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Medical Coder jobs at CentraState Healthcare System - 75 jobs

  • Coder II - Remote

    Cooper University Hospital 4.6company rating

    Camden, NJ jobs

    At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Code all diagnoses and procedures documented in the medical record for the current encounter. Enter all code information in the HealthQuest system for facility coding in a timely manner. Adhere to compliance regulations set by the government, state, & the Cooper Health System to ensure guidelines are met. 0-2 years' experience required. 3-5 years' experience preferred. High School/GED required. Vocational/Technical School preferred. Health Information Management/Coding/Billing. One or more of the following: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA required. USD $28.00 USD $46.00
    $63k-80k yearly est. 4d ago
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  • Inpatient Senior Coder, Part Time, Day Shift (Hybrid)

    The Valley Hospital 4.2company rating

    Ridgewood, NJ jobs

    The Inpatient Senior Coder is responsible for accurate, compliant, and timely coding and abstracting of inpatient medical records, including the assignment of ICD-10-CM/PCS codes and validation of MS-DRG and APR-DRG groupings. This position ensures proper reimbursement, adherence to regulatory and coding guidelines, and supports overall clinical documentation accuracy for inpatient services. This is a remote position with onsite availability required as needed. EDUCATION: High school diploma or equivalent. CCS (Certified Coding Specialist) Required. EXPERIENCE: • Three to five years of inpatient hospital coding experience • Proficient in ICD-10-CM and ICD-10-PCS coding • In-depth knowledge of MS-DRG and APR-DRG reimbursement systems • Familiarity with coding audits and clinical documentation review • Experience with Observation or complex outpatient cases is a plus • Prior mentoring or training experience preferred SPECIAL SKILLS: Medical terminology required. Knowledge of anatomy, physiology, ICD-10-CM. Ability to work independently with minimal direct supervision and cooperatively within a team environment. Proficiency with encoder tools, EMR systems, and coding software (e.g., 3M, Meditech). Ability to communicate effectively (oral and in writing) and interact with customers to meet their needs. Ability to handle interruptions and adapt to changes in workload and work schedule. Ability to set priorities, make effective decisions. Ability to recognize and deal with problematic situations and to prioritize. Job Location The Valley Health System-Ridgewood Shift Day (United States of America) Benefits Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees) Group Term Life Insurance and AD&D(Full Time Employees) Flexible Spending Accounts and Commuter Benefit Plans Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.) 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness Retirement Plan Tuition Assistance Employee Assistance Program (EAP) Valley Health LifeStyles Fitness Center Membership Discount Day Care Discounts for Various Daycare Facilities SalaryJoining Valley Health System means becoming part of a dedicated team that values the highest quality of care in a supportive environment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure. Actual individual salaries vary depending on these factors. The salary listed does not include other forms of compensation or benefits.Pay Range: $37.46 - $46.82 (per hour) EEO Statement Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran's status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.
    $37.5-46.8 hourly Auto-Apply 60d+ ago
  • Hierarchical Condition Category (HCC) Coding Specialist

    Highmark Health 4.5company rating

    Trenton, NJ jobs

    This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements. + Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding. + Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies. + Engages in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing **Preferred** + 5 years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $26.49 **Pay Range Maximum:** $41.03 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273522
    $26.5-41 hourly 37d ago
  • HIM Coder - Remote/Voorhees (Per Diem) CCS Required

