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Overview Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. Home visits in Brooklyn. Per Diem Rate: $77.72 What We Provide • Personal and financial wellness programs, • Opportunities for professional growth and career advancement, • Internal mobility and advancement opportunities, • Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do, • Manages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes., • Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate., • Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted., • Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings., • Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications Licenses and Certifications: • License and current registration to practice as a Registered Professional Nurse in New York State required, • Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required, • Valid driver's license, as determined by operational/regional needs may be required, • Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required, • Maintains NPI, Medicaid and Medicare provider numbers preferred, • Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred, • Must be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements required, • For Psychiatric Nurse Practitioners only:, • Current PMHNP-BC certification required Education: • Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required, • Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required, • For Psychiatric Nurse Practitioners only:, • Master's Degree in psychiatric-mental health Nurse Practitioner required, • PhD in psychiatric-mental health Nurse Practitioner preferred Work Experience: • Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred, • Clinical home care experience or two years managerial experience preferred, • Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required, • Bilingual skills, as determined by operational needs required Pay Range USD $58.30 - USD $77.72 /Hr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

Overview Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. $12K sign-on bonus What We Provide • Personal and financial wellness programs, • Opportunities for professional growth and career advancement, • Internal mobility and advancement opportunities, • Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do, • Manages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes., • Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate., • Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted., • Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings., • Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications Licenses and Certifications: • License and current registration to practice as a Registered Professional Nurse in New York State required, • Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required, • Valid driver's license, as determined by operational/regional needs may be required, • Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required, • Maintains NPI, Medicaid and Medicare provider numbers preferred, • Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred, • Must be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements required, • For Psychiatric Nurse Practitioners only:, • Current PMHNP-BC certification required Education: • Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required, • Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required, • For Psychiatric Nurse Practitioners only:, • Master's Degree in psychiatric-mental health Nurse Practitioner required, • PhD in psychiatric-mental health Nurse Practitioner preferred Work Experience: • Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred, • Clinical home care experience or two years managerial experience preferred, • Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required, • Bilingual skills, as determined by operational needs required Pay Range USD $109,900.00 - USD $146,500.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

Overview Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. $12K sign-on bonus What We Provide Personal and financial wellness programs Opportunities for professional growth and career advancement Internal mobility and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do Manages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes. Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate. Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted. Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings. Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State requiredCertificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology requiredValid driver's license, as determined by operational/regional needs may be requiredMaintains credentialed status with VNS Health Medical Care at Home and associated managed care plans requiredMaintains NPI, Medicaid and Medicare provider numbers preferredMaintains a collaborative practice agreement with a physician in compliance with New York State regulations preferredMust be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements requiredFor Psychiatric Nurse Practitioners only:Current PMHNP-BC certification required Education: Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required For Psychiatric Nurse Practitioners only:Master's Degree in psychiatric-mental health Nurse Practitioner requiredPhD in psychiatric-mental health Nurse Practitioner preferred Work Experience: Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferredClinical home care experience or two years managerial experience preferredDemonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services requiredBilingual skills, as determined by operational needs requiredFor Psychiatric Nurse Practitioners only:Minimum of two years of experience as a psychiatric nurse practitioner utilizing full scope of practice required Pay Range USD $109,900.00 - USD $146,500.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

Overview Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. $12K sign-on bonus What We Provide • Personal and financial wellness programs, • Opportunities for professional growth and career advancement, • Internal mobility and advancement opportunities, • Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do, • Manages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes., • Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate., • Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted., • Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings., • Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications Licenses and Certifications: • License and current registration to practice as a Registered Professional Nurse in New York State required, • Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required, • Valid driver's license, as determined by operational/regional needs may be required, • Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required, • Maintains NPI, Medicaid and Medicare provider numbers preferred, • Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred, • Must be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements required, • For Psychiatric Nurse Practitioners only:, • Current PMHNP-BC certification required Education: • Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required, • Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required, • For Psychiatric Nurse Practitioners only:, • Master's Degree in psychiatric-mental health Nurse Practitioner required, • PhD in psychiatric-mental health Nurse Practitioner preferred Work Experience: • Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred, • Clinical home care experience or two years managerial experience preferred, • Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required, • Bilingual skills, as determined by operational needs required Pay Range USD $109,900.00 - USD $146,500.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

Overview Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. What We Provide • Referral bonus opportunities, • Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays, • Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability, • Employer-matched retirement saving funds, • Personal and financial wellness programs, • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care, • Generous tuition reimbursement for qualifying degrees, • Opportunities for professional growth and career advancement, • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What You Will Do • Manages and provides the full scope of advanced nursing practice for targeted patient populations, which may include short-term treatment of members at the point of care. Evaluates patient responses to therapy/interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes., • Serves as the clinical authority on individualized care teams and leads rounds and interdisciplinary care team meetings., • Manages and provides comprehensive, advanced nursing care, including post-discharge aftercare visits, annual comprehensive assessment visits, palliative care-care management program onboarding, and change in condition assessment visits (including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing). Urgent interventions (i.e., escalations for the Care Teams, RPM, and the 24/7 Line), pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling, and patient education. Establishes a treatment plan based on clinical findings and determines when further evaluation by the collaborating physician, specialist, or emergency care is warranted., • Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings., • Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements., • Manages inter-professional team efforts regarding the medical, nursing, therapy and ancillary care provided to patients to ensure quality outcomes are achieved., • Participates in on call coverage schedule to ensure 24/7 access to practice clinicians., • Assesses, educates, and improves client and caregiver knowledge of chronic disease, self-care management, and identification of changes in health status, including appropriate responses and actions through individualized education and inter-professional interventions., • Observes and analyzes team performance patterns related to population under care and assists in developing interventions to improve team performance. Provides remedial support and guidance to interdisciplinary team members to address implementation/evaluation of plans that maintain/increase customer experience with care, cost-efficiency, and quality care compliance with regulatory standards., • Communicates with internal and external care partners regarding the needs of the patient or population to ensure interventions occur in a timely and appropriate manner. Intervenes as needed when the care plan is not executed and remediates the situation to prevent reoccurrence., • Performs procedures as outlined in collaborative practice agreement and as privileged by the Credentialing Committee., • Manages quality of medical record documentation and submits billing information in accordance with Professional Corporation policy., • Provides care in one or more care settings based on the clinical requirements: virtually, telephonically or travels to patients’ homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options., • Upon request, performs peer reviews of work performance, including quality of care, clinical documentation, coding and billing practices, communication skills, and population surveillance., • May participate in the VNS Health Medical Care at Home Quality and Professional Advisory Committee and any associated workgroups related to development of evidence based clinical models of care, peer education and training, quality improvement, medical record configuration and reporting, maximizing the use of clinical decision support systems., • May act as a preceptor for student Nurse Practitioners, providing excellent role modeling of community-based primary care practice., • Assumes responsibility for continued professional growth, and maintains professional certification and licensure., • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required Valid driver's license, as determined by operational/regional needs may be required Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required Maintains NPI, Medicaid and Medicare provider numbers preferred Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred Must be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements required Education: Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required Work Experience: Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred Clinical home care experience or two years managerial experience preferred Demonstrated knowledge of HEDIS and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required Bilingual skills, as determined by operational needs required Pay Range USD $109,900.00 - USD $146,500.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

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

The Coding Specialist I performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on Evaluation and Management services. The Coding Specialist I also demonstrates understanding and knowl

The PB Coding Specialist II performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on more complex encounters and/or has expertise with HCPCs procedural codes. Utilizes technical codi

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Medical Scribe Company: Oak Street Health Location: 394 Broadway Suite #100 Passaic, NJ 07055 This is a full-time position, M-F from 8am to 5pm Role Description: The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining them in the exam room to observe and document, and touching base after the visit to assist with next steps. Beyond the typical Scribe role, these important care team members serve as clinical documentation assistants to their paired provider. Internally, we call them CISs (Clinic Informatics Specialists) in recognition of their important role in supporting accurate, specific, and timely clinical documentation. In addition to observing and documenting all patient encounters in real time, our Scribes become experts in our value-based care model and the documentation and care of chronic conditions, including ICD-10 and CPT coding. Scribes use this expertise to help providers identify and help close care gaps. Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. Because our patients and providers rely on our Scribes, the ideal candidate should commit at least 1-2 years to this role. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields. Responsibilities: • Documenting Patient Encounters ~ 80%, • Joining the provider in the exam room to observe patient visits, • Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam, • Assigning appropriate CPT and ICD-10 codes, • Preparing After Visit Summaries, • Consulting with provider to ensure accurate and specific documentation, • Clinical Documentation Improvement ~ 10%, • Requesting and reviewing medical records, • Leveraging Oak Street's population health tools to support clinical documentation improvement, • Preparing for and supporting Daily Huddles and Clinical Documentation Reviews, • Consulting with provider on clinical documentation opportunities, • Administrative support for your provider and care team ~ 10%, • Placing orders and referrals, • Addressing tasks, • Supporting the care team with additional responsibilities related to clinical documentation, • Other duties as assigned What we're looking for Knowledge • Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience [required], • Prior clinical experience, including shadowing and/or volunteering [strongly preferred], • Prior scribe or transcription experience [preferred but not required] Skills • Advanced listening and communication skills [required], • Strong computer literacy and ability to learn new technical workflows [required], • Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve [required where indicated] Abilities • Ability to adapt to new workflows and to quickly learn new concepts and skills [required], • Ability to type 70+ words per minute [strongly preferred], • Ability and willingness to take direction and be a member of a team providing patient care, including adapting to the provider's working style [required], • Ability to be a self-starter within your role scope, • Excellent job attendance including ability to work in-person in our clinics (Our providers count on you.) [required], • Ability to commit to at least 1 year in role (2+ is ideal) [required], • Ability to work approximately 40-45 hours per week during clinic hours (full time position) with predictable hours and break times [required], • Compliance with hospital and Oak Street Health policies, including HIPAA [required], • US work authorization [required] Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $34.15 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on _. We anticipate the application window for this opening will close on: 07/06/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Why join Nextech? We are a leader in specialty healthcare technology solutions, headquartered in Tampa, FL. We are an ever-growing team, guided by our iCREATE values of Integrity, Collaboration, Respect, Empowerment, Accountability, Trust, and Excellence. We hold these values in high regard and are driven to succeed in all we do. We’re committed to hiring and retaining talent, which is why we invest in our employees through competitive pay, a generous bonus structure, great healthcare, a comprehensive wellness program, and many other benefits. If you are a software engineer, finance or accounting professional, customer support specialist, or a business development expert with a passion for healthcare technology (just to name a few), we want to hear from you. We are an equal opportunity employer with a commitment to diversity. All individuals, regardless of personal characteristics are encouraged to apply. If you are a candidate in need of assistance or an accommodation in the application process, please contact _. Job Summary: The Software Engineer III role is primarily devoted to designing and developing next generation software for the Nextech product suite. In this role, you will work within a team of talented, motivated individuals who are passionate about developing high quality software products that engage users and enable them to work efficiently. The Software Engineer III has acquired technical knowledge, analytical, and problem-solving skills in more than one area of development, and is able to show flexibility in the tasks that they perform. The ideal candidate is collaborative, curious, creative, versatile, organized, and is intrinsically motivated to continuously improve themselves and others around them. \n Essential Functions • Build software in a SCRUM environment using C#, JavaScript, SQL, and JavaScript frameworks like Angular, • Embrace best practices in software development (Code Reviews, Unit Tests, CI/CD) and leverage them every day, • Perform mutual code reviews within your team to ensure high quality code, • Cooperate closely with the team, scrum masters, and product owners, • Other duties as assigned Minimum Requirements • Solid knowledge of C#, Angular, and SQL, • Some knowledge of C++, • Minimum of 7+ years industry experience, • Minimum of 3+ year using Microsoft SQL Server and writing advanced queries, • A well-rounded, full-stack approach to development, • Experience with the development of robust, scalable micro-service back ends, • Willingness to mentor junior Engineers, • A desire to build zero-downtime deployments through coding innovation, • Experience delivering a product to market, • The ability to write clean code, a love of unit testing, and the need to have your software to be usable from the very beginning, • Personal drive to work in a dynamic environment where you can develop your skills while taking ownership and pride in everything you build, • An appreciation for open and constructive dialog with your fellow team members, • Understand what DevOps should truly mean to a strong, cross-functional team Working Environment/Physical Demands • Work Environment, • Remote - Work from home, • Physical Demands:, • Activities require a significant amount of work in front of a computer monitor. Total Rewards • Generous annual bonus opportunity, • 401(k) with Employer Match, • Flexible Time Off: take time off when you need it without worrying about available hours, • 10 paid holidays + 1 floating holiday, • Volunteer Time OffInsurance : Choice of Medical, Dental, and Vision plans, • Health Savings Account with employer match, • Flexible Spending Account, • 100% Company-Paid Parental leave, • 100% Company-Paid Life Insurance and Short/Long Term Disability Insurance, • iCREATE Employee Recognition Program, • Wellness Program including discounts on medical premiums, • Employee Assistance Program with free counseling sessions available, • Corporate Discounts on Retail, Travel, and Entertainment, • Pet Insurance options \n

