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Medical coder jobs in Somerville, NJ - 72 jobs

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  • Coder I (on-site 2-3 days)

    Lifepoint Health 4.1company rating

    Medical coder job in Somerset, NJ

    Lake Cumberland Regional Hospital Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Lake Cumberland Regional Hospital is a modern, state-of-the-art 295-bed acute care facility, offering an advanced neurosurgery program with Spine Center accreditation amongst other specialty services. Where We Are: The City of Somerset blends southern hospitality with abundant recreational opportunities including a 65,000-acre lake with 1,200 miles of shoreline. Somerset is host to nationally recognized, high quality performing and visual arts, concerts and other special events to the community. Why Choose Us: Health (Medical, Dental, Vision) and 401K Benefits Competitive Paid Time Off / Extended Illness Bank package for full-time employees Employee Assistance Program - mental, physical, and financial wellness assistance Tuition Reimbursement/Assistance for qualified applicants Professional Development and Growth Opportunities And much more… Position Summary: Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. FLSA: Non-exempt Education: High School diploma or equivalent, Required Graduate of a program in discipline, Required License: Certified Coder Certifications: Required Skills: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Essential Functions: Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding Guidelines to select the appropriate diagnosis code. Uses available research and reference tools to understand the disease process and diagnosis. Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous record documentation. Enhances coding knowledge and skills with continuing education activities as described in HIM.COD.003 policy and by reviewing pertinent literature. EEOC Statement Lake Cumberland Regional Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
    $68k-83k yearly est. Auto-Apply 60d+ ago
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  • Senior Medical Coder

    Clover Health

    Medical coder job in Jersey City, NJ

    At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America's seniors. We prioritize preventive care while leveraging data and technology through the Clover Assistant, a powerful tool that helps physicians make informed health recommendations. By giving doctors a holistic view of each member's complete health history, we ensure better care at a lower cost-delivering the highest value to those who need it most. We're building a modern operating model for medical coding-one that connects Risk Adjustment, Payment Integrity, and Quality (STARS/HEDIS) into a single, data-driven system. This is a rare opportunity to work at the center of that transformation: ensuring compliant, high-quality coding today while helping design the workflows that will define how a plan of the future operates. As part of the Office of the CEO's AI Ops initiative, you'll combine deep subject matter expertise with an appetite for experimentation. You'll ensure Medicare Advantage compliance and accuracy while partnering across teams to test, measure, and scale smarter chart and claim review workflows. As a Senior Medical Coder, you will: Ensure compliant coding: Apply ICD-10-CM, HCC, and MEAT standards for Medicare Advantage across risk adjustment and quality-related workflows. Lead chart and claim reviews: Execute prospective and retrospective reviews to validate documentation, specificity, and completeness for both revenue and quality use cases. Support payment integrity: Identify coding inaccuracies or overpayment risks, develop prevention and remediation workflows, and partner with regulatory audit teams. Advance quality measure closure: Map documentation elements to STARS and HEDIS requirements; identify and close documentation gaps. Leverage GenAI and advanced tools: Streamline chart reviews and coding workflows while maintaining human validation and compliance guardrails. QA software releases: Evaluate new tool and workflow launches from a medical coding perspective to ensure regulatory accuracy and usability. Educate and enable: Build feedback loops and tip sheets to improve provider documentation quality; collaborate with cross-functional teams on best practices. Standardize and scale: Author SOPs, audit playbooks, and process documentation that can be adopted across Revenue, Compliance, and Quality operations. Success in this role looks like: Improved HCC specificity and documentation completeness across chart and claim workflows. Documented reductions in coding error and overpayment rates. High-quality QA feedback integrated into product releases and AI-assisted tools. Demonstrated progress toward faster, more accurate, and compliant review cycles. Recognized by cross-functional partners as a trusted authority on compliant coding and documentation standards. You should get in touch if: Credentials: You are CPC, CCS-P, RHIT, or RHIA (required) certified; CRC preferred. Experience: You have 5+ years in Medicare Advantage risk adjustment, payment integrity, or quality documentation programs. Regulatory fluency: You have a deep understanding of CMS risk adjustment models, RADV, and STARS/HEDIS documentation requirements. Analytical mindset: You are able to partner with analytics to measure performance, quantify impact, and validate experimental workflows. Technical orientation: You are proficient with encoders and CAC tools; curious about GenAI-assisted workflows and automation. Process discipline: You have proven experience developing SOPs and scalable QA systems. Benefits Overview: Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions. Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare. Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents And much more! About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most. We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare. From Clover's inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one's identity. All of our employee's points of view are key to our success, and inclusion is everyone's responsibility. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company. A reasonable estimate of the base salary range for this role is $75,000 to $100,000. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc. #LI-Remote
    $75k-100k yearly Auto-Apply 60d ago
  • Senior Coder - Outpatient

