• Coding Auditor Educator

    Highmark Health (Trenton, NJ)
    …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS… more
    Highmark Health (02/07/25)
    - Related Jobs
  • Manager , Itemized Bill Review

    Zelis (NJ)
    …Overview The Manager , Itemized Bill Review will collaborate closely with the Sr. Manager and Sr. Director of Clinical Coding serving as the Subject Matter ... the team is capturing all potential saving opportunities. The Manager , IBR will investigate areas of coding ...denials as necessary + Conduct ongoing team education regarding coding and/or billing errors including development of… more
    Zelis (04/08/25)
    - Related Jobs
  • Revenue Integrity Analyst

    Insight Global (Camden, NJ)
    …. Skills and Requirements - Bachelor's degree or equivalent education and experience - Coding Certification ( CPC , COC, CCS) - 5+ years of healthcare experience; ... , revenue integrity, revenue cycle management - Experienced with coding related billing edits (CCI, MUE, LCD/NCD,...and Tableau - Epic Experience - BI Experience - Coding Certification ( CPC or COC or … more
    Insight Global (02/12/25)
    - Related Jobs
  • Practice Manager - VMG

    Virtua Health (Sewell, NJ)
    …of vaccines, controls, and refrigerator/ freezer temperature. Participation in designated CPC + program, Value based synopsis, VPP reporting, and other programs ... practice or ambulatory medical setting. Knowledge of insurance (ICD-9 CPT coding , Medicare regulations, state regulations, CLIA, DOH, and OSHA regulations)… more
    Virtua Health (05/03/25)
    - Related Jobs
  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Woodbridge, NJ)
    …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as CCS or… more
    Elevance Health (04/29/25)
    - Related Jobs
  • Medical Accounts Receivable Specialist

    Robert Half Accountemps (West Long Branch, NJ)
    …in the Healthcare industry for a Medical Accounts Receivable Specialist or a CPC Coder at our Ocean, New Jersey location. As a Medical Accounts Receivable ... * Demonstrate a basic understanding of CPT and ICD coding . * Demonstrate knowledge of rudimentary medical terminology. *...to the AR Team Lead or AR Revenue Cycle Manager . * Exhibit problem-solving, prioritization, and organizational skills. *… more
    Robert Half Accountemps (04/03/25)
    - Related Jobs