Remote medical coding jobs in Newark, New Jersey - Page 2Create job alerts

Job Description Hi, we're Oscar. We're hiring a Senior Analyst to join our Payment Integrity 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 This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Senior Analyst, Payment Integrity role organizes, scopes, prepares, investigates and/or executes on solutions and process improvements within edits and ideation. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. You will report to the Senior Manager, Payment Integrity. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a hybrid role in our New York City office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid Pay Transparency: The base pay for this role is: $69,600 - $91,350 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities • Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity internal claims processing edits and external vendor edits., • Respond to internal and external inquiries and disputes regarding policies and edits., • Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope., • Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change., • Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions., • Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems., • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate., • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • A bachelor's degree or 4+ years of commensurate experience, • 3+ years of experience in claims processing, coding, auditing or health care claims operations, • 3+ years experience in medical coding within payment integrity, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices., • 2+ years experience deriving business insights from datasets and solving problems, • 1+ years experience improving business workflows and processes, • 1+ years experience collaborating with internal and/or external stakeholdersBonus points, • 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar), • Process Improvement or Lean Six Sigma training 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. 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 () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. 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 Notice to Job Applicants.

Job Description Senior Full Stack Software Engineer NYC Data Science Innovation Center – Investment Management They are creating groundbreaking, next-generation Data Science, Predictive Analytics and Machine Learning applications for n-tier cloud architectures employing new paradigms such as cloud computing, lightweight microservices and data sciences! You will play a key role in helping build the future of financial services, working together with business partners to create client experiences that are changing the way people invest. You will be working on developing (Object-Oriented Technologies) the firm's next generation data distribution and analytics platform, with the aim to seamlessly deliver real-time and on-demand investment data to a global network of distributed trading and research platforms. J Harlan Group is currently conducting a search for a Software Engineer (Full Stack) at a prominent Investment Manager in their NYC Data Science Technology Development Center (TDC). The TDC is expanding their Data Science Technology Innovation Center team where they are creating groundbreaking, next generation Data Science, Predicative Analytics and Machine Learning technologies. This role is eligible for remote work up to three days a week. The TDC is working to develop the firm's next generation data distribution platform, with the aim to seamlessly deliver real-time and on-demand investments data to a global network of distributed trading and research platforms. They are employing new paradigms such as cloud computing, lightweight microservices, and distributed and non-relational databases to deliver elastically scalable, globally distributed and highly resilient software services. Technologists at this organization are playing a key role in helping build the future of financial services, working together with business partners to create client experiences that are changing the way people invest. They're looking for experienced Software Developers / Engineers to join their new Technology Development Center in Manhattan. They want technologists with a fresh perspective who are passionate about solving complex business, data, and technical challenges. You'll work with smart, talented people across our business to create groundbreaking, next-generation applications for n-tier cloud architectures. You'll be involved, hands-on, through the entire development cycle. And you'll redefine the way our traders, portfolio managers and analysts serve their clients. • Design, develop, modify, adapt and implement short- and long-term solutions to information technology needs through new and existing applications, systems, databases and applications infrastructure., • Review and interpret system requirements and business processes., • Code, test, debug and implement software solutions., • Requires in-depth knowledge and expertise in their own job discipline and working knowledge of related disciplines., • Leads projects or work streams within broader projects., • Accountable for work of self and sometimes others, provides process and standards advice in area of specialty., • Works independently, receives minimal guidance., • Acts as a resource for colleagues with less experience. This is a “hands-on”, full development lifecycle role that provides an opportunity to solve complex business, data, and technical challenges. As a key contributor throughout the entire development cycle, you will be required to think outside the box and bring cutting edge technology in-house. Responsibilities: • Contributes to all parts of the SDLC, e.g., design, development, and testing, • Develops technical solutions following standard methodologies with some guidance from senior engineers, • Practices automated testing and tests your work in an automated and repeatable way, • Identifies and remediates technical debt, • Works with existing data models and schemas and suggests changes and improvements where necessary, • Demonstrates strong logic and reasoning