    Highmark Health 4.5company rating

    Medical coder job in Trenton, NJ

    This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT 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-10 CM/CPT codes for diagnoses and procedures. (60%) + 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-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%) + Acts as a mentor and subject matter expert to others. (5%) + Performs other duties as assigned or required. (5%) **QUALIFICATIONS:** Minimum + High School/GED + 5 years of Hospital and/or Physician Coding + 1 year of Coding - all specialties and service lines + Extensive knowledge in Trauma/Teaching/Observation guidelines + Successful completion of coding courses in anatomy, physiology and medical terminology + Any of the following: + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) Preferred + Associate's Degree **_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: J270102
    $23-35.7 hourly 33d ago
  • Coder III, PB

    Hackensack Meridian Health 4.5company rating

    Medical coder job in Edison, NJ

    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. Responsibilities A day in the life of a Physician Coder III at Hackensack Meridian Health includes: Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions. Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Analyzes medical records and identifies documentation deficiencies. Reviews and verifies documentation supports existing diagnoses, procedures and other charges. Identifies reportable elements, complications, and other quality measures. Communicates with physicians to clarify information via the physician query process Assign CPT, HCPCS and ICD-10-CM codes. Proficient in Profee Coding and E/M guidelines (95/97, 2021 update) Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits. Maintains required productivity and quality requirements. Other duties and/or projects as assigned. Adheres to HMH Organizational competencies and standards of behavior. Qualifications 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. Starting Minimum Rate Starting at $34.65 Hourly Job Posting Disclosure 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.
    $34.7 hourly Auto-Apply 4d ago
  • ED Coder