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,, • Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Summary: Join our first-of-its-kind Integrated Benefits team as a Benefit Operations Specialist, where you will play a pivotal role in delivering comprehensive medical and pharmacy benefit programs for Judi Health clients. You will lead benefit configuration, claims testing, and quality assurance processes, ensuring accuracy and efficiency across all implementations. This position offers the opportunity to influence operational best practices and contribute to a team that is redefining how integrated benefits are delivered in the healthcare space. Position Responsibilities: • Responsible for all aspects of benefit configuration, including new plan setup, plan change setup, claims testing, and regular audits, • Drives cross-functional collaboration with the product/dev team as well as additional stakeholder teams to ensure client customized requests are configurable for both new plan setups and plan changes, • Clearly communicate benefit configuration setup and testing process or specific test claims to clients in a concise way that can be understood by users who are not experts in benefit areas, • Make recommendations to streamline the work processes and systems that impact plan/benefit design to create efficiency and quality outcomes, • Works cross-functionally to create new benefit options aligning with market needs, including expansion in government programs, • Develop standards and custom batch testing scenarios and inputs, reviewing test claims output to validate claim accuracy against the clients' benefit design, • Develops standard policy and procedures, training materials and provide education for training and presentation to cross-functional teams, • Maintain acceptable and appropriate quality levels and production SLA response time, • Participate in client meetings to assess new client benefit information or change requests to ensure design of Judi logic ties to the benefit configuration intended to meet client needs, • Partner with leadership to develop benefit plan designs and ensure that the plan designs meet client requests, Health Plan strategic/business parameters, and all regulatory and other oversight agencies' requirements, • Partner with Client Services team as clients go live and troubleshoot benefit-related discrepancies, errors, and problems, • Support general business or team needs, as assigned, • Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance Qualifications: • Bachelor's degree preferred, • 5+years of TPA / health plan experience in Medical Benefit configuration, benefit testing, claims monitoring, SPD creation, Medical Coding or other applicable department needs, • 3+ years of experience with Cigna a plus, • Pharmacy, Dental, or Vision experience a plus, • Self-funded plans, Medicare/Government programs and ERISA experience preferred, • Tremendous attention to detail, ability to shift priorities easily and ability to work in high paced, deadline drive environment., • Exceptional written and verbal communication skills, • Experience working with product/dev teams and familiarity with Agile, preferred, • Preferred: experience working with structured or unstructured data in Excel, SQL, and other data visualization tools Certifications: • IFEBP certification a plus This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$75,000—$90,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at_.

Job Description JOB SUMMARY: A staff psychiatrist serves as a practicing specialist under the clinical supervision of a Senior Psychiatrist and administrative supervision of a Program Director. Psychiatrists conduct comprehensive diagnostic psychiatric evaluations, prescribe medication and other treatment interventions, monitor medication side effects, participate in the interdisciplinary treatment team process and provide a range of psychiatric services in the treatment and rehabilitation of an assigned group of clients or residents. Psychiatrists at ICL service in a variety of treatment setting: Mobile treatment teams, outpatient mental health clinics, transitional housing, and specialty care programs. ESSENTIAL JOB FUNCTIONS: • Perform comprehensive, diagnostic psychiatric evaluations, • Evaluates clinical data pertaining to client’s medical status, • Supervises or conducts chart reviews to ensure compliance with coding and documentation guidelines and governmental regulations, • Adheres to regulations regarding billing documentation, • Reviews and follows up on treatments ordered by other clinicians, • Participates in the development of the individual plan of service for each client, with special attention to psychiatric and medical aspects of the plan, • Reviews, approves and signs treatment plans of assigned clients, • Documents client’s progress in progress notes as directed by program policy, • Explains medication effects and side-effects to clients, family, and / or guardians, • Obtains or reviews client’s and/or guardian’s signature on applicable consent to treatment forms, • Prescribes psychiatric medications, • Performs individual and group psychotherapy according to the treatment plans, • Performs family evaluation and therapy, individually or jointly with other members of the treatment team in accordance with the treatment plan., • Performs crisis intervention as necessary, • Consults with and advises clinical staff; provides review and education resulting from quality assurance chart audits, • Participates in peer review process and in quality management activities, • Submits service activity logs, weekly and monthly schedule, time records etc. to Program Director, • Participates in or conducts case conference, • participates in agency staff development and in-service education programs, • Supervises the direct care activities of nursing, nurse practitioner and other staff assigned to this group., • Develops and implements training programs for staff., • Other job-related duties as needed ESSENTIAL KNOWLEDGE, SKILLS AND ABILITIES: Ability to read, analyze, and interpret professional journals, regulatory and auditing agency regulations and standards • Ability to write clinical notes in compliance with all applicable standards and regulations, • Basic computer skills including fluency in electronic medical record applications, • Ability to communicate effectively with team members, other providers, community members, clients and their families • Ability to effectively respond to and manage psychiatric emergency situations, • Knowledge of the agency's policies and procedures, • Knowledge of cultural, ethnic, and linguistic needs of clients relating to cultural competence. COMPLEXITY Psychiatrists apply a complex body of medical knowledge in the performance of their duties. This knowledge is continuously expanding and changing in response to research, development of new treatment techniques and psychoactive medications, and greater understanding of psychiatric and developmental disorders, treatments, and health care management. Psychiatrists must maintain high levels of current knowledge about new developments in psychiatry. Further, they must apply this knowledge while managing people who may have limited or no understanding of psychiatric and developmental disorders or are not responsive to treatment for reasons other than their condition and the appropriateness of the treatment. Psychiatrists are regarded as experts in the field of psychiatry by persons in their care, an individual’s caregivers, other direct care staff, treatment team members, and other medical staff. They provide expert psychiatric advice about patient conditions and treatments, while considering a wide variety of factors that impact the general well-being of those individuals under their care. COMMUNICATION: Good communication and listening skills are critical for the performance of duties and effectiveness of treatment prescribed and conducted by Psychiatrists. Psychiatrists have frequent oral communications with patients to conduct psychiatric evaluations and individual and group therapy; additionally, they must be able to observe and comprehend non-verbal communications to understand and evaluate patient conditions and responses to treatment. Psychiatrists have frequent oral communication with caregivers, patients and their families, treatment team members, and other medical, nursing, and support staff to elicit and clarify information, answer questions, explain conditions and treatment methods, coordinate treatment, give orders for patient care, and provide advice. They must explain complex information so that it is easily understood and comprehended by patients and caregivers, who generally have limited or no understanding of medical science and the field of psychiatry. Psychiatrists have frequent written communications to prepare psychiatric evaluations, record information about patients and their response to treatment, prescribe medications, and maintain patient records. In addition, written communications include reports about the treatment programs of the program, presentations of papers about research and treatment, explanations of new developments in psychiatric care and treatment, and dissemination of procedural, policy, and other information affecting unit and facility operations. Psychiatrists are legally responsible for the accuracy of psychiatric information that they convey. SUPERVISION EXERCISED: Psychiatrists supervise staff by prescribing treatments, providing orders to implement and revise treatment programs, supervising the administration of treatment, answering questions and advising staff about patient care and treatment. MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS: ADULT PROGRAMS Board Eligible: • Unrestricted license to practice medicine in New York State and completion of a post-graduate residency training program in General Psychiatry approved by the American Board of Psychiatry and Neurology for entrance into their examination, and, • Eligibility for full and unconditional participation in the Medicaid and Medicare programs., • Possession of current Controlled Substances Registration certificate from the US Drug Enforcement Administration. CHILD AND FAMILY PROGRAMS Board Eligible • License to practice medicine in New York State and completion of a post-graduate fellowship training program in Child & Adolescent Psychiatry approved by the American Board of Psychiatry and Neurology for entrance into their examination, and, • Eligibility for full and unconditional participation in the Medicaid and Medicare programs., • Possession of current Controlled Substances Registration certificate from the United States Drug Enforcement Administration. Board Certified: • License to practice medicine in New York State and, • Certification in General Psychiatry or Child & Adolescent Psychiatry by the American Board of Psychiatry and Neurology or by a foreign board clearly equivalent and, • Eligibility for full and unconditional participation in the Medicaid and Medicare programs., • Possession of current Controlled Substances Registration certificate from the US Drug Enforcement Administration. FOR ALL POSITIONS: Continued employment is based on the ability to maintain professional licensure, registration and participation in the Medicaid and Medicare programs. PREFERRED EDUCATION AND/OR EXPERIENCE: Experience providing services to target age groups, working as part of a multi-disciplinary treatment team in an outpatient setting.

