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Individual & Family Plans (IFP) Quality Review and Audit Senior Analyst, RADV - Remote - Cigna [...]
$58.4k - $97.4k
...daily RA program operations, as identified. Participates in coding reviews of medical documentation for RA programs, as needed. Responsible for... ...promote shared goals. The Quality Review and Audit Senior Analyst position recognizes experience in Risk Adjustment Data Validation...SuggestedRemote jobLocal areaWork from home- ...for the last eleven years. Position Summary The Reimbursement Analyst (RA) serves as a Fee Schedule Subject Matter Expert (FS SME)... ...jurisdiction-specific healthcare fee schedule methodologies, medical coding standards, and strong technical proficiency. The...SuggestedRemote workFlexible hours
- ...identifying under-allowed claims using Rivet Payer Performance and other available tools Leverages coding knowledge to focus specifically on surgical/procedure based claims and medical necessity denials to identify appeal opportunities Trends surgical claim billing errors by...SuggestedFull timeContract workWork at office
$77.97k - $129.59k
Senior Analyst, Medical Economics (VBC) - REMOTE Join to apply for the Senior Analyst, Medical Economics (VBC) - REMOTE role at Molina Healthcare... ...financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical...SuggestedRemote jobFull timeWork experience placement$90.45k
...Join KEYENCE as a Legal Analyst Location: Keyence U.S. Corporate Office - Elmwood Park, NJ Total Compensation (Base + Bonus): $... ...143 annually (performance-based), paid quarterly Benefits: Medical, dental, vision, 401K match, ~4 weeks PTO in first full year...SuggestedContract workInternshipWork at officeKeyence
Elmwood Park, NJ5 days ago$77.97k - $128.52k
...in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and... ...Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are...SuggestedWork experience placementWork at officeRemote work$77.97k - $128.52k
...functions to support systems solutions development and maintenance for Medical Claim Audit. This role includes coordination with stakeholders... ...Services (CMS) and the Affordable Care Act (ACA). Medical Coding certification. Strong Medical Claims Audit knowledge. To...SuggestedWork experience placementWork at officeRemote work- ...Job Title: Healthcare Associate / RCM Analyst Location: Onsite / Remote (US Client) Employment... ...S. healthcare system, RCM processes, and medical documentation. The ideal candidate should... ...Perform Medical Billing & Coding (ICD-10, CPT, HCPCS) Manage EHR/EMR...SuggestedFull timeContract workRemote work
- ...Title: Command Center Analyst Duration : 6 month contract (potential extensions, potential hire) Location: Clifton, NJ 07014 Shift B: Wed/Thurs-Sat Day Shift: 7am - 7pm The Command Center Analyst I is responsible for the day-to-day monitoring of network...SuggestedContract workWork at officeImmediate startShift workDay shift
Insight Global
Clifton, NJ10 hours ago $3,000 per month
Join Our Part-Time Research Studies Today! Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and product...SuggestedExtra incomeTemporary workPart timeRemote workWork from homeMaxion Research
Clifton, NJ5 days ago$46.99k - $122.4k
...drive priority projects to completion. The analyst will also support financial operations through invoice tracking and coding validation, contributing to accurate and timely... .... 2-3 project management background. Medical billing and coding certification. Education...SuggestedHourly payFull timeTemporary workWork experience placementLocal areaFlexible hours- ...develop actionable improvement plans. Ensure accurate billing and coding by reviewing charge queues, collaborating with care centers,... ...reimbursement. Principal Accountabilities Analyze trends in medical claim denials, reimbursement issues, and process-related challenges...SuggestedHourly payFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hours
- Heartland Fidelity Insurance Company has an opening for a Vice President and Risk Officer to manage key relationships with its regulator and rating agency, explore and develop new market opportunities for Heartland to leverage its insurance capabilities and lead the company...SuggestedWork experience placementWork at office
Benecard Services, Inc.
Clifton, NJ1 day ago - ...keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Revenue Cycle Analyst provides statistical and financial data enabling management to accurately monitor accounts receivable activity on an ongoing basis....Suggested
HMH PHYSICIAN SERVICES, INC.