    Centrastate Healthcare System 4.3company rating

    Medical coder job in Freehold, NJ

    CentraState Healthcare System, headquartered in Freehold, New Jersey, is a leading nonprofit healthcare provider dedicated to serving the community. Its comprehensive network includes CentraState Medical Center, a community-focused hospital, along with an ambulatory campus, two senior living facilities, three free-standing community health pavilions, and a charitable foundation. As the third-largest employer in Monmouth County, CentraState has earned repeated recognition as a Great Place to Work-Certified™ company, reinforcing its reputation as an exceptional workplace. CentraState Medical Center currently has an employment opportunity available for an Emergency Department (ED) Coder to support the Health Information Management department. The ED Coder is responsible for accurately assigning ICD-9-CM and CPT-4 diagnosis and procedure codes to emergency department records. This role ensures proper identification of facility and procedure-level codes in compliance with coding guidelines and regulatory requirements. Responsibilities Reviews ED records to ensure complete and accurate documentation to support all diagnoses and procedures. Accurately abstracts required data such as discharge dispositions, consultations and procedure/operative information with 95% accuracy. In a 7.5 hour day completes an average of 22-25 inpatient records, 50 surgical records, or 100 ED records. Assigns codes with a 95% DRG accuracy rate. Monitors unbilled report by identifying ED edits and makes appropriate coding changes. Follows-up on ED records not coded and records needing consultations or additional information. Validates facility and procedure levels on the ED charge track according to hospital guidelines. Qualifications High school diploma or equivalent with training in medical terminology and medical coding. A minimum of one year of coding experience required. Knowledge of medical terminology and coding required. Strong professional, organizational, and interpersonal skills to effectively relate with all members of the healthcare team. About Us CentraState Healthcare System, in partnership with Atlantic Health System, is a fully accredited, not-for-profit, community-based health system dedicated to providing comprehensive health services in central New Jersey. Beyond offering a wide range of advanced diagnostic and treatment options, CentraState is committed to being a valuable health partner, focusing on disease prevention, promoting healthy behaviors, and helping individuals of all ages live well. Located in Freehold, CentraState includes a 284-bed acute-care hospital, a dynamic health and wellness campus, two award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions. These pavilions offer primary care, specialty physician practices, and access to outpatient services such as lab work and physical therapy. CentraState is proud to be among the less than two percent of hospitals nationwide to earn Magnet designation for nursing excellence five times. Additionally, it has been recognized as a Great Place to Work-Certified™ Company by Great Place to Work for four consecutive years. Joining CentraState means becoming part of a pioneering healthcare facility committed to high-quality, patient-focused care. We invite you to make a difference in our community and advance your career with us. We support our employees with work/life balance initiatives, tuition assistance, career advancement opportunities, and more. Discover why our employees love their jobs and being part of the CentraState family! CentraState Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. What We Offer: Medical, Dental, Vision, Prescription Coverage (30 hours per week or above for full-time and part-time team members) Life & AD&D Insurance Long-Term Disability (with options to supplement) 403(b) Retirement Plan with employer match 401(a) Retirement Plan with employer contribution PTO Tuition Reimbursement Well-Being Rewards Employee Assistance Program (EAP) Fertility Coverage, Healthy Pregnancy Program Flexible Spending & Commuter Accounts Pet, Home & Auto, Identity Theft and Legal Insurance Growth Opportunity and Workforce Development Initiatives Continuing Education / Onsite Training A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care Concierge Services with Work & Family Benefits Magnet recognized healthcare facility Compensation Range: $23.00 - $36.80 per hour The compensation above reflects the established range from CentraState Healthcare System (CSHS) for this position at the time the job was posted. CSHS considers many factors to determine compensation, including education, experience, skills, licenses, certification, and training. As such, team member compensation may fall outside this range. Additionally, the compensation range reflects base salary and does not include extra shift rates or incentives tied to quality, productivity, etc., as applicable. The benefits outlined also reflect CSHS' policy at the time of posting. Benefits as are made available to other similarly situated team members of CSHS, although participation is at all times in accordance with and subject to the eligibility and other provisions of such plans and programs. CSHS may modify its benefits plans or programs at any time. CSHS is proud to comply with all pay equity and pay transparency laws.
    $23-36.8 hourly Auto-Apply 32d ago
  • Coding Specialist

    Caduceus Inc.

    Medical coder job in Jersey City, NJ

    The Coding Specialist I is responsible for independently reviewing, analyzing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Coding Specialist I works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. Essential Functions: Averages 10 front-end holds per hour Maintains a minimum of 90% coding accuracy. Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment. Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses. Ensures all diagnosis codes meet local and national medical necessity guidelines. Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services. Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality. Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices. Independently reviews and resolves all assigned front-end claim holds. Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead. Escalates identified client trends to the assigned Coding Team Lead. Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification. Maintains and completes all CEU requirements. Performs other duties or tasks as assigned. PREFERED SKILLS & EXPERIENCE Must hold a current AAPC or AHIMA Certification for a minimum of 3 years. Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines. Familiarity with proper English grammar, usage, and professional documentation standards. Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues. Ability to read, interpret, and apply policies, procedures, laws, and regulations. Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures. Demonstrated ability to exercise independent judgment in coding and claim resolution. Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff. Strong commitment to maintaining confidentiality and safeguarding protected health information. Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements. Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams). Minimum of 3+ years of professional coding experience. work environment: Standard business office environment with moderate noise levels. Requires extended periods of computer and monitor use. Ability to lift and move up to 30 pounds on a non-routine basis. Ability to sit for extended periods while performing coding and claim review tasks. Frequent handling, including seizing, holding, grasping, and fingering objects, tools, and controls. Close vision required to read medical documentation, electronic health records, and coding resources. Hearing ability sufficient to receive and interpret detailed information through oral and telephonic communication.
    $50k-78k yearly est. Auto-Apply 13d ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Trenton, NJ