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

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

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

Job Description Nurse Practitioner/(APP) - Brooklyn, NY COMPENSATION: Salary $120k-$140k plus Incentive Bonus' Role Description: Our APP provides equitable and effective value-based healthcare to local Medicare patient populations. Our Nurse Practitioners are supported by large care teams so our providers can focus on delivering a better quality of care, rather than a volume of services. Our value-based care model and competitive bonuses are structured to reward outcomes, drive low hospital admissions, deliver preventive medicine, and result in an unmatched patient experience. Role: • Compensation: Base $120k-$140k (wider range available depending on experience and location) - Possibly more if language critical area, • Bonus: up to 8k, • Schedule: Monday-Friday 8am-5pm, • Patient Volume: 13-16 a day, • Visits: 20 min. regular visit/ 40 min. full diagnostic and new patient, • Sees patients on avg. every 3 months (if very complex could see them weekly), • Physicians care team: Scribe, MA, Social Worker, • Equipment at clinic: Labs on site with a phlebotomist/ access to RubiconMD (access to specialist), • EMR: Canopy and Greenway, • Model: Value Based Health, • Transportation for patients: Van pick up with in 5 miles of clinic, • Community room patient activities: Exercise, events, yoga, dance, spa days, • Providers per clinic: Average 3-5 (mix of NP's and Primary Care Physicians) Benefits: • Physician Partnership Track, • 6 weeks of PTO, inclusive of PTO, major holidays, and CME, • $5000 Continuing Medical Education stipend, • Tuition reimbursement, • Provided Health, Vision, Dental, and Life Insurance, • 401K Investment, up to 4% company match, vested immediately, • Provided Medical Malpractice Insurance, • Sign on: Flexibility Required Qualifications: • Master of Science in Nursing, Doctor of Nursing Practice, or NP Certificate Program graduate, • National certification in at least one of the following specialties:, • Family Nurse Practitioner, • Adult-Gerontology Primary Care Nurse Practitioner, • Adult Nurse Practitioner, • Gerontological Nurse Practitioner, • Active, non-probationary state Nurse Practitioner license, • Active DEA license, • Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). (preferred), • Bilingual: Spanish Speaking For more information contact: michelle.montejo@optigygroup.com #PL #PM

Job Description Overview of the Role: The Payroll Specialist will be responsible for processing accurate and timely payroll for approximately 2,000 unionized and non-union employees across multiple depots. This role ensures all pay, deductions, premiums, and adjustments comply with federal, state, and local regulations, as well as collective bargaining agreements and NYCSBUS policies. The Payroll Specialist will maintain payroll records, audit timekeeping data, respond to employee inquiries, support reconciliations, and collaborate closely with HR, Finance, Operations, and depot managers to ensure seamless payroll operations. The position requires exceptional attention to detail, strong analytical skills, and a commitment to confidentiality and compliance. This position reports directly to the Chief Human Resources & Compliance Officer. Key Work Responsibilities (include but are not limited to):Payroll Processing & Administration • Own the end-to-end weekly and biweekly payroll process using UKG, managing high volume with confidence and precision, • Navigate complex pay scenarios including overtime, differentials, union premiums, retro pay, adjustments, and off-cycle payments, • Audit timekeeping data, identify discrepancies, and resolve issues after payroll closes, • Partner closely with HR, Finance, Operations, and depot leadership to keep payroll aligned and compliant, • Serve as a trusted resource for employees by responding to payroll inquiries clearly, professionally, and confidentially, • Support payroll reconciliations, reporting, audits, and year-end processes (including W-2s), • Help improve payroll processes and controls to increase efficiency and accuracyData Integrity & Compliance, • Maintain accurate payroll records and ensure proper documentation of all transactions., • Conduct regular audits of payroll data to identify discrepancies or errors., • Prepare payroll reports for HR, Finance, and Operations as needed., • Support internal and external audits (financial, operational, and compliance)., • Ensure timely submission of required payroll-related filings or reports.HRIS & Timekeeping Management, • Support system updates, testing, configuration changes, and payroll-related enhancements., • Assist with troubleshooting timekeeping issues in UKG and coordinate resolutions with HRIS., • Train supervisors and depot personnel on correct timekeeping and payroll procedures.Employee Support & Customer Service, • Address employee questions regarding earnings, deductions, timekeeping, tax withholding, direct deposit, and leave balances., • Investigate and resolve payroll discrepancies with professionalism and confidentiality., • Provide timely and accurate communication regarding payroll deadlines and requirements.Collaboration & Cross-Functional Support, • Partner with HR to ensure correct onboarding setup for new hires and accurate payroll coding., • Work with Finance on payroll reconciliations, GL reports, and end-of-year processes., • Coordinate with the Benefits team to process benefit deductions, garnishments, FSA, HSA, and retirement contributions.Additional Duties, • Maintain strict confidentiality of employee data., • Participate in process improvement initiatives aimed at increasing payroll accuracy and efficiency., • Support annual W-2 processing and year-end payroll closeouts., • Perform other payroll-related tasks as assigned.Qualifications | Job Competencies, • Eligible to work in the U.S., • Bachelor’s in Accounting or Business., • Minimum 3–5 years payroll experience, preferably in a unionized environment or large workforce (1,500+ employees) with multiple payroll cycles., • Proficiency in payroll systems; UKG experience strongly preferred., • Ability to meet tight deadlines and manage high-volume payroll cycles., • Proficient in Excel (VLOOKUP, pivot tables, filters) and reporting tools., • Knowledge of FLSA, NYS labor law, tax regulations, and payroll compliance standards., • Experience with collective bargaining agreements is a strong plus., • Strong analytical and reconciliation skills., • High level of accuracy, attention to detail, and confidentiality., • Excellent communication and customer service skills.Compensation & Benefits, • Salary Range: $80K - 85K, • Comprehensive benefits including but not limited to:, • Health coverage (Medical, Dental, Vision);, • 3 to 4 weeks Paid Vacation,, • Paid Holidays,, • 401K (employer contribution up to 9%);, • Life Insurance, • FSA; Commuter NYCSBUS is an equal opportunity employer and is committed to a diverse and inclusive workforce.

Job DescriptionPartnership for Children of Essex (PCE) is currently seeking a Quality Assurance Specialist. We are looking for exceptional individuals who are motivated and committed to providing outstanding service each and every day to children and families in Essex County. Key responsibilities include: • Preparation of critical data that will track, monitor, and improve the quality and efficiency of agency service delivery, • Monitor the fidelity of Wraparound being completed within the agency i.e. scoring of Team Observation Measure (TOM), completion of WFI assessment tool, and additional surveys, • Assist in the implementation of a Quality Management Plan consistent with regulatory expectations, and local goals and objectives, • Organization and analysis of qualitative/quantitative data to solve problems and predict trends, • As appropriate to specified data; code and verify data in accordance with specified research protocol and coding procedures and enter data into a computer database and/or spreadsheet application for subsequent analysis, • Prepare required reports and provide recommendations and creative strategies for improvements and service enhancements, • Develop or assist in the development of interview schedules; contact potential subjects to introduce and explain study objectives and protocol and to arrange interviews, • Identify gaps in performance and assist in the implementation of performance improvement projects, • Prepare materials for submission to granting agencies & foundations, • Review and prepare Unusual Incident Review (UIR) reports to be submitted to CSOC in a timely manner, • Preparation of monthly Team data reporting, • Collaborate with agency departments on a consistent basis, • Perform other miscellaneous duties as assigned by supervisor Qualifications and Skills: • Advance the mission, values and philosophy of the Partnership for Children of Essex on behalf of staff, children, and families, • Bachelor’s degree in Human Services or related field, • Minimum of one year of related experience required, • Computer literate a must with proficient skills in MS Office (Word, Excel, and PowerPoint) and an ability to learn new software that may be utilized in the agency’s quality assurance program, • Excellent data collection and analysis skills a must, • Knowledge of QA concepts or methodologies using statistical methods preferred, • Knowledge of Children’s System of Care (CSOC) preferred, • Knowledge of Power BI & DocuWare preferred, • Strong communication skills which are clear and effective, both verbally and in writing, • Strong orientation to deadline and detail, • Capable of working independently and managing multiple projects, • Decisive and exercises good judgement under pressure., • Ability to maintain confidentially and use discretion in all matters, • Bilingual a plus The Partnership for Children of Essex (PCE) is a non-profit organization dedicated to creating a pathway for hope and improving the quality of life for youth and their families. Excellent benefits including medical, dental & vision, 403(b), generous PTO, life insurance, flexible schedule. PCE is An Equal Opportunity Employer- M/F/D/V

