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

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

Job 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 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 () 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.

Maintain accurate medical records and documentation in EMR systems.

NYP will not reimburse for travel expenses.

The ideal candidate will work collaboratively with physicians and other medical professionals to provide high-quality patient care. Work effectively within a hospital setting, collaborating with medical staff to ensure optimal patient outcomes.

Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education. One Medical providers also demonstrate:. Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance.

Participate in medical staff educational programs and meetings as needed. Comfortable with Electronic Medical Record (EMR) system and Microsoft Office. Wyckoff Heights Medical Center.

Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Physician Assistant to join our team! As a Physician Assistant, you will be examining patients, collecting patient medical history, and making

Conduct thorough patient assessments, including medical history reviews and physical examinations. Maintain accurate and detailed medical documentation in compliance with regulatory standards. Proficiency in medical documentation systems and electronic health records.

Collaborate closely with physicians, medical assistants, and care coordinators. Medical, dental, vision, and life insurance. Dedicated medical assistant and scribe.

Job Description Job Description Apple Pediatrics-Bodhi Medical Care LLC is seeking a Pediatric Physician's Assistant to become a part of our team! You will focus on providing high quality patient care as part our stellar healthcare team.

Dedicated medical assistant and scribe support. Collaborate with physicians, medical assistants, and fellow Nurse Practitioners to deliver coordinated care. Medical, dental, vision, and life insurance.

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.

Active New York medical license. Comprehensive medical, dental, and vision coverage.

Title: Physician Assistant - NE Location: Upper East Side Org Unit: Clinical Operations Work Days: Monday-Friday Weekly Hours: 35.Exemption Status: Non-Exempt Salary Range: $80.As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices Position Summa

Job Description Job Description RDMEDICALDOCTORS currently hiring a Physician Assistant to work in the Manhattan and Bronx area. General Responsibilities: Conduct patient examinations, including taking medical histories, performing physical exams, and ordering diagnostic tests.

This well-established hospitalist program features strong support, modern facilities, and an excellent collaborative environment.Join a team of 12 physicians and 6 APPs.Night team includes one nocturnist and 1 APP.Average 4?6 admissions per night per APP.Cross-coverage for a census of ~100 patients.

Physician Assistant ? Family Medicine.Brooklyn, NY | Full-Time or Part-Time.We are a busy, well-established.Brooklyn, NY seeking a skilled and compassionate.Must be available for some evenings and some weekends.Provide comprehensive primary and urgent care to patients of all ages.Perform physical ex

Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education. Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance. Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance.

Army Physician Assistants serve as versatile medical specialists across the full spectrum of Army medicine If you are a professional in the physician assistant field and want to combine your passions with a desire to serve the U.

Four Season Medical PLLC is seeking a Certified Cardiologist Physician Assistant to join our Family Practice teams at various clinics throughout New York City. Take medical histories and record vital signs.

We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under fede

Flexible spending account(Medical Expense and Dependant Care),. Health Insurances(Medical, Dental and Vision),.

This position is primarily front-desk focused, with opportunities to support the medical team through light clinical duties. Key Responsibilities include, but are not limited to: Reception Duties (Primary Focus): Greet clients and patients warmly and professionally Answer phone calls and emails, tri

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds. Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned. Must be able to travel to Hamilton NJ office as needed.

Pride Global 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

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

Medical coding in an acute care setting; must possess proficient computer skills (e. MS Word, Excel, ICD 9 CM, CPT 4, Encoder);. Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness i

We're looking for a professional, detail-oriented medical receptionist to be the welcoming face of our practice and support our patient-focused team. Maintain accurate patient records in electronic medical records (EMR) system. Medical office or healthcare administrative experience.

Medical Receptionist and Medical Assistant. We are a multi-office Dermatology and Orthopedics practice, seeking enthusiastic and pleasant front desk receptionists and medical assistants that are able to commute to both locations. Part-time and full-time positions are available (Full time preferred),

United States citizenship or equivalent status as allowed by policy; high school diploma or equivalent; at least 17 years of age; interest in healthcare and willingness to work in clinical and field environments, potentially under stressful conditions; ability to meet medical, vision, and physical f