    **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 43d ago
  • Medical Device QMS Auditor

    Environmental & Occupational

    Medical coder job in Newark, NJ

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 47d ago
  • Medical Device QMS Auditor

    Bsigroup

    Medical coder job in Newark, NJ

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 48d ago
  • Urgent Requirement - Certified Professional Coder

    Integrated Resources 4.5company rating

    Medical coder job in Ewing, NJ

    Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success. Job Description: Title: Certified Professional Coder Location: Ewing, NJ Duration: Full Time Job Summary: This position is accountable for the review, interpretation and codification of Medical Policies and Legislative Mandates utilizing CPT-4, HCPC and ICD-9/ICD-10 coding parameters. Responsibilities: • Reviews and interprets current Medical Policies for systematization. • Translates written policy interpretation into CPT, HCPC, ICD-9/ICD-10 codes for input into systems. • Translates Legislative Mandates into CPT, HCPC, ICD-9/ICD-10 codes for input into systems. • Maintains a database for all policies and mandates that is updated each time new/revised/deleted CPT/HCPC/ICD-9/ICD-10 are released. • Monitor compliance with policies and procedures relevant to clinical data reviewed. • Perform updates to the criteria file to include adds/deletes/revisions of CPT-4 and HCPC codes. Review all codes for accuracy; review database to criteria file before implementation of policy. • Handle internal and external areas requests to investigate current state and historical of changes made to a particular CPT-4/HCPC/Diagnosis code such as effective dates, messages used, parameter limitations. • Review and analyze BRD/TRD/Summary to ensure accuracy of implementation of policies. • Review of scripts concerning Edits in criteria file. Review logic concerning implementation of policies. • Assist benefit file on criteria loading to best accommodate implementation of benefits. • Ensure files (provider/criteria) are loaded correctly in order to receive proper Edits 405/406. • Perform other related tasks as assigned. Knowledge: • Requires proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding. • Requires knowledge of anatomy, physiology and medical terminology of medical procedures, abbreviations and terms. • Requires knowledge of the health care delivery system. Skills and Abilities: • Requires the ability to utilize a personal computer and applicable software ( e.g. proficiency in Word, Excel, Access). • Must have effective verbal and written communication skills and demonstrate the ability to work well within a team. • Demonstrated ability to deliver highly clinical information to technical individuals. • Must demonstrate professional and ethical business practices, adherence to company standards and a commitment to personal and professional development. • Proven ability to exercise sound judgment and strong problem solving skills. • Proven ability to ask probing questions and obtain thorough and relevant information. • Must have the ability to organize/prioritize/analyze complex tasks. • Use of CMS website for CCI rules and regulations. • Use of other approved websites for research. Qualifications Education/Experience: • Bachelor's Degree preferred. • Requires experience with McKesson ClaimsXten • Requires a clinical medical background (Clinical editing). • Requires a minimum of 3 years clinical experience. • Requires 3 - 5 years of Medical Coding experience. • Requires a minimum of 2 years' experience in Health Insurance/Claims Processing and/or Utilization Review. • Prefer knowledge/experience with computer processing systems. • Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist from the American Health Information Management (AHIMA). Additional Information Thanks, Nishit 732-429-1639
    $58k-80k yearly est. 60d+ ago
  • Health Information Coder Inpatient

    Hunterdon Healthcare 3.4company rating

    Medical coder job in Flemington, NJ

    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. 38d ago
  • Medical Records Technician