Job DescriptionABOUT US: Founded in 2020, Regal is the AI Agent Platform. Regal gives every company the tools to transform customer communications with delightful AI Agents that are connected to your data, easy to customize and monitor, always-available, and ready to take action. Power better support, sales and operations – with way less effort. Our founders, Alex Levin and Rebecca Greene helped build Angi (Angie’s List, HomeAdvisor and Handy) to over $1.5B in revenue. Based in Manhattan, we’re building an in-person culture of entrepreneurs who want to win and build something meaningful. We’re backed by top investors including Founder Collective, Homebrew and Emergence Capital. Come join us as we create a category-defining company, and follow Regal's company page on LinkedIn to stay up-to-date on our journey and current job openings! ABOUT THE ROLE: We believe that ten years from now, 90% of businesses interactions with their customers will be handled by autonomous AI Agents. This role is at the forefront of defining those AI Agents that all of us will speak to. The AI Agent Product Specialist role starts with two weeks of intensive training where you will learn to build AI Agents using the Regal AI Agent Platform. Get up to speed on our prompting best practices, function building, and the Regal Operating System. From then on, you’re writing the script. We view this role as a jumping off point for entry-level talent looking to start their careers in the exploding field of AI. After 1-2 years in this role, you will be prepared to take on more senior roles at Regal in engineering, product management or customer success. AI Product Specialists at Regal own the creation and refinement of voice prompts, and conversation flows of AI Agents. You’ll blend prompt engineering techniques with user-focused product sense to deliver natural, brand-aligned interactions that meet business objectives. You’ll become an expert at the different settings/toggles/techniques that STT providers, TTS providers and LLMs expose to tune the performance of AI Agents. And with new use cases, you’ll pioneer new prompt engineering techniques, build new functions and deliver product feedback to the Regal product and engineering teams on new feature sets to enhance AI Agent performance. Finally, you’ll own Quality Control and testing of AI Agents to ensure they meet quality standards.RESPONSIBILITIES: • Understand customer requirements: Work with AI Forward Deployed engineers to understand customer use cases, requirements for AI agents and their business objectives. Review customer’s existing human agent call recordings, scripts, training documents, FAQs/knowledge bases and brand guidelines to inform their AI Agent., • Shape Conversational Experiences: Build AI Agents on the Regal AI Agent Platform leveraging prompt engineering and conversational flows; tune AI agent settings (STT, LLM, TTS) to achieve the conversational quality that is Regal’s signature and that meets customer’s requirements and business objectives., • Build Custom Functions/Tooling: Understand the limitations of LLMs and where code is needed to achieve certain use cases/performance. Use your coding chops to build custom functions that allow your AI Agents to take actions such as validate zip code, schedule callback, update profile., • QA Test: Develop test cases and thoroughly test your AI Agents to ensure they pass Regal and the customer’s quality bar. Develop tooling, where needed, to scale QA testing and deliverables to build customers’ confidence in AI Agents so they don’t have to put QA hours against it, • Iterate & Learn: Review agent performance in partnership with AI Forward Deployed Engineer who owns the client relationship. Iterate the AI Agent based on customer success criteria, • Codify Best Practices: Leverage, share, and document best practices for building AI Agents and achieving certain use cases. Participate in prompt engineering forums and research best practices to add to our own techniques. Document what we’ve learned in a digestible way for internal and external consumption, • Deliver Product Feedback: Work closely with Regal PMs and Engineers to give feedback on the Regal AI Agent Platform. As the primary user of the product, you’ll spot issues, product gaps, and new capabilities that will help you deliver better performing AI Agents faster – help inform these features!, • Support Sales Demos: Work with the sales team to build AI Agent MVPs during the sales process to demo agent capabilities to prospectsABOUT YOU:, • Technical Chops: You’ve received a Bachelor’s or Master’s degree in a technical field (i.e. Computer Science, Engineering, Data Science) or have equivalent experience with prompt engineering., • Professional Work Experience: You have 1-2 year(s) of work or internship experience at start-up tech companies, or impressive personal/school projects that you can provide documentation for., • Demonstrated Curiosity for AI & Voice: You’re excited about the potential of Voice AI, and keep up with the latest products in the space. You’ve experimented with conversational design or prompt engineering for a school, work or personal project., • Analytical Thinking & Problem Solving: You see beyond the immediate ask, being able to break down problems into their component parts and tackle them iteratively. The ideal candidate likes to tinker and try new approaches, borrowing ideas from others and building from their own previous experiences, • Time Management Skills: You know how to prioritize among competing tasks (or ask for help when needed), manage deadlines, and proactively keep your team & other stakeholders in the loop., • Relentless Ownership: You own accountability for the success of your work, making smart trade-offs, iterating quickly, and doing whatever it takes to ship on time. “Not my problem” isn’t in your vocabulary., • Entrepreneurial DNA: You’re considering being a founder one day. You thrive in fast-paced, ambiguous environments and absorb everything. Adaptability and growth mindset are qualities that help you navigate change and complexity with ease.AI Product Specialist vs. AI Forward Deployed Engineer - What's the Difference?, • The AI Product Specialist is more internal-facing, part of a centralized team using the Regal AI Agent Platform to build and test AI agents, codifying best practices and processes for AI Agent development and QA testing, and giving feedback to our product and engineering teams on how the platform needs to evolve (as well as building demos for the sales and marketing teams and working on internal projects). AI Product Specialists have a technical degree, but only 0-2 years of previous experience., • The AI Forward Deployed Engineer is more customer-facing, owning the launch and overall success of each AI Agent deployment and customer relationship, ensuring AI Agents can successfully integrate into the customer’s existing systems and workflows and achieve their business goals (as well as growing revenue by identifying more use cases and opportunities for AI Agents). AI Forward Deployed Engineers have 3+ years in a technical customer-facing role (e.g., Solutions Engineer, Implementation Consultant) or have PM experience in a tech environment.BENEFITS/PERKS:, • We care about your health!, • Medical, Dental, and Vision plans - 80% covered by the company, • Flexible PTO & 11 paid holidays/year, • We care about future you!, • 401k Plan, • Paid parental leave, • Pre-tax commuter benefits, • We care about connection!, • In-office breakfast and snacks daily, • Happy hours, team outings, & annual off-sites, • Complete laptop workstation, • & more to come!The reasonably estimated base salary for this role is provided as a range within this job description. All offers include a competitive equity package and some offers may additionally include a variable compensation component. Actual compensation is determined on an individualized basis taking into consideration factors such as the candidate's skills, location, qualifications, experience, and relevant education or training. In addition, Regal offers a comprehensive set of employee benefits which are listed above. Details about the compensation package will be finalized at the time of offer. POSITION LOCATION & OFFICE DETAILS: This position is only available in New York City (HQ- NoMad). Hybrid roles are required in office T/W/TH and encouraged 5x/week. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. Pay Transparency: The base pay for this role in the states of New Jersey and New York is: $65,412 - $85,853 per year. The base pay for this role is: $58,870 - $77,267 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities • Develop a depth of expertise on CPT, HCPCS, and ICD-10 Coding guidelines and other insurance billing submission requirements., • Perform complex audits of assigned medical records and claims on both a prepayment and post payment basis to determine accuracy of claims submitted to Oscar., • Document findings including reference to sources used to support decision making and in a way that can be easily understood by non clinicians or coders., • Create audit report findings, tools, and reference guide that can be used by other team members to communicate findings or more effectively perform similar reviews., • Help draft written communications to providers to convey audit findings., • Participate in educational calls with providers., • Help train new team members., • Develop and document processes to improve the effectiveness of the team., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • 2+ years of coding or auditing experience across multiple specialties is required, • Bachelor's degree or 4+ years of work experience, • Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC) designation or similar certification, • Experience working in production-based environment, • Experience of both outpatient and inpatient auditingBonus Points, • Certified Professional Medical Auditor (CPMA), • Additional certification applicable to this work such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), other coding certifications or similar, • Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity, • Demonstrated experience translating technical jargon to non-technical end users., • Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting., • Experience with HIPAA, data privacy, and/or data security processes, • Experience working with regulators governing (public or private) health insurance carriers This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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