    Virtua Memorial Hospital 4.5company rating

    Voorhees, NJ jobs

    At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: Voorhees - 100 Bowman Drive Remote Type: On-Site Employment Type: Employee Employment Classification: Per Diem Time Type: Part time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 0 Additional Locations: Job Information: Please note all candidates must complete onsite testing in Marlton, NJ. Summary: Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as it pertains to the coding and abstracting of medical records, as well as Diagnosis Related Group (DRG) assignment. Position Responsibilities: Accurately reviews each record and knowledgeably utilizes ICD-10-CM, ICD-10-PCS, CPT-4, and encoder to accurately code all significant diagnoses and procedures according to American Hospital Association (AHA), American Health Information Management Association (AHIMA), Uniform Hospital Discharge Data Set (UHDDS) hospital specific guidelines and rules/conventions. Records coded include Inpatient, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department. Sequences principal (or first-listed) diagnosis and principal procedures according to documentation found in the medical records and UHDDS definitions. Utilizes ongoing knowledge and reference material regarding DRGs to validate DRG assignments. Accurately utilizes written federal and state regulations and written guidelines regarding definitions and prioritizing of abstract data elements to assure uniformity of database. Records abstracted include Inpatient, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department. Verifies and/or abstracts required data into computer system according to procedure. Utilizes equipment and processes appropriately, to ensure efficient coding and abstracting; utilizes the established downtime procedures as needed. Participates in maintaining DNB and accounts receivable goal. Maintains department level competencies. Participates in performance improvement activities. Position Qualifications Required / Experience Required: Minimum of two years inpatient records coding experience or equivalent. Ability to perform functions in a Microsoft Windows environment. Ability to be detailed oriented and perform tasks at a high level of accuracy. Ability to make sound decisions. Demonstrate good communication and team work skills. Previous experience with an electronic legal health record system preferred. Required Education: High School Diploma or GED required. Knowledge of Anatomy & Physiology/ Medical terminology required. Coding education preferred or equivalent in years of experience. Training/Certifications/Licensure: AHIMA Certification: Certified Coding Specialist (CCS) required for all employees hired after 10/1/2025. Non-CCS-Certified Hourly Rate: $26.22 - $40.65 Hourly Rate: $28.63 - $44.54 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. For more benefits information click here.
    $28.6-44.5 hourly Auto-Apply 18d ago
  • Coder - Inpatient

    Highmark Health 4.5company rating

    Trenton, NJ jobs

    This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) + Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) + Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%) + Performs other duties as assigned or required. (5%) **QUALIFICATIONS:** Minimum + High School / GED + 1 year in Hospital coding + Successful completion of coding courses in anatomy, physiology and medical terminology + Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC) + Familiarity with medical terminology + Strong data entry skills + An understanding of computer applications + Ability to work with members of the health care team Preferred + Associate's degree in Health Information Management or Related Field **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $23.03 **Pay Range Maximum:** $35.70 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J272373
    $23-35.7 hourly 44d ago
  • Coder III, PB

    Hackensack Meridian Health 4.5company rating

    Edison, NJ jobs

    Our team members are the heart of what makes us better. At **Hackensack Meridian** **_Health_** we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The **Physician Coder III** is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate. **Education, Knowledge, Skills and Abilities Required** : + High School diploma, general equivalency diploma (GED), and/or GED equivalent programs. + Minimum of 3+ years of coding experience, Trauma Level 1 and Academic Teaching facility. + Focused background in Physician and Profee coding with knowledge of E/M guidelines. + Proficient in coding in office/outpatient procedures in an office and outpatient hospital setting. + Strong understanding of physiology, medical terms and anatomy. + Proficiency in computer skills including typing speed and accuracy. + Excellent written and verbal communication skills. + Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms. **Education, Knowledge, Skills and Abilities Preferred** : + Multiple years of coding experience, Trauma Level 1 and Academic Teaching facility. + Background in multi-specialty Physician services. **Licenses and Certifications Required** : + Registered Health Information Technician or Registered Health Information Administrator Certification or Certified Coding Specialist or Certified Professional Coder. + An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential. **Licenses and Certifications Preferred** : + An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential. 175220 Starting at $34.65 Hourly HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: + Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. + Experience: Years of relevant work experience. + Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. + Skills: Demonstrated proficiency in relevant skills and competencies. + Geographic Location: Cost of living and market rates for the specific location. + Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization. + Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits. HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.
    $34.7 hourly 12d ago
  • Lead Coding Specialist