capabilities, • Delivers on well-specified work items Business Knowledge: • Able to work directly with business stakeholders, • Decisions show a focus on current and future business priorities, together with fiscal responsibility, • Can articulate business needs and translate them into technology solutions Required: • Typically a BS or MS degree in Computer Science or a related technical field of study and 5+ Years of progressive professional development experience with an Object-Oriented language (Java, Python, C#), • Experience with automated delivery pipelines, agile delivery and test-driven development, • In-depth knowledge of software design patterns, • Experience with AI and Machine Learning application development preferred, • Solid understanding of cloud native architectures (AWS, etc.) for containerized microservices and real-time systems, • Experience working in a dynamic, fast-paced, Agile team environment, • Strong interpersonal skills; able to establish and maintain a close working relationship with quantitative researchers, traders and senior business leaders, • Confident communicator; able to argue a point concisely and deal positively with conflicting views, • Enthusiasm for learning & results oriented, • Stays current with many best-of-breed technologies, • Shows a commitment to quality by implementing suitable software using unit/integration and acceptance testing at the time of feature development, • Debugs large components with limited assistance and assists other engineers with debugging, • At some levels, leads code reviews and actively participates in providing feedback on others' designs/code, • Performs as an expert in one or more parts of the software lifecycle (e.g., coding, testing, deployment). Oversee significant pieces of development within the development lifecycle, • Designs and develops practical APIs and abstractions., • Experience with React and/or Angular Strong academic record and a BA/BS degree with high mathematical and computing content (e.g. Computer Science or Engineering or a related technical field) An individual who loves solving deep and complex technical and business problems and wants to have an outsized impact with the services/ products they deliver. An individual with a passion for application development, high level of intellectual curiosity, a commitment to excellence and an unparalleled drive to deliver world-class services. If you or anyone in your network would be interested in this opportunity, please send resume to Jerry Goldberg at or directly contact us at (212) 792-0099 About the Client: The firm is a publicly owned global asset management firm with $800 billion dollars of AUM. The firm offers funds, advisory services, account management, and retirement plans and services for individuals, institutions, and financial intermediaries. The talent and dedication of their people is critical to their success. They offer an opportunity for developing one's professional career while working with individuals trained in a variety of disciplines in a collegial and dynamic environment. They offer a broad range of competitive benefits on a global basis. They seek candidates who are high-energy self-starters who want to join an investment management firm on the leading edge of the global markets. The management team needs individuals of the highest professional caliber who are leaders, problem solvers, analytic, detail-oriented, and entrepreneurial. Everyone at the firm works side-by-side with the firm's senior management in a highly collaborative and charged environment. Successful candidates are: • Analytic and relentless in pursuit of the right answer, • Strong communicators who excel at rapid synthesis, • Able to demonstrate sound business judgment The firm's employees maintain the highest professional and ethical standards. The firm has earned a reputation for honesty, fair dealing, and transparency in a competitive industry. They believe that these standards are the foundation for superior investment performance and are critical to delivering performance to clients SALARY RANGE: The salary range is $148,000 - $253,000 plus employees may also be eligible for annual discretionary incentive compensation. Actual compensation within that range will be dependent upon the individual's skills, experience, qualifications, location, and applicable laws. Work Flexibility: This role is eligible for remote work up to three days a week. Benefits: The firm invests in their people through a wide range of programs and benefits, including: • Competitive pay and bonuses as well as a generous retirement plan and employee stock purchase plan with matching contributions, • Flexible and hybrid remote work opportunities, • Health care benefits (medical, dental, vision), • Tuition assistance, • Wellness programs (fitness reimbursement, Employee Assistance Program), • Paid time off for vacation, illness, medical appointments, and volunteering days, • Family care resources, including fertility and adoption benefits

Job Description Billing Manager / Accounts Payable Accountant Location: Kearny, NJ (On-Site, Mon–Fri, 8-hour workday) Industry: General Contracting & Commercial Moving Compensation: $85,000 – $110,000 annually, plus medical and additional benefits About the Company Our client is a well-established General Contractor and Commercial Moving company based in Kearny, NJ. With decades of experience and a reputation for reliability, they deliver projects with efficiency, precision, and quality service. To support continued growth, they are seeking a Billing Manager / Accounts Payable Accountant to lead and manage the billing and AP functions. Position Overview This role is ideal for a proactive, detail-oriented accounting professional with experience in construction accounting. The Billing Manager will oversee all accounts payable activity, manage AIA billing, reconcile credit cards, and ensure financial accuracy across the organization. This is a hands-on, leadership role for someone who thrives in an independent work environment and is ready to take ownership of the AP and billing processes. Key Responsibilities • Oversee the full accounts payable cycle, including invoice processing, vendor payments, and reconciliations, • Manage AIA billing