Job Description WHO WE ARE: Splice is a creative platform for people who make music. Serious producers choose Splice Sounds to bring their ideas to life. A subscription to Splice inspires and accelerates creative success for digital music creators with an industry-leading catalog of sounds and samples and an expanding AI stack. With a rent-to-own marketplace of DAWs and plugins, the Splice experience seamlessly integrates into any music production workflow, regardless of DAW (Digital Audio Workstation). Via Splice, an unparalleled team of sound designers and sample creators are fueling the success of a growing global community of chart-topping producers, students, and DIY creators. HOW WE WORK: At Splice, DISCO is a rallying cry for collaboration, accountability, and unity within our organization; Direct, Inclusive, Splice Together, Creator Centric, and Optimistic. Our shared success depends on our ability to support one another, work well together, and communicate directly. By embracing flexibility and a unified approach, we can navigate anything that's thrown at us. Splice embraces a culture of remote work. You'll see your colleagues showing up from across the US and the UK. In order to keep us working well as a team, we have regular communication, including Town Halls, departmental all-hands and get-togethers. When you join Splice, you join a network of colleagues, peers, and collaborators. Are you ready? JOB TITLE: AP Specialist LOCATION: Hybrid - New York THE ROLE: We are seeking a detail-oriented and motivated individual to join our team as an Accounts Payable Specialist. In this role, you will play a crucial part in managing the accounts payable process for Splice and its subsidiaries. Your primary responsibilities will include coding and processing invoices received through Zendesk and our AP inbox, ensuring accuracy and timely processing. You will also verify that agreements are in order before processing invoices, maintaining compliance with company policies and procedures. WHAT YOU'LL DO: • Code and process invoices accurately and efficiently using NetSuite and Tipalti., • Handle T&E expenses and Amex reports at the end of each month., • Serve as the first point of contact for all vendor and creator inquiries, maintaining professional and courteous communication., • Assist with month-end close activities, including recording expense accruals and maintaining an accrual workbook., • Work collaboratively with cross-functional teams to ensure smooth processing and resolution of any invoice discrepancies., • Thrive in a fast-paced, deadline-driven environment while maintaining attention to detail and accuracy., • Contribute to process improvements and efficiencies within the accounts payable function. JOB REQUIREMENTS: • Bachelor's degree in Accounting, Finance, or related field preferred., • A minimum of 2-4 years of progressive and relevant experience in accounts payable or finance/accounting role., • Strong working knowledge of MS Excel, including pivot tables, sorting, and v-lookups., • Demonstrated history of success in developing processes and achieving project/task deadlines., • Proven ability to work autonomously and collaboratively within a team environment., • Excellent verbal and written communication skills., • Extremely detailed understanding of US Generally Accepted Accounting Principles (US GAAP)., • Experience with Netsuite and Tipalti preferred., • Exceptional analytical and accounting skills with a keen eye for detail., • Experience with enterprise-level systems implementations to support a scaling organization., • Experience working with remote personnel., • Ability to effectively handle multiple projects simultaneously in a fast-paced, deadline-driven environment., • Master of efficiency and lover of process., • Excellent organizational and time management skills. SPLICE BENEFITS: • Compensation & Equity: Competitive pay with annual reviews and equity opportunities., • Time Off: Unlimited PTO to recharge and thrive., • Health & Wellness: Comprehensive medical, dental, and vision coverage for you and your dependents., • Retirement Savings: 401(k) plan with immediate vesting and company match., • Parental Support: 12 weeks of fully paid parental leave for non-birthing parents, and 18-20 weeks for birthing parents., • Flexible Work Options: Work remotely or connect at our office hubs and creative spaces worldwide., • Professional Growth: Annual learning budget, leadership programs, and team ambassador opportunities., • Community & Connection: Inclusive events, team meet-ups, and vibrant Employee Resource Groups. The national pay range for this role is $60,000 - $75,000. Individual compensation will be commensurate with the candidate's experience. Splice is an Equal Opportunity Employer Splice provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Job Description JOB SUMMARY: A staff psychiatrist serves as a practicing specialist under the clinical supervision of a Senior Psychiatrist and administrative supervision of a Program Director. Psychiatrists conduct comprehensive diagnostic psychiatric evaluations, prescribe medication and other treatment interventions, monitor medication side effects, participate in the interdisciplinary treatment team process and provide a range of psychiatric services in the treatment and rehabilitation of an assigned group of clients or residents. Psychiatrists at ICL service in a variety of treatment setting: Mobile treatment teams, outpatient mental health clinics, transitional housing, and specialty care programs. ESSENTIAL JOB FUNCTIONS: • Perform comprehensive, diagnostic psychiatric evaluations, • Evaluates clinical data pertaining to client’s medical status, • Supervises or conducts chart reviews to ensure compliance with coding and documentation guidelines and governmental regulations, • Adheres to regulations regarding billing documentation, • Reviews and follows up on treatments ordered by other clinicians, • Participates in the development of the individual plan of service for each client, with special attention to psychiatric and medical aspects of the plan, • Reviews, approves and signs treatment plans of assigned clients, • Documents client’s progress in progress notes as directed by program policy, • Explains medication effects and side-effects to clients, family, and / or guardians, • Obtains or reviews client’s and/or guardian’s signature on applicable consent to treatment forms, • Prescribes psychiatric medications, • Performs individual and group psychotherapy according to the treatment plans, • Performs family evaluation and therapy, individually or jointly with other members of the treatment team in accordance with the treatment plan., • Performs crisis intervention as necessary, • Consults with and advises clinical staff; provides review and education resulting from quality assurance chart audits, • Participates in peer review process and in quality management activities, • Submits service activity logs, weekly and monthly schedule, time records etc. to Program Director, • Participates in or conducts case conference, • participates in agency staff development and in-service education programs, • Supervises the direct care activities of nursing, nurse practitioner and other staff assigned to this group., • Develops and implements training programs for staff., • Other job-related duties as needed ESSENTIAL KNOWLEDGE, SKILLS AND ABILITIES: Ability to read, analyze, and interpret professional journals, regulatory and auditing agency regulations and standards • Ability to write clinical notes in compliance with all applicable standards and regulations, • Basic computer skills including fluency in electronic medical record applications, • Ability to communicate effectively with team members, other providers, community members, clients and their families • Ability to effectively respond to and manage psychiatric emergency situations, • Knowledge of the agency's policies and procedures, • Knowledge of cultural, ethnic, and linguistic needs of clients relating to cultural competence. COMPLEXITY Psychiatrists apply a complex body of medical knowledge in the performance of their duties. This knowledge is continuously expanding and changing in response to research, development of new treatment techniques and psychoactive medications, and greater understanding of psychiatric and developmental disorders, treatments, and health care management. Psychiatrists must maintain high levels of current knowledge about new developments in psychiatry. Further, they must apply this knowledge while managing people who may have limited or no understanding of psychiatric and developmental disorders or are not responsive to treatment for reasons other than their condition and the appropriateness of the treatment. Psychiatrists are regarded as experts in the field of psychiatry by persons in their care, an individual’s caregivers, other direct care staff, treatment team members, and other medical staff. They provide expert psychiatric advice about patient conditions and treatments, while considering a wide variety of factors that impact the general well-being of those individuals under their care. COMMUNICATION: Good communication and listening skills are critical for the performance of duties and effectiveness of treatment prescribed and conducted by Psychiatrists. Psychiatrists have frequent oral communications with patients to conduct psychiatric evaluations and individual and group therapy; additionally, they must be able to observe and comprehend non-verbal communications to understand and evaluate patient conditions and responses to treatment. Psychiatrists have frequent oral communication with caregivers, patients and their families, treatment team members, and other medical, nursing, and support staff to elicit and clarify information, answer questions, explain conditions and treatment methods, coordinate treatment, give orders for patient care, and provide advice. They must explain complex information so that it is easily understood and comprehended by patients and caregivers, who generally have limited or no understanding of medical science and the field of psychiatry. Psychiatrists have frequent written communications to prepare psychiatric evaluations, record information about patients and their response to treatment, prescribe medications, and maintain patient records. In addition, written communications include reports about the treatment programs of the program, presentations of papers about research and treatment, explanations of new developments in psychiatric care and treatment, and dissemination of procedural, policy, and other information affecting unit and facility operations. Psychiatrists are legally responsible for the accuracy of psychiatric information that they convey. SUPERVISION EXERCISED: Psychiatrists supervise staff by prescribing treatments, providing orders to implement and revise treatment programs, supervising the administration of treatment, answering questions and advising staff about patient care and treatment. MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS: ADULT PROGRAMS Board Eligible: • Unrestricted license to practice medicine in New York State and completion of a post-graduate residency training program in General Psychiatry approved by the American Board of Psychiatry and Neurology for entrance into their examination, and, • Eligibility for full and unconditional participation in the Medicaid and Medicare programs., • Possession of current Controlled Substances Registration certificate from the US Drug Enforcement Administration. CHILD AND FAMILY PROGRAMS Board Eligible • License to practice medicine in New York State and completion of a post-graduate fellowship training program in Child & Adolescent Psychiatry approved by the American Board of Psychiatry and Neurology for entrance into their examination, and, • Eligibility for full and unconditional participation in the Medicaid and Medicare programs., • Possession of current Controlled Substances Registration certificate from the United States Drug Enforcement Administration. Board Certified: • License to practice medicine in New York State and, • Certification in General Psychiatry or Child & Adolescent Psychiatry by the American Board of Psychiatry and Neurology or by a foreign board clearly equivalent and, • Eligibility for full and unconditional participation in the Medicaid and Medicare programs., • Possession of current Controlled Substances Registration certificate from the US Drug Enforcement Administration. FOR ALL POSITIONS: Continued employment is based on the ability to maintain professional licensure, registration and participation in the Medicaid and Medicare programs. PREFERRED EDUCATION AND/OR EXPERIENCE: Experience providing services to target age groups, working as part of a multi-disciplinary treatment team in an outpatient setting.

Job DescriptionFYZICAL Therapy and Balance Centers, the country's leading health and wellness provider, is looking for a natural-born leader with a passion for making a lasting impact on the healthcare industry to join our growing organization as Office Manager at our Brooklyn, NY, location! In this exciting leadership role, you will enjoy job autonomy with a visionary company that takes non-traditional approaches to healthcare. As part of a champion team, you will be inspired as well as inspire others as you discover together what works best for the practice, community and patients. State-of-the-art technology, cutting-edge tools and unparalleled continuing education will help you advance your skills and grow your Office Manager career. Join a forward-thinking company that is ready to invest in your success! Apply for FYZICAL's Office Manager job opening today! Showcase your leadership skills with the top PT company in the U.S. when you join our outstanding Brooklyn, NY, team as Office Manager! As Office Manager with us, you can be assured that your practice leader is fully invested in you as part of a champion team capable of achieving next-level results. Here, every team member and specialist provides an essential element, leading to the overall success of the facility and, as a result, to your individual success. We provide the most up-to-date technology and tools needed to advance in your position and keep you on the leading edge as you achieve your career goals. Turn your passion for helping others into a lucrative career opportunity. Apply for our Office Manager job opening today!Responsibilities • Manage Business Office operations, • Call Center management, • Billing/Collections management, • Manage and preserve all records/files, • Review and certify rehabilitative services billing/authorizations, • Manage call center, • Oversee billing and collections, • Verify all data, unit charges, billing elements and authorization for rehabilitative services, • Process and maintain all files, medical records and insurance, • Oversee all aspects of Business Office operationRequired SkillsRequired skills & qualifications:, • H.S. graduate or equivalent, • Solid analytical and communication skills, • Highly organized and able to determine priorities, • Able to efficiently manage time, • Basic Microsoft Office software skills, • High school diploma or GED required, • Strong communication and problem-solving skills, • Exceptional time management skills, • Good organizational skills with the ability to prioritize tasks, • Basic knowledge of Microsoft Office applications (i.e. Word, Excel, PowerPoint, Access) Preferred but not required:, • Coding/billing experience, • Medical office training/certified

Job Description Nurse Practitioner/(APP) - The Bronx, NY COMPENSATION: Salary $120k-$140k plus Incentive Bonus' Role Description: Our APP provides equitable and effective value-based healthcare to local Medicare patient populations. Our Nurse Practitioners are supported by large care teams so our providers can focus on delivering a better quality of care, rather than a volume of services. Our value-based care model and competitive bonuses are structured to reward outcomes, drive low hospital admissions, deliver preventive medicine, and result in an unmatched patient experience. Role: • Compensation: Base $120k-$140k (wider range available depending on experience and location) - Possibly more if language critical area, • Bonus: up to 8k, • Schedule: Monday-Friday 8am-5pm, • Patient Volume: 13-16 a day, • Visits: 20 min. regular visit/ 40 min. full diagnostic and new patient, • Sees patients on avg. every 3 months (if very complex could see them weekly), • Physicians care team: Scribe, MA, Social Worker, • Equipment at clinic: Labs on site with a phlebotomist/ access to RubiconMD (access to specialist), • EMR: Canopy and Greenway, • Model: Value Based Health, • Transportation for patients: Van pick up with in 5 miles of clinic, • Community room patient activities: Exercise, events, yoga, dance, spa days, • Providers per clinic: Average 3-5 (mix of NP's and Primary Care Physicians) Benefits: • Physician Partnership Track, • 6 weeks of PTO, inclusive of PTO, major holidays, and CME, • $5000 Continuing Medical Education stipend, • Tuition reimbursement, • Provided Health, Vision, Dental, and Life Insurance, • 401K Investment, up to 4% company match, vested immediately, • Provided Medical Malpractice Insurance, • Sign on: Flexibility Required Qualifications: • Master of Science in Nursing, Doctor of Nursing Practice, or NP Certificate Program graduate, • National certification in at least one of the following specialties:, • Family Nurse Practitioner, • Adult-Gerontology Primary Care Nurse Practitioner, • Adult Nurse Practitioner, • Gerontological Nurse Practitioner, • Active, non-probationary state Nurse Practitioner license, • Active DEA license, • Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). (preferred), • Bilingual: Spanish Speaking For more information contact: michelle.montejo@optigygroup.com #PL #PM