    Atlantic Health System 4.1company rating

    Morristown, NJ jobs

    This will be a lead IP/OP coder responsible for assisting with the day-to-day oversight of coding staff, which may include establishing staff schedules and deployment, review employee time records and providing feedback to supervisor/coordinator on coder performance. Responsible for monitoring coding work queues, including deployment of coders to areas of greatest need. Reviews and reconciles reports, provides coding training within the Coding Department and performing research on coding issues. Principal Accountabilities: * Utilizes Coding Compliance software to identify charts for review on a daily basis. * Responsible for maintaining up to date knowledge of coding guidelines as they relate to professional services. * Works with Supervisor to help educate new staff members on coding practices and procedures. * Reads and interprets medical record documentation to determine the appropriate ICD-10-CM/PCS diagnosis and procedure codes necessary to calculate a DRG for the purpose of hospital reimbursement. * Reviews charts and gives feedback to coders regarding areas of discrepancy. * 8. Attends and assists with Performance Improvement initiatives when needed. * 10. Performs other related duties as assigned. #LI-AW1 At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include: * Morristown Medical Center, Morristown, NJ * Overlook Medical Center, Summit, NJ * Newton Medical Center, Newton, NJ * Chilton Medical Center, Pompton Plains, NJ * Hackettstown Medical Center, Hackettstown, NJ * Goryeb Children's Hospital, Morristown, NJ * CentraState Healthcare System, Freehold, NJ * Atlantic Home Care and Hospice * Atlantic Mobile Health * Atlantic Rehabilitation We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners. We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades: * 100 Best Companies to Work For and FORTUNE magazine for 15 years * Best Places to Work in Healthcare - Modern Healthcare * 150 Top Places to work in Healthcare - Becker's Healthcare * 100 Accountable Care Organizations to Know - Becker's Hospital Review * Best Employers for Workers over 50 - AARP * Gold-Level "Well Workplace": Wellness Council of America (WELCOA) * One of the 100 Best Workplaces for "Millennials" Great Place to Work and FORTUNE magazine * One of the 20 Best Workplaces in Health Care: Great Place to Work and FORTUNE magazine * Official Health Care Partner of the New York Jets * NJ Sustainable Business Atlantic Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted: Team Member Benefits * Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members) * Life & AD&D Insurance. * Short-Term and Long-Term Disability (with options to supplement) * 403(b) Retirement Plan: Employer match, additional non-elective contribution * PTO & Paid Sick Leave * Tuition Assistance, Advancement & Academic Advising * Parental, Adoption, Surrogacy Leave * Backup and On-Site Childcare * Well-Being Rewards * Employee Assistance Program (EAP) * Fertility Benefits, Healthy Pregnancy Program * Flexible Spending & Commuter Accounts * Pet, Home & Auto, Identity Theft and Legal Insurance ____________________________________________ Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer. EEO STATEMENT Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.
    $45k-57k yearly est. Auto-Apply 5d ago
  • Lead Coding Specialist

    Atlantic Health System 4.1company rating

    Morristown, NJ jobs

    This will be a lead IP/OP coder responsible for assisting with the day-to-day oversight of coding staff, which may include establishing staff schedules and deployment, review employee time records and providing feedback to supervisor/coordinator on coder performance. Responsible for monitoring coding work queues, including deployment of coders to areas of greatest need. Reviews and reconciles reports, provides coding training within the Coding Department and performing research on coding issues. Principal Accountabilities: Utilizes Coding Compliance software to identify charts for review on a daily basis. Responsible for maintaining up to date knowledge of coding guidelines as they relate to professional services. Works with Supervisor to help educate new staff members on coding practices and procedures. Reads and interprets medical record documentation to determine the appropriate ICD-10-CM/PCS diagnosis and procedure codes necessary to calculate a DRG for the purpose of hospital reimbursement. Reviews charts and gives feedback to coders regarding areas of discrepancy. 8. Attends and assists with Performance Improvement initiatives when needed. 10. Performs other related duties as assigned. #LI-AW1 Required: High School Diploma or equivalent and Medical Coding Education CCS certification required, Five (5) years progressive coding experience. Preferred: Associate or bachelor's degree in a healthcare related field. More than Seven (7) years of coding experience in an academic medical center. Certified Coding Associate (CCA), CPC, RHIA, RHIT preferred.
    $45k-57k yearly est. Auto-Apply 7d ago
  • Certified Coder Abstractor

    St. Joseph's Healthcare System 4.8company rating

    Paterson, NJ jobs

    Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT4. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and timely manner. Work requires the level of knowledge normally acquired through completion of two to three years of occupational-specific education beyond High School or an Associate's Degree in Health Information Technology or a closely related field. Work requires the analytical ability to resolve problems that require the use of basic scientific knowledge. Work requires the ability to exchange information on factual matters.
    $68k-87k yearly est. Auto-Apply 10d ago
  • Credentialed Coder (Certified)

