Medical coding specialist jobs in Elizabeth, New JerseyCreate job alerts

Job Title: Clinical Document Specialist Location: Barnabas Health Corp Department: Clinical Documentation Mgmt Req#: 0000175122 Status: Full-Time Shift: Day Pay Range: $91,472.00 - $129,204.00 Annual Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: A clinical documentation specialist (CDS) reviews a patient’s medical records to ensure documentation is accurate as well as up-to-date with the latest information on a patient’s illness. They also record the details of every step-in clinical treatment. A CDS must have familiarity with the codes involved with medical records, each of which is used to indicate some aspect of the patient’s medical information, condition and the treatment received. A CDS must have the clinical knowledge to talk with doctors, nurses and other healthcare providers about the treatment a patient has received, especially if there are gaps in the healthcare record. Qualifications: Required: • Graduate from an accredited school of nursing with a BSN degree, • Minimum 5 years acute hospital experience as a clinical nurse, • Must read, write and speak English., • Passing grade on Clinical Competency Exam, • Advanced understanding of anatomy, physiology, pathophysiology, and pharmacology, • Excellent interpersonal, oral and written communication and organizational skills, • Must maintain a professional demeanor, • Must display a proven analytical capability, • The ability to work independently with minimal supervision, • CCDS certification (preferred), • Prior experience in clinical documentation review, • Understanding of ICD-10-CM coding requirements, • Experience in a supervisory role, • Working Hours: Hybrid - four days onsite, one day remote. Subject to change based on business needs., • Concurrently review and evaluate selected patient's medical records for overall quality and completeness, • Assisting in clarifying documentation regarding the patient’s diagnoses and/or procedures, co-morbid conditions, complications, and other reportable data elements including quality measures and severity of illness and risk of mortality (SOI/ROM), • Clarifications will be completed by utilizing computer software to generate the clarification. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health. • Paid Time Off (PTO), • Medical and Prescription Drug Insurance, • Dental and Vision Insurance, • Retirement Plans, • Short & Long Term Disability, • Life & Accidental Death Insurance, • Tuition Reimbursement, • Health Care/Dependent Care Flexible Spending Accounts, • Wellness Programs, • Voluntary Benefits (e.g., Pet Insurance) RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education. Equal Opportunity Employer #LI-AB1

Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do?. A medical billing and coding specialist processes and

Kelly Science and Clinical FSP is currently seeking a R&D Support Specialist for a long-term engagement in the US with one of our clients in Summit, New Jersey. This is a hybrid position with 3 days on site weekly. This person will join our Kelly FSP (Functional Service Provider) division, a managed solution provider and business unit of Kelly Services, Inc. This role is full-time and is offering full benefit options. As a Kelly FSP employee you may be eligible for Medical, Dental, Vision, 401K and a variety of other benefits to choose from. You may also be eligible for paid time off, including holiday, vacation, and sick/personal time. Fraudulent Applications: All information provided during the application process will be verified. Misrepresentation of credentials, identity fraud, or use of proxy interviewers will result in immediate disqualification and may be reported to appropriate authorities. Position Overview: The R&D Support Specialist role provides comprehensive administrative and operational support for the FEI/Skin Health team, focusing on supplier engagement, financial oversight, and talent acquisition processes. The ideal candidate will play a pivotal role in ensuring smooth procurement, accurate budget and invoice management, and effective coordination of onboarding and recruitment activities. Key Responsibilities: Supplier Approval and Onboarding Support: • Coordinate with new suppliers to ensure timely completion of onboarding documents and compliance forms., • Serve as a point of contact for suppliers during the approval process, answering queries and resolving issues., • Support the drafting, review, and processing of supplier contracts in collaboration with internal legal and procurement teams., • Create and manage purchase orders, ensuring proper coding and authorization according to company policies., • Collaborate with team leads to maintain the FEI budget within financial management tools., • Track quarterly invoicing, budget allocations, and identify discrepancies for prompt resolution., • Assist HR and hiring managers with job postings, resume screening, and interview scheduling., • Bachelor’s degree or applicable experience in lieu of degree (Business Administration, Finance, Human Resources, Supply Chain Management, or a related field), • 2-4 years of experience in administrative support, procurement, contract management, or financial operations (preferably within a corporate or innovation environment)., • Experience with financial management software and procurement tools required; familiarity with PO processes, system management., • Excellent organizational and communication skills., • High attention to detail and accuracy in financial documentation., • Ability to manage multiple priorities and deadlines in a fast-paced environment., • Proactive attitude – eager to act with urgency to resolve issues, maintain smooth processes, and provide top-tier support to all internal groups., • Strong teamwork and problem-solving orientation., • Proficiency in Microsoft Office Suite (Excel, Outlook, Word); experience with SharePoint and procurement platforms preferred.

Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. Audit medical records to ensure compliance with the organization's coding procedures and standards. Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential.