applications, ensuring compliance with contracts and deadlines, • Reconcile corporate credit card transactions with accurate expense coding, • Respond to vendor inquiries while maintaining positive relationships with suppliers, • Maintain financial records and reporting in QuickBooks and Excel (Sage experience a plus), • Assist with month-end and year-end close processes, • Prepare AP-related reports for senior management, • Ensure confidentiality and accuracy of all financial data Qualifications • Minimum of 6 years of accounts payable experience; construction industry experience strongly preferred, • Proficiency in QuickBooks and Excel; experience with Sage is a plus, • Solid understanding of AIA billing processes, • Strong written and verbal communication skills, • Highly organized, detail-oriented, and able to manage competing priorities, • Demonstrated ability to work independently and take initiative, • Must be authorized to work in the U.S. (no sponsorship available), • Must be able to work fully on-site in Kearny, NJ (no remote/hybrid options) Schedule Monday through Friday, 8-hour workday Equal Employment Opportunity Statement NorthPoint Staffing, LLC 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. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Job DescriptionDescription: Join our respected medical practice as our Billing & Collections Representative, where your exceptional attention to detail and revenue cycle expertise will ensure our financial health while providing patients with clear financial guidance. We're seeking an experienced professional who can masterfully navigate insurance claims, patient accounts, and collection processes while maintaining the highest standards of accuracy and compliance. If you thrive in a collaborative healthcare environment and take pride in resolving complex billing challenges with both efficiency and empathy, we offer competitive compensation, professional growth, and the satisfaction of being an essential member of our patient-centered team. Charge Entry • Reprocesses all paper and electronic claims for assigned carriers when required — verifies completeness of insurance claim information before sending, • Reviews edit reports from clearinghouse daily and resolves issues so claims can be processed, • Using data from the monthly aged accounts receivable report, calls payors or looks up claims status online to inquire about unpaid insurance claims that are 45 days old; records response or activity in the computer system "notes", • Makes necessary arrangements for medical records requests, completion of additional paperwork, etc., if payors request this information prior to payment of claims, • Responds to written and telephone inquiries from patients and insurance companies; manages relationships with personnel from assigned carriers, • Meets with Billing Manager regularly to discuss and solve reimbursement and insurance follow up problems, • Calls carriers to appeal payments that do not match contractual agreement; notifies Billing Manager of payors for which this is a consistent problem; works with Billing Manager and physicians to obtain appeal language for denials and/or unacceptable payment, • Processes requests for insurance refunds, and submits to Billing Manager for approval, • Establishes payment plans within approved guidelines—obtains approval from the Billing Manager when necessary, • Resubmits insurance claims on behalf of patients, if necessary, • Recommends to Billing Manager those accounts needing to go to an outside collection agency and sends out collection letters, • Prints and mails itemized statements to those patients who request them, or transmits claims to outside mailing house for processing, • Processes requests for patient refunds, and submits to Billing Manager for approval, • Posts adjustments, withholds, as part of this process, and transfers deductibles and coinsurance to patient responsibility; batches them according to protocol, • Alerts Billing Manager when payments do not match contractual amounts; looks for underpayments and silent PPOs, • Submits balanced payment batches to the Billing Manager daily, • Ensure all medical information for patient is accurate, updating when necessary, • Check patient eligibility and benefit verification; update account if discrepancies, • Ensures that all faxes are cleared off the machine (or routed in the system) and distributed throughout the day, • Sorts incoming reports and directs to appropriate person if not addressed properly, • Maintains detailed knowledge of practice management and other computer software as it relates to job functions, • Maintains and respect the confidentiality of patient information in accordance with company policy & procedure, and HIPAA & compliance guidelines, • Attends regular staff meetings and continuing education sessions as requested, • Presents professional image in manner, appearance, motivation and work habits, • Regular attendance is required, • Academic/Technical Qualifications, • Minimum of 18 months experience in a physician group practice billing department, • Familiar with CPT and ICD-10-CM coding for orthopedic, podiatry & pain management surgery procedures, • Good analytical skills and an affinity for detail, • Knowledge of HIPPA & OSHA guidelines, • Working knowledge of medical practice management systems and electronic medical records, • Excellent verbal, written, and interpersonal skills, • Ability to work well with physicians, employees, patients, and others, • A committed and result-driven attitude to work as a high ethical and professional standard, • Unquestionable commitment to confidentiality, quality customer service and professionalism OrthoNJ, LLC is required by New Jersey law to include the salary range for this role. The hourly hiring range for this role is $18-$29. The range for this role is typically determined by several factors, including the geography in which the selected candidate will be working, and alignment with qualifications and experience. Certain roles may also be eligible for additional compensation (bonus, etc) and/or benefits. In addition, full-time employees are eligible for standard benefits package including paid time off, medical, dental, vison and retirement plan.