    Deborah Heart and Lung Center 4.4company rating

    Browns Mills, NJ jobs

    Review and code patient records for both inpatients and outpatients. Assign appropriate ICD-10-CM and ICD-10-PCS codes. Verify CPT-4 codes, DRGs, and APCs. Experience Preferred: 1-3 years acute care coding Education Preferred: Associates in Health Information Technology License and Credentials Required: RHIA, or RHIT, or CCS, or CCA Skills Required: Knowledge of anatomy and physiology, medical terminology, pathology of disease, ICD-10 CM, ICD-10-PCS, CPT-4 Bi-Weekly Hours: 80 Work Schedule: 8:30am - 5pm M-F The minimum starting rate for this position is $21.44 When determining a team members base rate, several factors may be considered as applicable (e.g., years of recent relevant experience, education, credentials, and internal equity). At Deborah, healthcare is still about caring...for patients and team members. That is why we offer an outstanding benefits package, which includes healthcare coverage for team members in regularly budgeted positions of at least 30 hours per week. The benefits package also includes generous paid time-off, 401K matching contribution, tuition assistance, short and long term disability benefits, life insurance, meal discount, dependent care subsidy, adoption assistance and free parking.
    $21.4 hourly 60d+ ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Trenton, NJ jobs

    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 50d ago
  • Coder II

    Cooper University Hospital 4.6company rating

    Camden, NJ jobs

    About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Code all diagnoses and procedures documented in the medical record for the current encounter. Enter all code information in the HealthQuest system for facility coding in a timely manner. Adhere to compliance regulations set by the government, state, & the Cooper Health System to ensure guidelines are met. Experience Required 0-2 years' experience required. 3-5 years' experience preferred. Education Requirements High School/GED required. Vocational/Technical School preferred. Health Information Management/Coding/Billing. License/Certification Requirements One or more of the following: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA required. Salary Min ($) USD $28.00 Salary Max ($) USD $46.00
    $63k-80k yearly est. Auto-Apply 60d+ ago
  • Medical Records Specialist - Part-time

    Ensemble Health Partners 4.0company rating

    Westwood, NJ jobs

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: ENTRY LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement The starting pay for this position is $16.00/hr. Final compensation will be based on experience. Location: Ardent - Pascack Valley, Westwood, NJ We are seeking a detail-oriented and compassionate Medical Records Specialist to ensure the accurate and timely completion and submission of birth records, including birth certificates and paternity acknowledgements, for newborns at Norton Community Hospital and Johnston Memorial Hospital. Key Responsibilities: Collect and verify all documentation on birth certificate worksheets for completeness and accuracy. Interact with parents to collect and document birth information, deliver forms, and provide guidance in completing required paperwork. Assist parents, families, and staff with questions about certificates and State Regulations, ensuring each data element is accurately collected from both the parent and patient chart. Present unmarried parents with the opportunity to voluntarily acknowledge paternity, provide informational materials, and assist with the Acknowledgment of Paternity form-requiring patience, diplomacy, and sensitivity. Enter birth certificate information into the appropriate computer software program, review for completeness and accuracy, and transmit data in a timely manner as required by state law. Prepare verification of birth for every newborn. Collaborate closely with providers and nursing staff as needed. Pick up charts/requests daily from lock box and nursing units for scanning. Willingness to become a notary public due to documentation requirements. Qualifications: Strong attention to detail and organizational skills. Excellent communication and interpersonal abilities. Ability to handle sensitive situations with diplomacy and professionalism. Willingness to travel between hospital locations as required. Commitment to maintaining confidentiality and compliance with state regulations. Certifications: CRCR Required within 9 months of hire (company paid) Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $16 hourly Auto-Apply 3d ago
  • Health Information Coder Inpatient

