We interpreted Morrisville, PA as Morrisville, PA. Other options include: Morrisville (Greene County), PA

  • IPA Coding Associate Director

    CenterWell (Trenton, NJ)
    …of our caring community and help us put health first** The IPA Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate ... coding and is reflective of the disease prevalence within...smooth integration of newly acquired IPA affiliates. **Productivity and Quality Management:** + Establish Key Performance Indicators (KPIs) for… more
    CenterWell (03/06/25)
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  • Hierarchical Condition Category (HCC)…

    Highmark Health (Trenton, NJ)
    …, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient ... assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/ coding , health insurance, healthcare or… more
    Highmark Health (03/04/25)
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  • Coding Auditor Educator

    Highmark Health (Trenton, NJ)
    …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
    Highmark Health (02/07/25)
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  • Coding Educator

    Humana (Trenton, NJ)
    …a part of our caring community and help us put health first** The Coding Educator 2 identifies opportunities for the North East region to improve provider ... an education plan tailored to each assigned provider. The Coding Educator 2 for the North East region reviews...records and arranges educational sessions with providers aimed at quality of care and documentation improvements. + **Virtual and… more
    Humana (12/21/24)
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  • Associate Director, Web Strategy Lead

    S&P Global (Princeton, NJ)
    **About the Role:** **Grade Level (for internal use):** 12 **The Team:** The ** Associate Director** will be responsible for managing two global teams, ensuring the ... ensuring smooth collaboration, project execution, and the delivery of high- quality web applications align with strategic business goals. **Responsibilities and… more
    S&P Global (03/17/25)
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  • Associate Director, PV Medical Surveillance

    Taiho Oncology (Princeton, NJ)
    Associate Director, PV Medical Surveillance Princeton, NJ, USA Req #435 Tuesday, February 11, 2025 Looking for a chance to make a meaningful difference in the ... individual case reports through assessment of seriousness, expectedness, and causality, coding , review of narrative summary and providing case comments; provide… more
    Taiho Oncology (02/11/25)
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  • Medical Office Associate I, Full time - AMG…

    Atlantic Health System (Monroe, NJ)
    …providing day-to-day support operations by performing administrative tasks and ensuring high- quality customer service to patients. Medical office associate ... front and back of the office, including billing support, scheduling, coding , patient communication, and filing Principal Accountabilities: + Interviews patients for… more
    Atlantic Health System (01/04/25)
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  • Associate , Collateral Operations

    SitusAMC (Trenton, NJ)
    …and established servicing standards + Ensure adherence to internal policies, quality standards, and management direction while meeting contractual deliverables to ... + Design and build spreadsheet templates and/or financial models, including the coding of interrelated excel formulas, data tables and macros, to analyze the… more
    SitusAMC (02/15/25)
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  • Clinical Documentation Improvement Specialist

    Trinity Health (Langhorne, PA)
    …weekends! The Clinical Documentation Improvement Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical ... reviewer, educator and consultant. The CDI Specialist facilitates the overall quality , completeness, accuracy and integrity of medical record documentation through… more
    Trinity Health (02/21/25)
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  • LCSW Behavioral Health Educator

    CenterWell (Trenton, NJ)
    …also need to incorporate EMR, compliance, primary care policy and procedure, coding and documentation, quality , utilization, customer service standards, team ... chart review, data review, and provide guidance to ensure that the quality of care being provided meets appropriate standards and to ensure cost-effective… more
    CenterWell (03/04/25)
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  • Cancer Registrar 2

    Baylor Scott & White Health (Trenton, NJ)
    …OF THE ROLE** + Identifies cases for abstraction based on Pathology Reports, HIM Coding reports, Bill Reports, etc. + Abstracts data from patient medical record to ... disseminates registry data. + Coordinates data collection activities; implements data quality control measures + Maintains and protects the confidentiality of… more
    Baylor Scott & White Health (03/18/25)
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  • Senior Provider Reimbursement Professional…

    Humana (Trenton, NJ)
    …**Required Qualifications - What it takes to Succeed** + 2 years of coding certification or equivalent (Industry-recognized coding certification from PHIA, AAPC ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (03/06/25)
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  • Senior Technical Engineer - Mulesoft

    Highmark Health (Trenton, NJ)
    …stakeholders to translate requirements into technical specifications and deliver high- quality solutions. Key activities include conducting code reviews for junior ... for one or many of the following tasks: analyzing, designing, coding , testing andimplementingtechnical solutions, as well as providing general production monitoring… more
    Highmark Health (01/22/25)
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  • Senior Technical Engineer - Senior Cloud Engineer

    Highmark Health (Trenton, NJ)
    …for one or many of the following tasks: analyzing, designing, coding , testing andimplementingtechnical solutions, as well as providing general production monitoring ... ensure solution alignment to enterprise goals and standards + Mentor other associate and intermediate technical engineers as needed + Perform technical analysis and… more
    Highmark Health (12/18/24)
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  • Software Development Engineer in Test- SDET

    Humana (Trenton, NJ)
    …teams to construct and enhance systems that elevate application testing and quality assurance. Your diligent efforts will guarantee that each software release ... adheres to the highest standards of quality , advancing both your career and Humana's technological frontiers....platform APIs and Services. You should be proficient in coding within languages and frameworks compatible with that ecosystem… more
    Humana (03/16/25)
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  • Lead Data Architect

    Humana (Trenton, NJ)
    …Data Architect, you will play a pivotal role in designing and delivering high- quality data products, from conception to launch. Your responsibilities will span from ... such as Data Mesh, ensuring metadata management, lineage, discovery, and quality standards are established. + **Technology Leadership** Stay ahead of industry… more
    Humana (03/12/25)
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  • Medical Director - Medicaid N. Central

    Humana (Trenton, NJ)
    …duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and ... skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home… more
    Humana (03/11/25)
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  • Medical Director - Mid West Region

    Humana (Trenton, NJ)
    …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home… more
    Humana (03/04/25)
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  • Medicaid Insurance Product Manager

    Humana (Trenton, NJ)
    …- Ability to navigate complex situations and independently produce high quality deliverables. * Consultative - Build/sustain relationships and inform the work ... + MPH, MBA, or similar higher-level education. + Clinical operations and medical coding experience. + Proven ability to bring new benefits to market with… more
    Humana (02/20/25)
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  • AVP, Investor Reporting

    SitusAMC (Trenton, NJ)
    …of the client's CRE loans + Ensure adherence to internal policies, quality standards, and management direction while meeting contractual deliverables to clients and ... + Design and build spreadsheet templates and/or financial models, including the coding of interrelated excel formulas, data tables and macros, to analyze the… more
    SitusAMC (02/14/25)
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