Job Description Accounts Payable Specialist RTM Business Group Hybrid in NY, NJ, CT Full-time 51-200 employees · Market Research Originally posted April 2026; this is a 100% hybrid, full-time role Who We Are: RTM Business Group is a professional development conferences and events company working in EdTech, Healthcare, Government, Medical and Banking sectors. We partner with Fortune 1000 companies, catering specifically to the C-suite, providing curated content and peer-to-peer collaboration. Our events are located in major cities throughout the country – LA, Austin, San Diego, Miami, Chicago, DC, etc.. Our team travels together which is a truly unique experience, different from “traditional” work travel, which in turn cultivates interdepartmental relationships and friendships that drive our collaborative culture. About the Role: We’re looking for a detail-oriented and proactive Accounts Payable Specialist to join our team. This role reports into the Controller and plays a critical part in keeping our accounting operations running smoothly by ensuring timely and accurate payment processing, vendor management, and support on commissions. You’ll be part of a team that ensures the accuracy of our records and helps maintain strong relationships with our vendors and partners. The ideal candidate is someone who thrives in a fast-paced environment, has a solid foundation in accounting, and enjoys diving into the details. We offer extensive, ongoing training and a unique opportunity for both collaborative and independent work. This hybrid role is in NY, NJ and CT with 2 days a week in the office. Responsibilities: • Manage the full-cycle accounts payable process, including invoice review, coding, and timely payment processing., • Maintain accurate and up-to-date records of all accounts payable transactions in the accounting system., • Reconcile vendor statements and resolve discrepancies in coordination with internal teams and external vendors., • Ensure proper documentation by matching purchase orders and contracts with invoices., • Prepare and process payment batches, including checks and electronic transfers., • Monitor payment deadlines to ensure on-time disbursements., • Perform credit card and bank reconciliations., • Support month-end close activities and audit preparations., • Maintain compliance with company policies, financial regulations, and internal controls., • Assist in optimizing financial workflows and suggesting process improvements., • Provide accounting support across multiple departments or entities as needed., • Establish and maintain relationships with vendors, addressing inquiries and negotiating payment terms., • Partner with internal departments to resolve payment issues or documentation gaps., • Assist senior finance team members and respond to ad hoc accounting requests., • Calculate commissions based on sales performance and company policy., • Prepare and process timely, accurate commission payments to eligible employees., • Maintain organized records of commission structures, payouts, and supporting data., • Reconcile commission reports with actual sales data and address discrepancies., • Generate reports on commission activity to support payroll and sales leadership.Skills and Qualifications, • Bachelor’s degree in Accounting, Finance, or a related field, • 2–3 years of experience in Accounts Payable or a similar accounting/bookkeeping role, • Strong understanding of AP processes, general ledger coding, accruals, and account reconciliations, • Familiarity with GAAP and awareness of tax laws and regulatory compliance, • Proficiency in accounting software (e.g., QuickBooks), • Skilled in Microsoft Excel, Google Sheets, and other productivity tools for data entry and reporting, • Strong attention to detail, accuracy, and organizational skills, • Effective communication and collaboration skills, • Ability to work independently and cross-functionally within a teamPreferred Qualifications, • Experience in conference or events-related industries, • Familiarity with the following tools and platforms:, • Airtable, • Everstage, • QuickBooks, • HubSpot, • Bill.com, • Microsoft Office Suite (Excel, Outlook, Word, etc.)The Benefits of Working with RTM Business Group, • 15+ PTO Days, • Flexible/Hybrid work model (WFH and Remote opportunities), • Medical/dental/vision coverage, • We offer a 401k matching plan that will begin after 9 months of continuous full time employment, starting on the first month after eligibility, • Pre-tax commuter benefits, • Travel to major cities (all expenses paid), • Opportunity for lateral and vertical movement within the company, inter/intra departmentally Salary $60,000 base RTM Business Group, provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, gender, national origin, age, disability, or any other federal, state, or local protected class.

Job Description Job Title: Certified Medical Coder – Inpatient Location: Brooklyn, NY 11203 Shift: 8:00 AM – 4:00 PM Position Summary We are seeking experienced Certified Medical Coders with strong inpatient coding expertise to join a leading healthcare facility in Brooklyn, NY. The ideal candidate will have a solid understanding of coding guidelines, payer requirements, and acute care environments. Key Responsibilities • Perform accurate medical coding for inpatient cases in an acute care setting, • Apply ICD-10, CPT-4, and other coding systems appropriately, • Ensure compliance with federal billing and payer guidelines, • Utilize coding tools such as 3M/HDS encoder systems, • Review clinical documentation to assign appropriate codes, • Research and resolve coding-related issues, • Support coder training and knowledge sharing, • Work on outpatient and emergency department (ED) coding as neededRequired Skills & Qualifications, • Minimum 3 years of ICD-10 coding experience, • Strong experience in inpatient and emergency department (ED) coding, • Proficiency in MS Word, Excel, and coding software tools, • In-depth knowledge of anatomy, physiology, and disease processes, • Familiarity with payer and regulatory guidelines, • Experience using 3M/HDS coding applicationsCertifications (Required), • Must hold a valid certification from AHIMA:, • CCS (Certified Coding Specialist) OR, • CCP (Certified Coding Professional) OR, • RHIA (Registered Health Information Administrator) OR, • RHIT (Registered Health Information Technician)Education, • High School Diploma or GED required, • Relevant AHIMA certification mandatory For more details reach at vgill@navitassols.com or Call / Text at 516-862-1203. About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided, and your salary will be discussed upfront.

Job Description Clinic Director (LCSW) – EFMNY Clinic Position Summary Lead clinical and operational oversight for EFMNY’s main clinic and satellite sites. Ensure high-quality, compliant, and sustainable services aligned with OMH/OPWDD Article 16 & 31 standards. Supervise clinical staff, oversee documentation and billing workflows, and maintain EHR integrity. May carry a small caseload based on program needs. Key Responsibilities • Set and enforce clinical standards; supervise and evaluate staff, • Oversee onboarding, training, and clinical supervision compliance, • Manage staffing, productivity, and continuity of care, • Monitor documentation, CPT coding, and billing compliance, • Serve as EHR lead/superuser; ensure data accuracy and timeliness, • Oversee daily clinic operations and support staff (including intake/EHR updates), • Collaborate with Medical Director, leadership, and finance teams, • Support grants, audits, reporting, and quality improvement initiatives, • Supervises Clinicians, interns/consultants, Clinic Support SpecialistFull-Time employee health insurance is paid in full by the employer *This job description does not contain a comprehensive listing of activities, duties or responsibilities. Other duties may be assigned. Failure to comply with job duties or responsibilities will be subject to disciplinary action up to and including suspension and/or termination. Powered by JazzHR 3gSpHJMW7o

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., • Meet or exceed daily productivity benchmarks. Knowledge, Skill, and Experience Requirements: • 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.

Job Description Locations: Washington, DC; New York, NY; Austin, TX We are a growing organization innovating our revenue cycle operations — and this role is at the center of it all. The Billing Specialist is an execution-focused role that directly supports the full scope of our revenue operations. This individual will work closely with the Director of Business Operations and Director of Revenue Operations to ensure that cash pay invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. The ideal candidate is organized, detail-oriented, customer service oriented, and comfortable operating independently in a fast-moving environment. If you want to help modernize and improve antiquated systems — not just maintain them — this is the role for you. Key Responsibilities • Process and manage all cash pay billing cycles, ensuring timely and accurate invoice generation for patients and clients., • Perform daily, weekly, and monthly account reconciliations to ensure financial records remain accurate and up to date., • Manage extension requests and contracts, including communication with clients and guarantors regarding billing questions and account needs., • Track outstanding balances and conduct proactive follow-up on unpaid invoices., • Coordinate with clinical and administrative teams to resolve billing discrepancies and obtain missing information., • Maintain organized and accurate records within billing systems and electronic health record (EHR/EMR) platforms., • Generate regular billing and revenue reports for leadership review., • Assist with audits and ongoing billing process improvement initiatives., • Support the build-out of insurance billing operations, including claim coding, claim scrubbing, submissions, A/R tracking, and reporting. Requirements • Minimum 1–2 years of experience managing accounts receivable., • Experience with account reconciliation, collections, and payment processing., • Exceptional organizational skills with strong attention to detail., • Proficiency with QuickBooks, DocuSign, and Excel., • Strong written and verbal communication skills., • Innovative mindset with an interest in improving systems and processes, particularly through technology., • Strong time management and prioritization skills., • Self-starter with the ability to operate independently in a fast-paced environment. Preferred Qualifications • Experience with medical billing platforms such as CollabMD and Kipu., • Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) designation preferred. Benefits Joining our team means being part of a mission-driven organization redefining how the world views and treats substance use and mental health. At Release, recovery is about growth, connection, and long-term transformation. When you join our team, you will: • Work alongside respected thought leaders in the recovery space, • Make a direct, meaningful impact on individuals and families, • Receive compensation commensurate with experience (salary range: $65,000 - 75,000), • Be eligible for health, dental, and vision benefits (full-time employees) We believe recovery is a journey, not a destination, and we’re committed to shaping that journey with intention, care, and innovation.

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., • Performs other duties or tasks as assigned. PREFERED SKILLS & EXPERIENCE • 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)., • Minimum of 3+ years of professional coding experience. Work environment: • 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 Position Description Harlem United is the parent company for Upper Room AIDS Ministry (URAM). URAM provides the healthcare services from the Federally Qualified Health Center located in the heart of Harlem. We provide Primary Care, Specialty Care, Dental Care and Wellness Care to those seeking diagnosis and treatment. All employees of URAM are responsible to perform their job practicing good risk management, quality assurance, and delivering excellent internal and external customer service. Under the supervision of the Medical Director and in accordance with established policies and procedures, the Internal Medicine Physician delivers high quality comprehensive primary care for homeless, underserved, chronically ill populations including HIV, Hepatitis C, SUD, Diabetes, Heart Disease and other comorbidities. The AIDS institute Guidelines www.hivguidelines.com and the U.S. Preventive Services Task Force (USPSTF) http://www.ahrg.qov/clinic/uspstfix.htm are utilized as resources and guides for accepted standards of care. Essential Duties and Responsibilities Essential duties and responsibilities include, but are not limited to, the following: • Provides Primary Care, routine and acute care, for both scheduled, same day and walk in appointments, • Maintains a professional demeanor at all times, including demonstration of sound moral and ethical character, compassion, adherence to all agency standards for dress and decorum, • Demonstrates proficiency in use of electronic medical record, • Complies with productivity expectations under the direction of the Chief Medical Officer, • Initiation of treatment and management of chronic illnesses including, but not limited to, HIV infection, asthma, bronchitis, diabetes, lipid disorders, and hypertension, • Generates appropriate referrals to ancillary and specialty services, • Maintains documentation according to standards of the agency and regulatory agencies, • Documents clinical activities and information, • Initiation/ changes in treatment, • Referrals to specialty services, or social based services, • Prescribing including electronic scripts, • Documents and locks progress notes within 48 hours of client encounter, • Ensure timely prescription writing, order, progress notes, and referrals, • Follows prescribing practices according to agency policy and state regulations, • May administer medication according to the same procedures and protocols applied to the nursing staff, • Performs routine diagnostic and therapeutic procedures according to accepted practice standards, • Interpretation of laboratory studies and follow-up on consultation reports, • Provide health education and counseling during visits, • Adheres to regulatory guidelines in regards to compliance, ie, Coding practices., • Attends patient care related meetings, as necessary, including but not limited to morning huddles, case conferences, • Manages coordination of care for individual clients by working with available resources both internal and external to the agency, • Provide clinical supervision to Advanced Practice Clinicians (PA and NP) as assigned by the Medical Director, • Provide phone on-call coverage on a rotating schedule, • Participates in CQI activities, • Other duties as assigned by the Medical Director Other Responsibilities • Participate in Meetings, • Attends conferences and community based activities, including advocacy efforts to eliminate homelessness, HIV and disparities in care as designated by the Medical Director or designee, • Participates in Collaborative Activities as designated by the Chief Medical Officer or Director of Clinic Operations Qualifications/Education/Experience EDUCATION AND CERTIFICATION Medical Doctor Licensed to Practice in the State of New York Board Certified OR Board Eligible in Internal Medicine • Achieve and maintain HIV specialist status, preferred, • Accumulate a minimum of 10 specific HIV CME credits throughout the year and a total of 25 credits total per year, • Possess or obtain within first 90 days of employment a DATA Waiver for Buprenorphine Prescribing authoritySPECIAL SKILLS AND KNOWLEDGE In addition to the above-listed job responsibilities and educational requirements, the Ideal candidate for this position possesses most or all of the following: • Bilingual preferred (English/Spanish or English/French), • Experience in treating hard to reach populations, including the homeless, 'immigrants, HIV infected, substance users, and mentally ill, • Desire and ability to work as part of an interdisciplinary team dedicated to the delivery of high quality care, • Leadership abilities with trouble shooting and problem solving skills, • Proficient in use of electronic medical record systems and other technology required for use in the delivery of care, • Track record of positive interpersonal skills with staff, clients, and others, • Willingness to work off hours on special projects as reasonably dictated by Chief Medical Officer, • The spirit and desire to practice in a community based interdisciplinary mission driven system of care Special Requirements • The employee must be able to lift and/or move more than 50 pounds. Requires full range of body motion including handling and lifting patients, manual and finger dexterity and eye/hand coordination. Requires sitting, standing and walking for extensive periods of time. The employee frequently is required to reach with hands and arms. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Ability to work with a moderate noise level in the work environment is required., • The above information is intended to describe the most important aspects of the job. It is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required in order to perform the work. The health center reserves the right to revise or change job duties and responsibilities as the business need arises. Additionally, this job description is not intended as an employment contract, implied or otherwise, and the Center continues to maintain its status as an at-will employer., • If the essential functions of this position cannot be performed in a satisfactory manner by the employee, reasonable accommodations may be made.