    Hunterdon Healthcare 3.4company rating

    Flemington, NJ jobs

    Position#Summary Position is responsible for ICD-9 and ICD-10 Inpatient/Outpatient coding of diagnosis and procedures. When reviewing documentation must be able to interact with all medical and clinical staff. Primary Position Responsibilities Codes and abstracts inpatient/outpatient records using ICD-10 Queries medical/clinical staff for clarification of documentation Uses 3M360 computer assisted coding program for coding and tracking queries Meets daily productivity standards, along with meeting Team Goal for DNFC (Discharge Not Final Coded) Maintains current CCS certification and/ or RHIT Qualifications Minimum Education: Required: High School Diploma or Equivalent Must have Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) Preferred: Associate#s Degree Minimum Years of Experience (Amount, Type and Variation): Required: Minimum 2-3 years coding experience Preferred: Minimum 2-3 years of hospital coding experience License, Registry or Certification: Required: Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) Preferred: None Knowledge, Skills and/or Abilities: Required: Proficient in ICD-9 and ICD-10, DRG Assignment, CPT-4 coding. Excellent verbal/written communication skills. Preferred: Previous use of 3M Assisted Coding System. # Hunterdon Health is committed to providing a competitive benefit package to our employees.# Benefit#offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings. # The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant#s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty). Position Summary * Position is responsible for ICD-9 and ICD-10 Inpatient/Outpatient coding of diagnosis and procedures. When reviewing documentation must be able to interact with all medical and clinical staff. Primary Position Responsibilities * Codes and abstracts inpatient/outpatient records using ICD-10 * Queries medical/clinical staff for clarification of documentation * Uses 3M360 computer assisted coding program for coding and tracking queries * Meets daily productivity standards, along with meeting Team Goal for DNFC (Discharge Not Final Coded) * Maintains current CCS certification and/ or RHIT Qualifications * Minimum Education: * Required: * High School Diploma or Equivalent * Must have Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) * Preferred: * Associate's Degree * Minimum Years of Experience (Amount, Type and Variation): * Required: * Minimum 2-3 years coding experience * Preferred: * Minimum 2-3 years of hospital coding experience * License, Registry or Certification: * Required: * Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) * Preferred: * None * Knowledge, Skills and/or Abilities: * Required: * Proficient in ICD-9 and ICD-10, DRG Assignment, CPT-4 coding. * Excellent verbal/written communication skills. * Preferred: * Previous use of 3M Assisted Coding System. Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings. The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant's hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).
    $52k-74k yearly est. 45d ago
  • Certified Coder Abstractor

    St. Joseph's Health 4.8company rating

    Paterson, NJ jobs

    Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT4. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and timely manner. Work requires the level of knowledge normally acquired through completion of two to three years of occupational-specific education beyond High School or an Associate's Degree in Health Information Technology or a closely related field. Work requires the analytical ability to resolve problems that require the use of basic scientific knowledge. Work requires the ability to exchange information on factual matters.
    $58k-73k yearly est. Auto-Apply 10d ago
  • HIM Coder - OP

    Atlantic Health System 4.1company rating

    Hackettstown, NJ jobs

    Codes patient records capturing all diagnosis and procedures to accurately reflect the patient's encounter. Assignments are either Inpatient; Emergency room or Observation records (which includes charging; outpatient cardiac catheterizations, surgical, or minor procedure records. ER productivity average = 60-65/day Observation productivity average= 21/day Surgical and Cardiac Cath productivity average = 30/day Minor procedure productivity average = 50-60/ day Charges the ER admission cases via the Charge Capture ER WQ. Avg production = 85/day Monitors the Coding Priority DAILY and ER Charge Capture Priority WQs throughout the day as to clear cases each day. Utilizes the Interact Query process for any provider clarifications needed. Meets 95% or greater in all coding and charging accuracy. No case shall remain on these WQs for >3 days. Required: High School Diploma or equivalent. AHIMA coding certification, CPC, CCS or CCA Minimum 1 year of coding experience in an acute care setting or relevant. Proficiency in medical terminology, anatomy/physiology, disease processes. Proficiency in CPT4, E/M, ICD-10 coding. Preferred: Prior admin or assistant experience. #LI-AW1
    $47k-59k yearly est. Auto-Apply 18d ago
  • Certified Professional Coder