    Essential Healthcare Solutions

    Medical coder job in Trenton, NJ

    Medical Records Technician (MRT) Full Time Essential Healthcare Solutions is seeking qualified Medical Records Technicians (MRT), also known as Health Information Technicians or Medical Records Specialists, to join our growing team. We are looking for healthcare professionals responsible for managing patient health information. Their core duties include organizing, analyzing, coding, and maintaining patient medical records in both manual and digital formats, ensuring accuracy and compliance with regulations. MRTs do not provide direct patient care, but they are crucial for smooth healthcare operations by ensuring that records are complete, confidential, and readily available to providers. Duties and Responsibilities Assembling patient records, ensuring completeness, accuracy, and proper sequence. Assigning codes (such as ICD-10, CPT) to diagnoses and treatments for billing and statistical purposes. Inputting patient data into Electronic Health Record (EHR) systems. Reviewing and extracting relevant data from patient records for various uses. Adhering to privacy laws like HIPAA and maintaining the confidentiality of patient information. Serving as a liaison between healthcare providers, billing offices, and insurance companies. Preparing statistical reports from summarized health information. Maintains a safe and clean working environment by complying with procedures, rules, and regulations. Other duties and projects assigned. Qualifications A strong understanding of medical terms to accurately record information. Skills in using computer systems and various software applications for data management and coding. Attention to Detail: Crucial for ensuring the accuracy of sensitive medical information. Ethical Integrity: Upholding the confidentiality of patient data. Must be a US citizen or permanent resident and have resided in the US for 3 years in the past 5 years. Must be at least 21 years of age. CPR or BLS and First Aid certification. Must be able to multitask, be detail-oriented, be organized, and have excellent verbal and communication skills. Must be able to perform duties in a stressful and high-paced environment without physical limitations. Ability to adapt to sudden changes and flexibility in work requirements to include potential shift changes based on operational needs and/or command priorities. Preferred Qualifications Bilingual (English/Spanish or other relevant languages) preferred. Registered Health Information Technician (RHIT): Offered by the American Health Information Management Association (AHIMA) for associate degree holders. Certified Coding Associate (CCA) or Certified Coding Specialist (CCS): Also offered by AHIMA, these focus specifically on coding skills. Has undergone a federal investigation at the level of Tier 2 or higher; has been granted favorable suitability/eligibility and has not had a break in service for more than 24 months. DHS or ICE detention center experience Physical Requirements and Work Conditions Work is normally performed in a typical interior/office work environment. Work involves sitting and standing for prolonged periods of time. Ability to ascend/descend stairs Visual acuity required to complete paperwork and computer work. Work is performed in a secure detention facility. May require evening, weekend, or on-call hours. Exposure to emotionally challenging situations. Work Hours: Shifts (7 am - 4 pm; 4 pm - 12 am; 12 am - 7 am) Salary: $36.15/hr. Essential HealthCare Solutions is an Equal Opportunity Employer - We are an Equal Employment/Affirmative Action employer. We do not discriminate in hiring based on sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state, or local law. If you need reasonable accommodation for any part of the employment process, please contact Human Resources and let us know the nature of your request and your contact information. Accommodation requests will be considered on a case-by-case basis. Please note that Human Resources will respond to only inquiries concerning a request for reasonable accommodation.
    $36.2 hourly 60d+ ago
  • Medical Records Specialist

    Center for Hope Hospice 4.4company rating

    Medical coder job in Scotch Plains, NJ

    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
  • Veterinary Medical Records Clerk