Job Description Job description: We are hiring an experienced Medical Coding Specialist with acute care, inpatient, and ED coding experience. The ideal candidate will have strong ICD10 knowledge, coding expertise, and experience with 3M/HDS coding applications. Shift: Shift Time:8:00 AM-4:00 PM Job type: 1-2 weeks onsite for training and later remote Responsibilities: • Perform accurate medical coding for inpatient and emergency department records, • Apply ICD10, CPT-4, and federal billing guidelines, • Review and research coding-related issues, • Ensure coding compliance with payor and regulatory standards, • Support coder training and documentation accuracy Requirements: • High School Diploma/GED required, • CCS certification required, • RHIA or RHIT preferred, • Minimum 3 years of ICD10 coding experience, • 3M Experience, • Proficiency in MS Word, Excel, Encoder, and coding systems, • Inpatient and ED coding experience required Equal Employment Opportunity Pride Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law. Fair Chance Employment Pride Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodation We are committed to providing reasonable accommodation to applicants and employees with disabilities. If you require reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us. Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, , legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. Company DescriptionPride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors. Equal Employment Opportunity [Hiring Entity Name] is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law. Fair Chance Employment [Hiring Entity Name] is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors. \r\n\r\nEqual Employment Opportunity\r\n[Hiring Entity Name] is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.\r\n\r\n \r\n\r\nFair Chance Employment\r\n[Hiring Entity Name] is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.\r\n\r\n \r\n\r\nAccommodations\r\nWe are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

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

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

Description: Position Description: We are seeking an experienced Actimize Case Management ActOne Developers to join our team. Job Title: Developer – Actimize ActOne Specialist Industry: Banking Role Overview: We are seeking a highly skilled developer to join our dynamic team in the banking sector. The successful candidate will be responsible for implementing and enhancing Actimize ActOne solutions while collaborating with cross-functional teams to drive innovation and operational efficiency. Key Responsibilities: • Develop and customize Actimize ActOne solutions, including:, • Java layout plugins utilizing VTL and JavaScript., • Post-step change plugins to enhance functionality., • Lead and execute the development of ActOne Dashboards., • Utilize expertise in Actimize ActOne UI features, such as roles, alert views, and DART (Data Analytics and Reporting Tools)., • Leverage proficiency in Python programming for integration and automation tasks., • Manage and optimize Oracle database systems to support robust application performance. Qualifications & Experience: • Minimum of 6 years of experience in Actimize ActOne customizations and related technologies., • Actimize ActOne customizations, including Java layout plugin (+VTL, JS), post step change plugin, • Strong coding skills in Python., • Demonstrated hands-on experience with Oracle database management., • Proven ability to work within a fast-paced banking environment while delivering high-quality solutions. Location Preferences: • First preference: New Jersey, with flexibility for remote work within the USA., • Second preference: Toronto, with flexibility for remote work within Canada. Benefits: • Competitive base salary., • Comprehensive benefits package, including medical, dental, 401K, STD, HSA, PTO, and more Join Us: Matrix is a global, dynamic, and fast-growing leader in technical consultancy and technology services, employing over 13,000 professionals worldwide. Since its founding in 2001, Matrix has expanded through strategic acquisitions and significant ventures, cementing its position as a pioneer in the tech industry. We specialize in developing and implementing cutting-edge technologies, software solutions, and products. Our offerings include infrastructure and consulting services, IT outsourcing, offshore solutions, training, and assimilation. Matrix also proudly represents some of the world's leading software vendors. With extensive experience spanning both private and public sectors—such as Finance, Telecom, Healthcare, Hi-Tech, Education, Defense, and Security—Matrix serves a distinguished clientele in Israel and an ever-expanding global customer base. Our success stems from a team of talented, creative, and dedicated professionals who are passionate about delivering innovative solutions. We prioritize attracting and nurturing top talent, recognizing that every employee’s contribution is essential to our success. Matrix is committed to fostering a collaborative and inclusive work environment where learning, growth, and shared success thrive. Join the winning team at Matrix! Here, you’ll find a challenging yet rewarding career, competitive compensation and benefits, and opportunities to be part of a highly respected organization—all while having fun along the way. To Learn More, Visit: _ EQUAL OPPORTUNITY EMPLOYER: Matrix is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind. Matrix is committed to the principle of equal employment opportunity for all employees, providing employees with a work environment free of discrimination and harassment. All employment decisions at Matrix are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, family or parental status, or any other status protected by the laws or regulations in our locations. Matrix will not tolerate discrimination or harassment based on any of these characteristics. Matrix encourages applicants of all ages.

Job Title: A/R Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA Status: Non-Exempt Dental Account Receivable Specialists! ProSmile, the premier Dental Service Organization in the NJ/MD/PA tristate area is currently offering career opportunities working on our Revenue Cycle Management team. If you have experience in Dental Insurance Collections this might be the right role for you! THIS JOB IS 100% REMOTE but must be available to work Eastern Time Zone Responsibilities: • Responsible for accurately working Insurance AR accounts and exhausting all efforts to quickly resolve unpaid dental claims., • Ensures all dental insurance related duties are completed in a timely and accurate manner to ensure excellent patient relations and financial success for the Practices., • Achieves collections goals by effectively managing accounts receivable, prioritizing account reviews and utilizing time management skills., • Assists team members as needed with payment and insurance processes, • Prioritizes daily workload to efficiently work claims based on $ amount and timely filing deadlines., • Ensures all claims are working prior to payor timely filing deadlines are hit., • Performs root cause analysis across multiple claims issues and various payors to ensure timely resolution for patients., • Serves as a liaison between insurance carriers, staff and patients to resolve any concerns., • Facilitates resolution of accounts by working with the dental office to obtain necessary information in a timely manner, • Treats confidentiality of patient data with utmost importance., • Performs miscellaneous job duties as assigned QUALIFICATIONS:, • Minimum of three years’ dental collections experience., • Experience reading and interpreting dental EOB's., • Demonstrated knowledge of CDT codes., • Knowledge of PPO, and Medicaid plans., • Detail-oriented, independent thinker with critical thinking skills is a must., • Understands dental terminology, explanation of benefits, dental billing protocols and coding importance., • Exhibits good working knowledge of Excel for reporting, productivity tracking, etc., • High School diploma or GED required Benefits Summary At ProSmile, we are committed to supporting the health and well-being of our employees and their families. We offer the following benefits for Full Time Benefits Eligible Positions (35+ hours per week) and Part Time Benefits Eligible Positions (30-35 hours per week): • Medical Insurance: Choice of five comprehensive Aetna medical plans, including options with low copays, deductible-sharing, and national provider networks., • Dental Insurance: MetLife plans offering preventative, basic, major, and orthodontic coverage options., • Vision Insurance: Davis and UHC vision plans with annual exams, eyewear allowances, and contact lens benefits., • Flexible Spending & Health Savings Accounts: Pre-tax savings accounts for medical, dependent care, and healthcare expenses., • Life & Disability Insurance: Employer-paid basic life and AD&D insurance, with voluntary life, short-term, and long-term disability plans., • Additional Perks:, • Employee Assistance Program (EAP), • Identity Theft & Fraud Protection, • Legal Support Services, • Discount Programs (including pet insurance, travel, theme parks, electronics, etc.), • Wellness Programs, • Financial Wellness and Planning Tools Physical/Mental Demands and Work Environment The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, fax machine and printer). The employee may occasionally lift and/or move between 10 and 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. The employee may need to travel to healthcare practices. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually low to moderate. The Company reserves the right to modify the job description based upon its needs and may require the employee to perform functions beyond those mentioned above. Neither this job description nor any other communication creates an employment contract between the Company and the employee. Equal Employment Our culture encourages individual development, embraces an inclusive environment, rewards innovative excellence, and leads in provider and patient satisfaction. Prosmile values diversity, inclusion, and equity as matters of fairness and effectiveness. We are committed to hiring and retaining a staff that reflects the diversity of the communities we serve, fostering an inclusive working environment where staff of all backgrounds feel welcomed and engaged. ProSmile is an Equal Opportunity Employer and encourages applications from individuals underrepresented in the medical sector, including people of color, and persons with non-traditional work and educational experience. All who believe they meet the stated qualifications are invited to apply. Company Safety We believe that the best care for our patients starts with the best care for our employees. ProSmile is committed to proactively creating and maintaining an environment that is safe for our team and patients. Employees are required to wear Personal Protective Equipment (PPE) including face masks, gloves, gowns, and more as needed and in accordance with CDC standards.