    Ocean Health Initiatives 3.7company rating

    New Jersey jobs

    Reporting to the Billing Manager, the Certified Professional Coder (CPC) is responsible for ensuring the timely and accurate submission of claims, reimbursement follow-up, and denial management. This role ensures that claims are processed efficiently, payer trends are identified, and issues related to denials are addressed promptly. The position also contributes to the Continuous Quality Improvement (CQI) committee by identifying areas for improvement in billing processes. Additionally, the role involves staying updated with Managed Care Organization (MCO) updates and changes to billing requirements to maintain compliance and streamline operations. CPC Level 2: Requires a Certified Professional Coder (CPC) credential, which is gained through a certification process. This enhances the individual's expertise in coding requirements, improving the accuracy and compliance of claim submissions. Responsibilities Ensure timely and accurate submission of claims to payers, meeting OHI and MCO requirements. Review coder documentation for alignment with OHI and MCO guidelines, escalating discrepancies to the Billing Manager. Stay informed about MCO changes and billing requirement updates, ensuring compliance with payer guidelines. Manage payer denials by reviewing, correcting, and resubmitting claims, addressing denials in a timely manner. Monitor aging reports, focusing on delinquent accounts, and follow up with patients and insurance companies to resolve issues. Post payments, adjust contracts, and manage patient refund requests as needed. Provide excellent customer service by addressing billing inquiries from patients and insurance companies. Contribute to the CQI committee, providing insights on billing processes and suggesting improvements. Collaborate with the Billing Manager to track payer trends and implement solutions for faster claims resolution. Maintain proficiency in Billing Platform and EMR systems to ensure error-free claims processing. Ensure compliance with federal, state, and MCO regulations to guarantee reimbursement and minimize denials. Meet KPIs for billing efficiency, including claim resolution rates and denials management. Assist with manual charge input and other billing-related tasks as needed. Participate in training and meetings to stay current with billing policies and procedures. Use claims scrubbers to identify and correct errors before claims submission, reducing denials. Educate providers on proper documentation practices to align with coding and payer guidelines. Key Performance Indicators (KPIs) AR 91+: Less than 15% of total AR. Denial Resolution: Ensure denied claims are addressed within30 days for resolution. Monthly Scorecard: Maintain a passing rate of 80% or higher. Claims on Hold: Claims on hold should be worked within 10 business days. Claim Collection: Achieve a 90% collection rate on claims. Patient Refunds: Ensure refund requests are reviewed and sent to accounts payable within 5 business days. Education/Experience/Licensure High School diploma or equivalent required. Certification: CPC (Certified Professional Coder) is required for all CPCs. Medical Billing Certification is preferred or relevant years of experience. One to two years of experience in a billing department, medical center, private physician's office, or other applicable healthcare setting isrequired. One to two years of experience in a Federally Qualified Healthcare Center is preferred. Bi-lingual (English/Spanish) is preferred. Proficiency in Microsoft Office 365 is required. Benefits Medical, Dental, Vision and Life Insurance Flexible Spending Accounts with Medical and Dependent Care Voluntary Life Insurance 401(k) Salary Deferral and Match Paid Time Off Paid Holidays Employee Assistance Program Employee Discounts Employee Referral Program
    $43k-51k yearly est. Auto-Apply 5d ago
  • Certified Professional Coder