Hasbrouck Heights, NJ5 days ago $21.1 - $44.99 per hour
...do it all with heart, each and every day. Position Summary Responsible for performing quality inter‑rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ensure the ICD‑10 codes that are submitted to the Centers for Medicare and Medicaid Services...SuggestedHourly payFull timeTemporary workWork at officeLocal areaFlexible hours- Vice President & Risk Officer About the Company Well-regarded association captive insurance company Industry Insurance Type Privately Held Employees 11-50 About the Role The Company is seeking a Vice President and Risk Officer to take...
Confidential
Clifton, NJ3 days ago - ...related field 7+ years of demonstrated experience as a business analyst 3+ years of healthcare data claim content experience. Must be... ...working knowledge of administrative claims data and medical coding systems Preferred qualifications include: Deep understanding...Worldwide
- ...solutions and transformative platforms. We are seeking a Business Analyst with prior experience in healthcare to join our team at the... ...working in: Electronic Health Records (EHR) systems Medical coding standards such as FHIR, ICD, CPT Medicare/Medicaid data (...Immediate startFlexible hours
- ...primary purpose of the Senior Revenue Cycle Analyst position is to provide for the day-to-day... ...staff up to date with any changes in coding or billing procedures or regulations. Produces... ...maintains a demeanor complementary to medical ethics. Responsible for overseeing the...Temporary workWork at officeFlexible hours
$25 - $30 per hour
Command Center Analyst Title: Command Center Analyst Duration: 6 month contract (potential extensions, potential hire) Location: Clifton... ...through training and professional associations. Benefits Medical insurance Vision insurance 401(k) #J-18808-Ljbffr Insight GlobalContract workWork at officeShift work- Senior Analyst - Provider Revenue Excellence - Revenue Cycle Management Join to apply for the Senior Analyst - Provider Revenue Excellence... ...cycle transformation experience, including patient access, coding, Clinical Documentation Improvement (CDA), billing, A/R Management...Apprenticeship
$61.5k - $65k
Sr Analyst (POGs) At Acosta, this hybrid position is 3 days a week in our Bloomfield, New Jersey office. Description As the category expert, you will drive sales by creating and designing top-level presentations incorporating retailer or syndicated data and utilizing various...Hourly payFull timeWork experience placementWork at officeFlexible hours3 days per week- Join to apply for the Per Diem - Behavioral Analyst - Pediatrics Developmental role at St. Joseph's Health . 1 week ago Be among the first 25 applicants. Job Description Employing the principles of behavior analysis, assesses and treats children exhibiting pediatric feeding...Daily paid
$70k
...physical and emotional health. Some of these benefits may include:* 401(k) plan with matching company contributions* Comprehensive Medical, Dental & Vision Care* Paid parental leave at 100% of salary* Paid Time Off and Company Holidays***JLL Privacy Notice***Jones Lang...Work experience placementWork at officeLocal area- Join to apply for the Analyst Integration II role at St. Joseph's Health Join to apply for the Analyst Integration II role at St. Joseph... ..., as is experience with technical management and deployment of medical device connectivity hardware (for Device Integration focus)....Daily paidFull timePart timeWork at officeRemote workWorldwide
$210k
...annually Eligible for an annual bonus based on individual performance and company bonus plan Comprehensive benefits package including medical, dental, and vision insurance Competitive pension plan and 401k match Paid time off starting at 160 hours annually plus ten paid...$77k
...up to $77,000 annually Opportunity for an annual bonus based on individual performance Comprehensive benefits package including medical, dental, and vision insurance Generous paid time off starting at 160 hours annually plus 10 paid holidays Career training and development...Work experience placementImmediate start- The Store Analyst will support the execution of the company’s financial plans (GMROI, sales, and margin) by reviewing store opportunities and strategically allocating product to drive business for a 6-12 departments. Ensure that all new fashion flows are flawlessly executed...Work at officeLocal area
$104.81k - $123.04k
...section of your application. Job Description SUMMARY : Reporting to the Assistant Vice President of Finance Systems, the Workday Student Analyst supports the Workday Operations team focusing on Student Functionality. The position provides day-to-day operations, processes...Work experience placement$125k - $130k
...there is flexibility to hire at the Senior Analyst or Specialist level, depending on your... ...transformation experience, including patient access, coding, Clinical Documentation Improvement (CDA)... ...and their families. This includes medical, mental health, dental and vision...ApprenticeshipWork at officeEasy work