Responsive recruiter Benefits: • 401(k), • 401(k) matching, • Competitive salary, • Dental insurance, • Flexible schedule, • Health insurance, • Paid time off, • Vision insurance About Ellie Mental Health of Aurora and Saint Charles: Ellie Mental Health of Aurora and St. Charles is dedicated to providing compassionate, accessible, and high-quality behavioral health services to our communities. We strive to make mental health care approachable, inclusive, and effective, fostering a supportive environment for both clients and staff. Join our team to help ensure the financial health of our clinics while supporting our mission to improve mental wellness. Position Overview: The Revenue Cycle Management (RCM) Specialist is a critical member of the Ellie Mental Health of Aurora and St. Charles team, responsible for managing the end-to-end revenue cycle process to ensure timely and accurate billing, collections, and financial reporting. This role requires a detail-oriented individual with strong analytical skills, knowledge of behavioral health billing practices, and a commitment to supporting the clinic’s mission. The RCM Specialist will handle claims creation, bill submission, payment posting, resolution of problematic claims, and report generation to optimize revenue and ensure compliance with insurance and regulatory requirements. Key Responsibilities: Claims Creation and Submission: • Prepare and submit accurate insurance claims for behavioral health services using the clinic’s electronic health record (EHR) and billing software., • Verify patient insurance eligibility and benefits prior to claim submission., • Ensure claims are coded correctly (e.g., CPT, ICD-10) in compliance with payer requirements and behavioral health regulations. Bill Dropping: • Generate and submit clean claims to insurance payers and self-pay clients in a timely manner., • Monitor claim submission processes to ensure accuracy and compliance with payer deadlines. Payment Posting: • Accurately post payments, adjustments, and denials received from insurance companies and patients., • Reconcile payments with claims to ensure proper account balancing and identify discrepancies. Problematic Claims Resolution: Identify, analyze, and resolve denied or rejected claims by working with insurance companies, patients, and clinical staff. • Appeal denied claims as needed, ensuring proper documentation and timely follow-up., • Address underpayments, overpayments, or coding errors to maximize reimbursement. Reporting and Analysis: • Generate regular financial and performance reports, including accounts receivable (A/R) aging, claim status, and revenue cycle metrics., • Analyze trends in denials, reimbursements, and billing issues to recommend process improvements., • Provide insights to the Clinic Manager and Clinic Director to support financial decision-making and operational efficiency. Compliance and Documentation: • Ensure all billing practices comply with federal and state regulations, including HIPAA, and payer-specific guidelines., • Maintain accurate and organized documentation for all claims, payments, and correspondence. Collaboration and Communication: • Work closely with clinical staff to verify documentation and coding accuracy for services rendered., • Communicate with patients regarding billing inquiries, payment plans, and insurance-related questions in a professional and empathetic manner., • Collaborate with the billing team, Clinic Manager, and Clinic Director to streamline workflows and improve revenue cycle efficiency. Additional Duties: • Stay updated on changes in insurance policies, billing regulations, and behavioral health coding standards., • Assist with audits and provide documentation as needed for compliance reviews., • Support the implementation of new billing software or processes as required., • Perform other administrative tasks as assigned to support the clinic’s operations. Qualifications: Education and Experience: • High school diploma or equivalent required; associate’s or bachelor’s degree in healthcare administration, business, or related field preferred., • Minimum of 2 years of experience in medical billing or revenue cycle management, preferably in behavioral health or mental health settings., • Certification as a Certified Professional Coder (CPC) or Certified Billing and Coding Specialist (CBCS) is a plus. Skills and Abilities: • Strong knowledge of medical billing, coding (CPT, ICD-10), and insurance processes, with specific experience in behavioral health billing preferred., • Proficiency in EHR and billing software (e.g., TherapyNotes, Kareo, or similar platforms); familiarity with the Valant EHR platform is a plus., • Excellent attention to detail and organizational skills to manage high volumes of claims and data., • An analytical mindset with the ability to identify and resolve complex billing issues., • Strong communication skills, both written and verbal, to interact with payers, patients, and staff., • Ability to work independently and collaboratively in a fast-paced environment., • Familiarity with HIPAA and other healthcare regulations. Personal Attributes: • Empathetic and patient-focused approach to handling sensitive client interactions., • Problem-solving mindset with a proactive attitude toward challenges., • Commitment to Ellie Mental Health’s mission of providing accessible and compassionate care. Work Environment: • This position is primarily office-based, with responsibilities split between Ellie Mental Health locations in Aurora, IL, and St. Charles, IL, with the potential for hybrid or remote work depending on clinic needs and performance., • Standard office hours with occasional flexibility required to meet deadlines or resolve urgent billing issues. Benefits: • Competitive salary commensurate with experience., • Health, dental, and vision insurance options., • Paid time off and holidays., • Opportunities for professional development and continuing education., • Supportive and collaborative team environment. Flexible work from home options available. Compensation: $50,000.00 - $60,000.00 per year Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. Ellie Mental Health is devoted to purposefully building an inclusive and diverse workplace where all of our humans can be their authentic selves! (Authenticity is one of our core values, after all…) If you’re excited about the chance to be a change-maker with us, but your past experience doesn’t perfectly align with every single qualification of the job description, we encourage you to apply anyways. Our mental health jobs need dedicated individuals from every background who are willing to care for others. And who knows, you might just be the perfect candidate for another role! We take care of our people. It’s that simple. From investing in their financial future, to providing wages that shatter the ceiling in our industry to reasonable caseload expectations we ensure that our people are happy. Happy employees do better work and provide better client care! No matter what it is that you do in your mental health career at Ellie, our clients depend on us cultivating an environment where our employees can thrive so that they can thrive too! Y’all, jobs in mental health are tough jobs with a high risk of emotional fatigue and burnout. At Ellie, we use all of our core values of humor, creativity, authenticity, acceptance, determination, and compassion not just out in our communities, but we turn them inwards too! Our employees have clear growth paths for advancing their careers. We have created a culture that reminds us that our employees are our leaders! Ellie is a socially responsible for-profit business, which allows us to be flexible and responsive to our community’s needs. Many mental health and wellness-focused companies are non-profits or government agencies, which rely on the general public, grants, or large donors for funding. This model often results in little creativity and lower compensation for employees, promoting a work culture that just makes people feel “blah.” Feeling blah doesn’t help employees stay motivated, engaged, or even in their jobs for a very long time! So we created a new model: one that puts flexibility, innovative decision-making, creativity, and our people first, while remaining a socially conscious and responsible for-profit business focused on changing how we treat mental health. In short, we’re just people helping people. Wanna join the herd?

Solution Specialist, Payment Intelligence AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm with offices in the U.S., India, and Europe. Our name comes from the Greek word for excellence: "Arete." And excellence is exactly what we strive for. We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and our success starts with our people. From robust career development planning to competitive life and wellness benefits, AArete's "Culture of Care" takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing personal development and fulfillment. The Role Health plans face continued challenges in reimbursing claims on-time and accurately. AArete's consulting service line, Payment Intelligence, goes beyond typical payment integrity to ensure erroneous and inefficient payments are identified, rectified, and recouped to prevent them in the future. In this role, the individual will be responsible for delivering claims analytics and post-pay data mining edits for client engagements. The position will reporttoa Payment IntelligenceManager. The individual will be the subject matter expert on strategies to help our clients ensure proper claims paymentthrough the use of(1) claims analytics, (2) process improvements, (3) integration of automation/technology, and (4) configurations setups. This role will support the internal development of Payment Intelligence initiatives. Work You'll Do • Support the development, identification and analysisof payment accuracy opportunities through remediation, • Utilize analytics to identify claims payment opportunities through your knowledge of standard payment methodologies including Prospective Payment Systems (IPPS/OPPS), fee for service, Groupers, RUG, etc., • Support process improvements and automation initiatives, • Conduct research on current events, changes in regulatory requirements and market trends impacting health plan reimbursement, • Contribute to the preparation of client ready deliverables with clear and actionable insight, • Exercise sound judgement and clear and direct communication in all aspects of your work, • Other duties as assigned Requirements • 2+ years of experience in payment integrity, healthcare analytics,orpayer operations, • Foundational knowledge of claims processing across multiple lines of business, including Medicare, Medicaid, ACA/Marketplace, Commercial, and Duals, • Experience across various spend areas (professional, ancillary, outpatient, and inpatient), familiarity with modifiers, place of service codes, and NPI/TIN relationships, • Ability to identify incorrect claims payments, • Knowledge of industry vendors and tools related to claims processing, provider data, and contract management, • Understanding of end-to-end claims processes, including claims management, provider lifecycle, and network optimization, • Strong professional communication skills, including written, verbal, interpersonal, and in-person presentation expertise, • Advanced proficiency utilizing Microsoft Excel, • Strong analytical, data interpretation, and problem-solving skills, • Ability to identify client savings opportunities and develop actionable business cases, • Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules, • Bachelor's Degree oradditionalyears of experience in lieu of degree, • Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements • Policy & Claims Editing Expertise, • Research and interpretation of healthcare policies and regulations, • Experience in reimbursement policy writing and claims editing, • Proficiency in data mining to detect errors and inconsistencies, • Ability to crosswalk and compare edits and policies, • Knowledge of claims editing processes, including Prepay/Post-Pay, COB, Subrogation, Fraud Detection, and Medical Record Reviews, • Contract Configuration & Provider Data Expertise, • Interpretation of provider contract terms and pricing methodologies, including fee schedules, per diem, DRGs, cost-plus, and outlier payments, • Understanding of contract carve-outs, including bundled services, readmissions, and reductions, • Experience in contract pricing and claims reimbursement analysis, • Ability to price and reprice claims based on contractual agreements, • Understanding of provider TIN and NPI relationships, • Familiarity with network processes, including Optimization, Adequacy, and Pricing, • Familiarity with claims adjudication systems (e.g., Facets, QNXT, Amisys, etc.), • Experience with SQL or other query languages, • Experience in reimbursement policy, • Knowledge of COB, Subrogation, Fraud Detection, and Medical Record Reviews, • Experience with financial impact modeling, savings forecasting, and ROI analysis, • Exposure to AI/ML models for aberrant billing pattern detection, • Understanding of EDI formats (837/835) and how errors propagate through the claim lifecycle, • Familiarity with industry vendors, • Based in Chicago, IL, and flexible to work from our Chicago office as needed Compensation & Benefits • Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays, • Own Your Day flexible work policy, • Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match, • Generous paid parental leave options, • Employer paid Life Insurance, STD, LTD, • Charitable contribution matching program, • New client commission opportunities and referral bonus program, • Bike share discount program The estimated base salary range for this position is $75,000 - $105,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results. But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. _ We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI

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A leading medical claims company based in the United States is seeking a Clinical Reviewer to evaluate and ensure the accuracy of medical billing and coding. Ideal candidates will have a CPC, APCC, CMBS, or DRG certification and previous experience in a medical office or healthcare background.