    Ocean Health Initiatives 3.7company rating

    New Jersey jobs

    Reporting to the Billing Manager, the Certified Professional Coder (CPC) is responsible for ensuring the timely and accurate submission of claims, reimbursement follow-up, and denial management. This role ensures that claims are processed efficiently, payer trends are identified, and issues related to denials are addressed promptly. The position also contributes to the Continuous Quality Improvement (CQI) committee by identifying areas for improvement in billing processes. Additionally, the role involves staying updated with Managed Care Organization (MCO) updates and changes to billing requirements to maintain compliance and streamline operations. CPC Level 2: Requires a Certified Professional Coder (CPC) credential, which is gained through a certification process. This enhances the individual's expertise in coding requirements, improving the accuracy and compliance of claim submissions. Responsibilities Ensure timely and accurate submission of claims to payers, meeting OHI and MCO requirements. Review coder documentation for alignment with OHI and MCO guidelines, escalating discrepancies to the Billing Manager. Stay informed about MCO changes and billing requirement updates, ensuring compliance with payer guidelines. Manage payer denials by reviewing, correcting, and resubmitting claims, addressing denials in a timely manner. Monitor aging reports, focusing on delinquent accounts, and follow up with patients and insurance companies to resolve issues. Post payments, adjust contracts, and manage patient refund requests as needed. Provide excellent customer service by addressing billing inquiries from patients and insurance companies. Contribute to the CQI committee, providing insights on billing processes and suggesting improvements. Collaborate with the Billing Manager to track payer trends and implement solutions for faster claims resolution. Maintain proficiency in Billing Platform and EMR systems to ensure error-free claims processing. Ensure compliance with federal, state, and MCO regulations to guarantee reimbursement and minimize denials. Meet KPIs for billing efficiency, including claim resolution rates and denials management. Assist with manual charge input and other billing-related tasks as needed. Participate in training and meetings to stay current with billing policies and procedures. Use claims scrubbers to identify and correct errors before claims submission, reducing denials. Educate providers on proper documentation practices to align with coding and payer guidelines. Key Performance Indicators (KPIs) AR 91+: Less than 15% of total AR. Denial Resolution: Ensure denied claims are addressed within30 days for resolution. Monthly Scorecard: Maintain a passing rate of 80% or higher. Claims on Hold: Claims on hold should be worked within 10 business days. Claim Collection: Achieve a 90% collection rate on claims. Patient Refunds: Ensure refund requests are reviewed and sent to accounts payable within 5 business days. Education/Experience/Licensure High School diploma or equivalent required. Certification: CPC (Certified Professional Coder) is required for all CPCs. Medical Billing Certification is preferred or relevant years of experience. One to two years of experience in a billing department, medical center, private physician's office, or other applicable healthcare setting isrequired. One to two years of experience in a Federally Qualified Healthcare Center is preferred. Bi-lingual (English/Spanish) is preferred. Proficiency in Microsoft Office 365 is required. Benefits Medical, Dental, Vision and Life Insurance Flexible Spending Accounts with Medical and Dependent Care Voluntary Life Insurance 401(k) Salary Deferral and Match Paid Time Off Paid Holidays Employee Assistance Program Employee Discounts Employee Referral Program
    $43k-51k yearly est. Auto-Apply 4d ago
  • Medical Records Coordinator - Edison, NJ

    Grace Healthcare Services 3.6company rating

    Edison, NJ jobs

    Now Hiring Medical Records Coordinator -Edison, NJ Shift Hours: Monday - Friday 8:00am - 4;30pm or 8:30am-5;00pm Travel Required Grace was founded in 2005. It is our belief that the delivery of hospice care can be taken to a new level of excellence by those who understand the privilege of what it means to serve the terminally ill. The privilege of serving patients at the end of life throughout New Jersey. We are dedicated to advancing the quality of hospice care in the communities that we serve. Our promise is to utilize the inherent expertise of our staff to educate consumers and serve patients and families with the highest level of dignity and grace. PURPOSE: The Medical Records Coordinator is a skilled administrative person whose job is to support the work of the Team. Job Description: Screen incoming telephone calls, facilitate communication between patients/families and other team members. Attend team meetings, prepare agenda and other documents for team meetings. Establish, maintain and close patient charts, following-up on missing documentation and maintain audit lists. Enter patient care data into computer system. Provide back-up documentation to Billing Department routinely and as requested. Communicate with staff and outside agencies as needed or directed by Manager. Create and distribute routine correspondence for the team. Verify Physician licenses & maintain information database. Print, send and follow up on all verbal orders in Brightree. Maintain admissions, discharges, transfers and review census daily for accuracy. Answer phones and maintain filing. Perform other duties as necessary. Qualifications: High School graduate or equivalent Three (3) years prior work experience preferred Able to handle multiple tasks Strong administrative skills with attention to detail and follow up Excellent communication and organizational skills Computer literate in current version of Word, Excel and Power Point Travel Required
    $30k-36k yearly est. 3d ago
  • Medical Records Specialist

    Center for Hope Hospice 4.4company rating

    Scotch Plains, NJ jobs

    The Medical Records Specialist will compile, process an maintain medical records of hospice patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the Center For Hope Hospice & Palliative Care. The Medical Records personnel will audit the overall completeness of patient charts upon admission, discharge, transfer, revocation or expiration, ensuring that the chart is current/complete in a timely manner. The Medical Records personnel will work closely with the information systems group with regard to the training and daily operations associated with the electronic medical record system.
    $33k-38k yearly est. 60d+ ago

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