty Practice Billing Coordinators on developing and maintaining solvency within each practices revenue cycle. Review, monitors and tracks charge and edit work queues of each billing coordinator and provide support if needed. Minimum Qualifications: Bachelors degree and 4-6 years of auditing, revenue cycle management experience in a health care environment or equivalent combination of education and experience. Strong interpersonal communication and presentation skills, effectively presenting information to management, faculty practice groups and individuals Excellent organizational and project management skills. Strong time management, attention to detail, and follow through. Well-developed research skills. Strong knowledge of revenue cycle process, revenue integrity and its impact throughout the revenue cycle. Knowledge of: Current Procedures Codes (CPT) and International Class of Diseases Codes (ICD9/10) utilized in medical billing; medical billing software; healthcare billing including Medicare, Medicaid, or other third party payers; terminology utilized in medical billing; English usage, grammar, and spelling; basic math. Ability to: plan, schedule, assign, coordinate, and evaluate the work of billing staff; provide training; read, interpret, and apply policies and procedures; draw conclusions, and make recommendations; exercise independent judgment; maintain effective working relationships with subordinates, superiors, and others; maintain confidentiality. Preferred Licenses: Certified Professional Coder Preferred Qualifications: CPC Certification. Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family. NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $70,481.60 - $94,605.00 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

The purpose of DRG validation is to confirm that diagnostic, procedural information, and the discharge status of the beneficiary, as coded and reported by the hospital on its claim, matches both the attending physician's description and the information contained in the beneficiary's medical record. Responsible for performing quality reviews of medical records to validate correctness and appropriateness of the assigned International Classification of Diseases, 10th Revision (ICD-10-CM and ICD-10-PCS) codes and the Diagnosis Related Groups (DRG). The CRM reviews the physician documentation for specificity, completeness and quality to support coding accuracy, and to identify physician query opportunities to improve the documentation. The CRM will follow the official coding rules, guidelines and conventions to validate coded data and ensure high quality and compliance with regulatory requirements. The CRM works in conjunction with the Associate Director and Director of DRG Validation to help develop coding education and training and institutional coding policies to achieve coding excellence. • Performs SMART focused reviews on ICD-10-CM/PCS coded inpt medical records to validate accuracy of codes assigned, selection of principal diagnosis/principal procedure, & to identify missed addt'l diagnoses/procedures in accordance w/ coding guidelines., • Validates the accuracy and appropriateness of the DRG assignments flagged pre-billing., • Determines if a secondary review is required to verify assignment of Patient Safety Indicators, HAC, Clinical Documentation Improvement,Sepsis and any other charts meeting criteria for secondary review., • Initiates an MD query to clarify documentation in the medical record for documentation, integrity and accurate code assignment essential to support documentation of medical diagnoses or conditions that are clinically evident., • Reviews coder queries to determine if the query is supported and generates query to provider., • Reviews cases with coding and/or DRG changes proposed by insurers, vendors, PFS to reconcile coding and/or DRG discrepancies., • Provides feedback to coders on all coding changes thru SMART by documenting detailed rationale for change in both SMART and 3MHDM., • Updates Artifact, 3M-360 and HDM with all query responses and selects the correct response to designate impact., • Investigates reason for unbilled accounts or PFS edits due to diagnoses, procedures or DRGs, acts to combine stays, clears SPARCS edits, & provide missing dates of procedures or dialysis treatment. Resolves edits and rebills cases in 3M., • Reviews and reconciles DRG discrepancies between DRGS/APR's and the Clinical Documentation Quality Improvement (CDQI) department. Develops and maintains a close working relationship with CDQI staff., • Consistently meets established productivity and quality targets for work assignments., • Responds timely to email notifications and team messages from DRGV management., • Communicates, cooperates and maintains open communication with DRG management, CDI, Coders, and departmental staff., • Adheres and enforces all requirements related to HIPAA and confidentiality, privacy and security of patient records., • A strong background in anatomy, physiology, pharmacology and working experience with ICD-10-CM and ICD-10-PCS coding is required., • Minimum of 3 to 5 years of experience coding in an acute care hospital. Validation and auditing experience preferred., • Excellent current knowledge of MS-DRGs, APR-DRGs reimbursement methodology., • CSS Certification required, • Good working knowledge of electronic health records, registration and data systems., • Microsoft Office Suite Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. • Job Identification 3033986, • Job Category Professional, • Posting Date 01/15/2026, 07:26 PM, • Job Schedule Full time, • Job Shift Day, • Locations 485 Madison Ave, New York, NY, 10022, US