    Veritas Veterinary Partners

    Medical coder job in Woodbridge, NJ

    Job Description World Class Medicine. Purpose-Driven Partnership. Veritas Veterinary Partners offer exciting career opportunities in state-of-the-art facilities across the U.S. Our hospitals, open 24/7/365 and staffed by board-certified specialists, create a collaborative environment where you can work alongside like-minded, caring professionals. If you're passionate about veterinary medicine, this is your chance to thrive in a dynamic, high-quality setting. At Veritas Veterinary Partners, our mission is to build a network of trust and opportunity for veterinary professionals nationwide. We specialize in supporting Specialty and Emergency care hospitals, aligning with your unique goals and medical standards. Veritas, founded by Thomas Scavelli, DVM, DACVS, is dedicated to recruiting top-tier talent and fostering collaboration within our community. With a focus on exceptional care, we bring together highly trained veterinarians, technicians, and teammates committed to our patients' well-being. We believe in Truth in Medicine and Trust in Partnerships , ensuring we always provide the highest standard of care. Come join us and make a meaningful impact on the community you serve. Our 24/7 veterinary emergency and specialty hospital in Woodbridge, New Jersey is seeking a Veterinary Medical Records Clerk to support our medical records and administrative operations. This role focuses on accuracy, organization, and data entry within a fast‑paced clinical environment. Position Overview The Veterinary Medical Records Clerk is responsible for maintaining accurate electronic medical records and supporting clerical workflows across the hospital. This is an administrative position and does not involve hands‑on animal care. Responsibilities Scan, upload, link, and verify medical records in the electronic medical record system Ensure accuracy, completeness, and proper organization of patient documentation Perform data entry with a high level of attention to detail Monitor and respond to emails related to medical records and documentation Organize and maintain digital files and records Assist with general clerical and administrative tasks as needed Follow established procedures to support documentation accuracy and compliance Experience with impromed veterinary software preferred; training can be provided Basic knowledge of Microsoft Office, including Word, Excel, and Teams Strong computer skills and data entry accuracy Qualifications Prior clerical, data entry, or medical records experience preferred Veterinary experience preferred but not required Excellent organizational skills and attention to detail Professional, dependable Work is performed in a busy veterinary emergency and specialty clinical setting. Schedule: Tuesday - Saturday, 9:00 AM - 5:30 PM (availability to work 2-3 holidays per year required) Pay Range: $18.00 - $22.00 per hour, based on experience GSVServices is proud to offer the following benefits: Competitive salary based on your level of experience Health, dental, and vision insurance, with HSA option- some plans paid 100% Maternity/Paternity leave Retirement Plan - 401K with employer match Licensing fees paid for credentialed technicians Employee Referral Bonus Paid Time off Mental health support with Talkspace Uniforms provided Full Time and credentialed technicians eligible for Sign On Bonus Pet discounts for medical care Garden State Veterinary Services is located at 1200 Route 9, Woodbridge NJ 07095 Veritas Veterinary Partners is an equal opportunity employer. In accordance with the requirements of all applicable federal, state and local laws, we welcome and encourage diversity in the workplace regardless of 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 legally protected status. Applicants must be authorized to work in the U.S. All current positions require the ability to speak, read, and write English proficiently. Additional fluency in other languages is preferred but not required. For CA applicants please visit our Privacy Policy
    $18-22 hourly 4d ago
  • Medical Billing and Coding Specialist

    Saint Peter's Healthcare System 4.7company rating

    Medical coder job in New Brunswick, NJ

    Department of Surgery The Medical Billing and Coding Specialist will: * Perform billing activities in a timely manner, i.e. surgical billing, physician billing and coding; may assist with chart audits to identify areas for improvement and resolve as appropriate. * Ensure that claims are coded and processed accurately and timely. * Work the primary holds daily for all billing related follow-up and communicates with the practice staff and physicians to identify improvement when necessary. * Billing liaison between the Practices and other Saint Peter's Healthcare System departments as well as physician billing vendor. * Assist Billing/Coding Coordinator with related projects and issues as they arise. * Act as the financial interpreter for patients by advising them of their financial responsibility, providing them with concise and easily understood information about healthcare coverage, prior to or at time of service. Coordinates activities with the registrars by offering counseling to patients when notified of the need. * Educate and provide physicians/surgeons with diagnosis codes (ICD-10) and procedure codes (CPT) when requested. * May assist with the education and training of office staff on processing office and surgery claims, managing the Athena hold buckets, IngeniousMed tasks, precertifications, and other billing related functions. * Ensure that all appropriate follow-up is done according to procedure to ensure timely payments are received. This is done by working with the facility and physician billing representatives by following up on denials and open accounts receivable. * Assist the other billing staff members in the resolution of problems related to registration, charge entry, coding and payment reconciliation. * Perform billing-related project research related to the activities of the Department. * Recommend changes in office procedures to improve efficiency, productivity and/or cost effectiveness on an ongoing basis as evidenced by departmental efficiency and/or cost savings. * Maintain an orderly and efficient work area consistently following proper safety, emergency, infection control and performance improvement guidelines. Requirements: * Requires a minimum of two (2) years of experience in an office setting, with billing and coding, and accounts receivable. * Must have the ability to use sound judgment, act independently, and organize work load effectively. * Requires outstanding interpersonal skills in order to deal effectively with a diverse group of callers, physicians, patients, visitors, and other healthcare professionals. * Ability to work efficiently in fast-paced environment, problem solve and prioritize workload. * Must be able to effectively educate physicians in medical coding and documentation guidelines. * Keyboarding skills and abilities, including MS Office programs and capability of learning in-house billing and coding programs. * CPC certification required or obtained within first year of employment. Salary Range: 24.33 - 38.93 USD We offer competitive base rates that are determined by many factors, including job-related work experience, internal equity, and industry-specific market data. In addition to base salary, some positions may be eligible for clinical certification pay and shift differentials. The salary range listed for exempt positions reflects full-time compensation and will be prorated based on employment status. Saint Peter's offers a robust benefits program to eligible employees that will support you and your family in working toward achieving and maintaining secure, healthy lives now and into the future. Benefits include medical, dental, and vision insurance; savings accounts, voluntary benefits, wellness programs and discounts, paid life insurance, generous 401(k) match, adoption assistance, back-up daycare, free onsite parking, and recognition rewards. You can take your career to the next level by participating in either a fully paid tuition program or our generous tuition assistance program. Learn more about our benefits by visiting our site at Saint Peter's.
    $38k-46k yearly est. 44d ago
  • PGA Certified STUDIO Performance Specialist