Job DescriptionJoin Our Team as a Clinical Data Abstractor at Carta Healthcare! Company: Carta Healthcare Inc. Position: Flexible Schedule Clinical Data Abstractor Location: 100% Remote (Non-Benefit Position) Are you experienced in clinical data abstraction? Carta Healthcare Inc. is seeking talented individuals to join our growing team as Part-Time Clinical Data Abstractors! Join our team at Carta Healthcare, where we offer opportunities for experienced clinical data abstractors. We offer a flexible work schedule that allows for a balanced work-life experience. About Us: At Carta Healthcare, we are revolutionizing the way healthcare data is managed and used with innovative software solutions. Position Overview: As a Part-Time Clinical Data Abstractor, you will be responsible for abstracting and coding patient information from medical records to meet the requirements of various target registries. What We're Looking For: • Minimum of 1 year of recent clinical data abstraction experience, • Proficiency with EMR systems, • Maintain a 98% or higher IRR score, • Previous remote work experience preferred, • Available for a minimum of 60 abstraction hours monthlyWhy Join Us?, • Flexible part-time hours non-benefit -W2 employee, • Hourly rate $28-$32, • 100% remote Carta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity. In addition, we have found and strongly believe that diverse teams are higher-performing, and we embrace the varied perspectives that our team members share with each other. As such, we are an Equal Opportunity Employer. #LI-Remote #BI-Remote

Job Description Hi, we're Oscar. We're hiring an Associate to join our Payment Integrity 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 This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Associate, Payment Integrity is responsible for ensuring claims are paid accurately and timely with the highest quality. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement within edits and ideation. The Associate provides thought leadership for Payment Integrity process and workflows that impact claims payments and works closely with cross functional partners on execution of changes. You will report to the Senior Manager, Payment Integrity. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a hybrid role in our New York City office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid Pay Transparency: The base pay for this role is: $88,800 - $116,550 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities • Provide subject matter expertise and in-depth understanding of Payment Integrity internal claims processing edits, external vendor edits and Oscar reimbursement policies., • Identify claims payment issues from data mining, process monitoring, etc., provide scoping and action steps needed to remediate the issue., • Respond to internal and external inquiries and disputes regarding policies and edits., • Document industry standard coding rules and provide recommendations on reimbursement policy language and scope., • Ideate payment integrity opportunities based on a deep knowledge of industry standard coding rules. Translate into business requirements; submit to and collaborate with internal partners to effectuate change., • Provide training and education to team members when necessary., • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate., • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • A bachelor's degree or 4+ years of commensurate experience, • 4+ years of experience in claims processing, coding, auditing or health care claims operations, • 4+ years experience in medical coding, • 3+ years of experience working with large data sets using excel or a database language, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices.Bonus points, • 3+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar), • Process Improvement or Lean Six Sigma training 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. 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 () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. 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 Notice to Job Applicants.

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication of expectations. This position supports and coaches front line talent to ensure the highest level of service to clients and ultimately the patient lives we impact. You will: • Supervise day-to-day team performance, conduct 1:1's and performance assessments., • Responsible for reviewing and approving time sheets and time off requests., • Receive, merge and track quality, productivity, and feedback for all team members., • Provide a summary of productivity findings on a daily basis, including education on time management and best coding practices., • Provide coaching and feedback on achieving production and quality standards of the role., • Report trends for education opportunities to management for review and/or action., • Motivate team members through effective training, supplemental materials and coaching to improve quality and production., • Apply guidelines and concepts as indicated., • Serve as resource and subject matter expert to staff., • Ensure compliance with HIPAA regulations and requirements., • Completes all special projects and other duties as assigned. What you will bring to the table: • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, CRC), • Extensive knowledge of ICD -9/10, • 2 years coding experience, required., • 2 years coding experience, preferred, • People Leader experience managing a team of employees., • Familiarity with HCC coding and auditing, • A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes., • Ability to work in a fast-paced production environment while maintaining adherence to high quality standards., • Must be able to follow instructions, meet deadlines and work independently., • Ability to be flexible in work environment., • Excellent written and verbal communication skills, ability to work in a remote environment and time management skills. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is:$68,000—$84,000 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job DescriptionPosition Overview: We are seeking an experienced Project Manager to lead strategic and operational payment integrity initiatives within our healthcare organization. The ideal candidate embodies a proactive, detail-oriented approach to driving project success in a regulated environment and is responsible for managing: Business projects related to healthcare initiatives (DRG validation, Cost outlier, readmission reviews), and the integration of technology solutions that support these functions. Cross-functional teams, project timelines, ensuring efficient deployments, and bridging the gap between technical resources, and business operations. Please be advised that position is in-office Monday to Thursday and remote on Friday. Responsibilities: • Project Management: Tactically plan, execute, monitor, and close all projects particularly those involving healthcare, • Team Coordination: Collaborate with internal teams (IT, Business operations) and external vendors to ensure effective project execution, • Requirements Gathering: Work with stakeholders to define scope, requirements, milestones, and resource needs for each project, • Scheduling & Budget Tracking: Develop project schedules, track progress, monitor budgets, and manage timelines, • Risk & Issue Management: Identify risks and develop mitigation strategies. Escalate issues appropriately to senior leadership or technical teams, • Communication: Provide regular updates to project sponsors, stakeholders, and team members. Maintain clear documentation and status reports, • Quality & Compliance: Ensure project outcomes comply with healthcare regulations (HIPAA/HITRUST), IT security policies, and internal quality standards, • 4+ years’ experience in healthcare project management, and 2+ years’ experience with DRG validation, hospital bill audits, or claims adjudication reviews., • Knowledge of HITRUST, HIPAA, HITECH, and general compliance standards in healthcare/IT., • Proficiency with MS Project, MS Excel (pivot tables, v-lookups), MS Office suite (Excel, Power Point, Word) for documentation/presentations and familiarity with Power BI is a plus., • Deep understanding of ICD-10 coding and healthcare audit practices., • Strong interpersonal skills and ability to communicate effectively both orally and in writing., • Ability to manage competing priorities and influence cross-functional teams., • Organizational and time management skills to keep teams and projects on schedule., • Bachelor’s degree or equivalent experience in health information management, healthcare administration or related field., • Familiarity with payment integrity, claims adjudication, or healthcare fraud/waste/abuse prevention., • Baseline technical knowledge whereby complex technical information is translated for non-technical stakeholders and business goals for technical teams., • Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents., • 401(k) with Employer Match - Join the team and we will invest in your future, • Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, and 11 observed holidays., • Wellness - We care about your well-being. From Commuter Benefits to FSAs we’ve got you covered. Powered by JazzHR v8ccuLG2ZO

Remote Medical Biller & Coder (Entry-Level & Experienced). Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support fo

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining to auditing functions as assigned. The individual will provide superior customer experience by educating internally and externally on opportunities for improvement discovered during auditing. This individual will work closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. You will: • Maintain a quality assurance program, • Play a key role in ensuring coding compliance and accuracy, • Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors, • Provides expertise as it relates to coding compliance for new and existing services, while ensuring compliance with organizational, federal, state, and third-party requirements., • Assist in the methods to effectively communicate information through presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff., • Report findings to Leadership in a timely, consistent and effective manner ensuring that appropriate changes are implemented., • Support audit processes ensuring work flows and results are properly documented and maintained. Identify process improvements as needed., • Assist in the development of an effective training program regarding correct coding techniques/practices, • Assist with training new auditors and training of other staff as needed., • Create methods to share information on the program, quality, and initiatives with Management on a monthly cadence at minimum., • Bachelor's degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA and MA., • Expert knowledge of Risk Adjustment ., • Research and problem resolution skills., • Exceptional interpersonal relationship skills., • Must possess strong managerial, financial, and analytical skills., • Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement., • Strong communication skills to effectively interact all levels of the organization, business unit leaders, and staff in a tactful and positive manner., • Experience overseeing remote (Work at Home) operations., • Exceptional interpersonal skills, proven success in complex and ambiguous environments., • Ability to work independently, with high productivity, and regularly meet deadlines., • Demonstrates excellent written and verbal communication skills conforming to all rules of punctuation, grammar, diction and professional style. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is:$78,000—$92,000 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication of expectations. This position supports and coaches front line talent to ensure the highest level of service to clients and ultimately the patient lives we impact. You will: • Supervise day-to-day team performance, conduct 1:1's and performance assessments., • Responsible for reviewing and approving time sheets and time off requests., • Receive, merge and track quality, productivity, and feedback for all team members., • Provide a summary of productivity findings on a daily basis, including education on time management and best coding practices., • Provide coaching and feedback on achieving production and quality standards of the role., • Report trends for education opportunities to management for review and/or action., • Motivate team members through effective training, supplemental materials and coaching to improve quality and production., • Apply guidelines and concepts as indicated., • Serve as resource and subject matter expert to staff., • Ensure compliance with HIPAA regulations and requirements., • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, CRC), • Extensive knowledge of ICD -9/10, • 2 years coding experience, required., • People Leader experience managing a team of employees., • Familiarity with HCC coding., • A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes., • Ability to work in a fast-paced production environment while maintaining adherence to high quality standards., • Must be able to follow instructions, meet deadlines and work independently., • Ability to be flexible in work environment., • Excellent written and verbal communication skills, ability to work in a remote environment and time management skills. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is:$65,000—$84,000 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.