• Clinical Pharmacy Program Specialist

    Prime Therapeutics (Trenton, NJ)
    …fuels our passion and drives every decision we make. **Job Posting Title** Clinical Pharmacy Program Specialist / CPT preferred-REMOTE **Job Description** This ... and confidentiality of protected health information. + Generate and enhance clinical outreach materials to maximize program results. + Assist and participate… more
    Prime Therapeutics (03/13/25)
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  • Associate Clinical Account…

    J&J Family of Companies (New York, NY)
    …more at https://www.jnj.com/medtech **We are searching for the best talent for the Associate Clinical Account Specialist position to be in New York City, NY** ... **.** **Purpose:** The Associate Clinical Account Specialist (ACAS) position is a...offer work visa sponsorships, and we do not accept OPT/ CPT The Company maintains highly competitive, performance-based compensation programs.… more
    J&J Family of Companies (03/14/25)
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  • Medical Office Specialist (Certified…

    Mount Sinai Health System (New York, NY)
    …and Ear Infirmary of Mount Sinai-Full Time, 8am to 4pm** The Medical Office Specialist offers clinical and medical office support to physicians and surgeons. ... terminology; able to complete visit encounter forms and enters ICD10-CM and CPT information into computerized systems as appropriate + Assists in training,… more
    Mount Sinai Health System (03/14/25)
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  • Coding Specialist

    VNS Health (Manhattan, NY)
    …for billing, coding, services and other compliance or reimbursement issues. Assists with non- clinical aspects of the claims review process and acts as a coding ... Hierarchical Condition Category (HCC) methodology. + Assigns appropriate ICD10-CD, HCPCS and CPT codes as well as other codes necessary to process claims based… more
    VNS Health (02/11/25)
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  • Inpatient/Outpatient Coding Specialist

    Mount Sinai Health System (New York, NY)
    …inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines and conventions for the establishment of diagnoses and ... procedures. The coded data is utilized for reimbursement, clinical care assessment, education, research, case mix and health care statistical reporting. Duties and… more
    Mount Sinai Health System (12/28/24)
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  • Advanced Clinical Practice Team Supervisor

    VNS Health (Manhattan, NY)
    OverviewProvides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of ... of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams...and determines when further evaluation by the collaborating physician, specialist , or emergency care is warranted. * Collaborates with… more
    VNS Health (03/11/25)
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  • Clinical Appeals Nurse (RN): Texas and New…

    Molina Healthcare (New York, NY)
    …Association** Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... 4 weeks Monday-Thursday and Wed - Saturday._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical more
    Molina Healthcare (02/09/25)
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  • Advanced Clinical Practice Team Supervisor…

    VNS Health (Manhattan, NY)
    …as necessary to achieve quality outcomes. + Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to ... counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, … more
    VNS Health (01/07/25)
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  • Coding Auditor Educator

    Highmark Health (Trenton, NJ)
    …staff, physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses ... appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
    Highmark Health (02/07/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Trenton, NJ)
    …Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology ( CPT ) and other coding references to ensure accurate coding. Coding ... into the coding and abstracting system. Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate,… more
    Baylor Scott & White Health (02/06/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Trenton, NJ)
    …disclosure of health information **KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and ... EXPERIENCE - 2 Years of Experience **CERTIFICATION/LICENSE/REGISTRATION** + Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Professional… more
    Baylor Scott & White Health (03/13/25)
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  • Inpatient/Outpatient Certified Coding Spec. III…

    Mount Sinai Health System (New York, NY)
    …Medical Records - Mount Sinai Hospital - FT Days M-F 8AM-4PM** The Coding Specialist III is responsible for the review and coding of complex inpatient and/or ... ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines and conventions for the establishment of diagnoses and procedures. The coded… more
    Mount Sinai Health System (01/10/25)
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