    PGA Tour Superstore 4.3company rating

    Medical coder job in East Hanover, NJ

    Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis. Position Summary Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships. The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results. Key Responsibilities: Customer Experience & Engagement * Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors. * Build lasting relationships that encourage repeat business and client referrals. * Educate and inspire customers by connecting instruction and equipment performance to game improvement. Instruction & Coaching * Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels. * Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction. * Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement. * Proactively organize clinics and performance events to build customer engagement and community participation. Fitting & Equipment Performance * Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology. * Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals. * Educate customers on product features, benefits, and performance differences across brands. * Accurately enter and manage custom orders, ensuring all specifications are documented precisely. Operational & Visual Excellence * Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards. * Ensure equipment, software, and technology remain functional and calibrated. * Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions. * Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays. Performance & Business Growth * Achieve key performance indicators (KPIs) such as: * Lessons and fittings completed * Sales per hour and booking percentage * Clinic participation and conversion to sales * Proactively grow the STUDIO business through client outreach, networking, and relationship management. * Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience. Qualifications and Skills Required * Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment. * Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers. * Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule). * Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines. * Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred. * Experience: * 2+ years of golf instruction and club fitting experience preferred. * Experience with swing analysis tools and custom club building highly valued. * Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments. * Availability: Must maintain flexible availability, including nights, weekends, and holidays. * Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment. We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination. An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
    $44k-64k yearly est. Auto-Apply 23d ago
  • HIM Coder - OP

    Atlantic Health System 4.1company rating

    Medical coder job in Hackettstown, NJ

    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 10d ago
  • EMR (Emergency Medical Responder)