Medical Office Manager And Medical Biller And Coder.Full time position for medical office manager and medical biller and coder.Should be able to manage vaccines, inventory, staff schedules, processing claims, office work flow etc.Manage office meetings, RCM meetings.Experience in medical office mana

MetroPlusHealth in New York seeks a Clinical Certified Coder to support fraud detection and investigations in the Special Investigations Unit.The successful candidate will review medical records and claims, conduct audits, and collaborate with the team on suspected fraudulent activities.A minimum of

Job DescriptionBenefits: • Dental insurance, • Health insurance, • Paid time off, • Vision insurance About the Role We are seeking a highly organized and detail-oriented RCM Coordinator to join our Revenue Cycle Management team. This role serves as an operational hub between coding, billing, clinical staff, and payers — coordinating daily RCM workflows, monitoring claim status, resolving front-line issues, and keeping communication flowing so the revenue cycle runs smoothly from patient encounter to payment posting. This is a full-time, on-site role located in our Somerset, NJ office. Key Responsibilities Daily Coordination & Communication • Monitor and manage the shared RCM/billing mailbox daily — triage payer correspondence, denial notices, patient billing inquiries, and internal requests, routing each to the right team member and responding within SLA., • Serve as the first point of contact for coding, billing, and collections questions from internal clinical and administrative staff., • Coordinate communication between coders, billers, physicians, nurse practitioners, and payers to resolve documentation gaps or claim holds., • Maintain and update trackers/logs (claims in process, denials, pending documentation, escalations) and share status updates with the RCM Manager., • Make outbound calls to patients to verify insurance coverage and update account information as needed. Claims & Billing Workflow Support • Track claims through the full billing cycle — submission, clearinghouse acceptance, payer adjudication, denial/appeal, and payment posting., • Review claim edits, rejections, and clearinghouse reports; route corrections to the appropriate coder or biller and follow up to closure., • Support timely charge entry and claims submission by confirming encounters, documentation, and coding are complete and ready for billing., • Assist with insurance verification, eligibility checks, and prior authorization tracking as needed., • Help prepare and distribute daily/weekly RCM reports (claims submitted, denials, AR aging, first-pass acceptance rate). Denial & AR Follow-Up • Log and categorize denials, identify trends, and escalate recurring issues to coding, billing, or payer contacts., • Support timely appeals by gathering documentation, correcting claims, and coordinating resubmission with the billing team., • Follow up on aged accounts receivable and outstanding payer balances, documenting all activity in the practice management/EHR system. Compliance & Process Improvement • Ensure all coordination activities comply with HIPAA, CMS, and payer-specific telehealth billing guidelines., • Identify workflow bottlenecks and recommend process improvements to reduce denials and improve first-pass acceptance rate (FPAR)., • Maintain accurate, organized documentation and audit trails to support pre-billing and compliance reviews., • Stay current on payer policy changes, telehealth regulations, and RCM industry best practices. Required Qualifications • High school diploma or equivalent required; Associate's degree in healthcare administration, business, or related field preferred., • 4–6 years of experience in medical billing, revenue cycle, or healthcare administrative coordination (telehealth or outpatient setting a plus)., • Working knowledge of ICD-10, CPT, and HCPCS coding concepts, and payer billing requirements (Medicare, Medicaid, Commercial, CCM, RPM)., • Proficiency with EMR/EHR and practice management/billing software, plus strong Microsoft Office/Outlook skills., • Excellent written and verbal communication skills; comfortable managing high email and phone volume and cross-team follow-up., • Strong organizational skills and attention to detail in a deadline-driven RCM environment., • Ability to multitask, prioritize, and track multiple open items to resolution. Preferred Skills • Coding or billing certification (CPC, CBCS, CMAA, or similar) a plus, though not required for this coordinator-level role., • Experience with denial management, AR follow-up, or pre-billing audit workflows., • Familiarity with telehealth-specific billing models (CCM, RPM, virtual visits)., • Strong analytical and problem-solving skills; comfortable working independently and collaboratively.

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.

Key Responsibilities Medical Coding & Documentation Review Review clinical records and assign appropriate ICD-10 and CPT codes Validate coding decisions against documented diagnoses, procedures, and services Identify incomplete, ambiguous, or inconsistent clinical documentation Apply professional ju

Certified Medical Coder – Outpatient & ED.