Job Description Overview: Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.S. • Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years., • Conduct AR Follow-up both on front end scrubs and back end denials through best practices. Scrub charges for submission and launch appeals via the Athena billing platform., • Review and clear claim edits in the system. Types of edits to be worked include registration, insurance, charge, and related issues for high volume practices., • Demonstrate a detailed understanding of how to read and interpret EOB's and denials from all insurance carriers (including the financial components such as co-pays, deductibles, and co-insurance)., • Possess a thorough knowledge of appeals processing from end to end across all payer categories based on insurance denials., • Differentiate between best practices of appeal, coding review, credentialing review and/or adjustment., • Contact insurance companies and utilize web portal and websites for appeal, eligibility, remittance, and payment information., • Candidate must be able to report and communicate issues and trends., • 3+ years of experience in claims resolution or medical billing., • A minimum of 3 years of documented experience on the Athena billing platform is required., • Working knowledge of CPT, ICD-10, and medical terminology., • Complete understanding of follow-up processes., • Solid background in AR and overall Revenue Cycle policies and procedures., • Experience working in a physician billing environment., • Excellent communication skills., • Proficiency in Microsoft Office Suite, including Word and Excel.

We are seeking a detail-oriented and experienced Billing and Coding Specialist to join our healthcare team. 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. Maintain detailed and organized records of billin

Job Description Position overview: The Coding Specialist I is responsible for independently reviewing, analyzing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Coding Specialist I works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. Essential Functions: • Averages 10 front-end holds per hour, • Maintains a minimum of 90% coding accuracy., • Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment., • Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses., • Ensures all diagnosis codes meet local and national medical necessity guidelines., • Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services., • Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality., • Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices., • Independently reviews and resolves all assigned front-end claim holds., • Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead., • Escalates identified client trends to the assigned Coding Team Lead., • Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification., • Maintains and completes all CEU requirements., • Must hold a current AAPC or AHIMA Certification for a minimum of 3 years., • Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines., • Familiarity with proper English grammar, usage, and professional documentation standards., • Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues., • Ability to read, interpret, and apply policies, procedures, laws, and regulations., • Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures., • Demonstrated ability to exercise independent judgment in coding and claim resolution., • Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff., • Strong commitment to maintaining confidentiality and safeguarding protected health information., • Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements., • Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams)., • Standard business office environment with moderate noise levels., • Requires extended periods of computer and monitor use., • Ability to lift and move up to 30 pounds on a non-routine basis., • Ability to sit for extended periods while performing coding and claim review tasks., • Frequent handling, including seizing, holding, grasping, and fingering objects, tools, and controls., • Close vision required to read medical documentation, electronic health records, and coding resources., • Hearing ability sufficient to receive and interpret detailed information through oral and telephonic communication.

Job Description About the Role: The Medical Assistant Receptionist plays a critical role in ensuring the smooth operation of healthcare facilities by serving as the first point of contact for patients and visitors. This position involves managing patient intake, scheduling appointments, and maintaining accurate records, thereby facilitating efficient patient flow and communication between medical staff and patients. The role requires a compassionate and professional demeanor to provide excellent customer service while handling sensitive patient information with confidentiality. The Medical Assistant Receptionist also supports clinical staff by coordinating administrative tasks and assisting with basic medical procedures as needed. Ultimately, this position contributes significantly to the overall patient experience and the effective delivery of healthcare services. We are excited to announce that we are looking for a Full-Time, Medical Assistant/Receptionist at Dr. Mehul Shah, M.D - Essex Digestive Specialist in Millburn, NJ and Nutley, NJ locations. Responsibilities: • Greet and check in patients upon arrival, verifying personal and insurance information accurately., • Schedule, reschedule, and confirm patient appointments using electronic health record (EHR) systems., • Answer phone calls, respond to patient inquiries, and direct calls to appropriate medical personnel., • Maintain and update patient records, ensuring compliance with privacy regulations such as HIPAA., • Assist medical staff with administrative duties including preparing patient charts and managing correspondence., • Collect co-pays and process payments, providing receipts and managing billing inquiries., • Coordinate communication between patients, healthcare providers, and insurance companies. The Medical Assistant Receptionist utilizes strong organizational skills daily to manage patient schedules and maintain accurate records, ensuring efficient clinic operations. Effective communication skills are essential for interacting with patients, healthcare providers, and insurance representatives, facilitating clear and compassionate exchanges. Proficiency in EHR systems and office software enables the receptionist to handle data entry, appointment management, and billing tasks accurately and efficiently. Knowledge of medical terminology and healthcare procedures supports the receptionist in understanding patient needs and assisting clinical staff appropriately. Additionally, problem-solving skills help address patient concerns and resolve scheduling conflicts, contributing to a positive patient experience. Minimum Qualifications: • High school diploma or equivalent., • Previous experience in a medical office or healthcare setting, preferably in a receptionist or administrative role., • Basic knowledge of medical terminology and healthcare procedures., • Proficiency with electronic health record (EHR) systems and standard office software (e.g., Microsoft Office)., • Certification as a Medical Assistant (CMA) or equivalent credential., • Experience with medical billing and coding., • Familiarity with insurance verification and authorization processes., • Bilingual abilities, especially in Spanish and English. full time Monday to Friday 9:00am to 5:00pm