    Metro Ambulance LLC

    Medical coder job in Nutley, NJ

    Job DescriptionAbout Metro Ambulance At Metro Ambulance, our people are at the heart of everything we do. We are proud to provide compassionate, reliable, and patient-centered care to every individual we serve - and we recognize that delivering that level of care starts with our team. We strive to be the employer of choice in the EMS industry, creating a workplace where employees are supported, respected, and encouraged to grow. Our teams represent the best in the field - combining professionalism, empathy, and teamwork to make a meaningful difference every day. Whether you're starting your EMS career or preparing to become an EMT, Metro offers structured growth opportunities and the training to help you reach the next level. Position Summary The Emergency Medical Responder (EMR) works alongside an EMT partner to provide safe, professional, and compassionate care during emergency and non-emergency transport. The EMR supports patient assessment, assists with transport operations, and ensures a high standard of service and safety on every call. Responsibilities Assist in providing Basic Life Support (BLS) under the direction of an EMT or higher-level provider. Drive emergency vehicles safely and in accordance with company policy and state regulations. Support patient movement, lifting, and transfer using approved equipment and proper body mechanics. Maintain communication with dispatch and field supervisors regarding transport status and updates. Ensure vehicles and equipment are properly stocked, sanitized, and maintained. Demonstrate professionalism and empathy when interacting with patients, families, and healthcare personnel. Accurately document all care, transport details, and observations according to company policy. Participate in company training and continuing education to maintain certification and skill proficiency. Qualifications Valid Emergency Medical Responder (EMR) Certification Valid CPR/BLS Certification Valid Driver's License and clean driving record High School Diploma or GED Must be 21 years of age or older Ability to lift up to 125 pounds with assistance Strong teamwork, communication, and customer service skills Ability to remain calm and professional in high-stress situations Why Metro Ambulance Competitive Pay: $20 - $24/ hour Shift Differentials - Friday, Saturday, Sunday & Overnight +$3 Flexible Scheduling: Full-Time, Part-Time, or Per Diem Career Growth Opportunities: EMR → EMT → Leadership Roles Comprehensive Benefits: Health, Dental, Vision, and Life Insurance Paid Time Off (PTO) 401(k) Retirement Plan Tuition Reimbursement Paid Training and Continuing Education Weekly Direct Deposit Our Hiring Process We believe in transparency and respect at every step. Here's what to expect when you apply: Application review by our HR team Preliminary phone or virtual screening Onsite interview with a member of our leadership team Conditional offer, followed by: Certification and license verification Background check, drug screen, and fingerprinting Orientation and onboarding - welcome to the Metro team! Equal Opportunity Statement Metro Ambulance is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Reasonable accommodations are available for qualified individuals with disabilities throughout the hiring process and employment.
    $20-24 hourly 15d ago
  • Medical Device QMS Auditor

    Bsigroup

    Medical coder job in Jersey City, NJ

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 48d ago
  • PROVIDER LIAISON - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS)

    Integrated Resources 4.5company rating

    Medical coder job in Newark, NJ

    A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description One of our direct client is looking for potential candidate with the below mentioned skills Direct Client: Immediate Interview Contract to Hire Position: Provider Liaison MUST HAVE: • 5 years of experience into Project Management • At least 2 years of experience after CPC or CCS certification • Bachelor's degree is a must Certifications · AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) Job Summary: • The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding Client's risk adjustment programs. Primary responsibilities include working with the Risk Adjustment Management Business Analyst to measure commercial risk adjustment performance for the development of education materials. Ongoing responsibilities include communicating and educating Network Management Provider Educators to enable content delivery to specific providers. This role will operate within the Risk Adjustment Management function, but work closely with the Network Management team. Responsibilities: • Operates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insights • Works closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysis • Collaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider Educators • Collaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staff • Validates documentation against submitted claims diagnosis codes and prepares detailed reports Supports Risk Adjustment Data Validation audits • Drives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressed Provides status reports to management Certifications: • AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) Knowledge: • Understands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment model • Mastery of medical coding best practices • Project management skills • Experience displaying ability to think analytically • Strong communications and presentation skills • Computer skills: Outlook, Excel, Word & Powerpoint; SAS & Access preferred Kind Regards Sammeer Gaikwad Operations Manager Integrated Resources, Inc. IT Life Sciences Allied Healthcare CRO Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I (BOARD) # 732-549-2030 - Ext - 243 Qualifications Education Experience: • Bachelor's degree in business, healthcare administration, or other related field • Requires a minimum of three (3) years of healthcare experience, preferably with provider focus • Requires CPC or CCS certification • Requires program/project management experience Additional Information Kind Regards Sammeer Gaikwad Operations Manager Integrated Resources, Inc. IT Life Sciences Allied Healthcare CRO Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I (BOARD) # 732-549-2030 - Ext - 243
    $58k-80k yearly est. 60d+ ago

Learn more about medical coder jobs

How much does a medical coder earn in Somerville, NJ?

The average medical coder in Somerville, NJ earns between $41,000 and $96,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Somerville, NJ

$63,000

What are the biggest employers of Medical Coders in Somerville, NJ?

The biggest employers of Medical Coders in Somerville, NJ are:
  1. LifePoint Health
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