29 jobs found in Newark, NJ

Overview About the Role The primary purpose of the Inpatient Coding Data Quality Auditor/Educator is to ensure the consistent processing of claims and collection of data to optimize DRG reimbursement and produce quality data that accurately reflects the severity and intensity of hospital inpatient services. Audits inpatient coded records, provides continuing education of all inpatient coding staff and facilitates the inpatient coding work flow.   Responsibilities What You’ll Do     Performs daily data quality reviews on inpatient records to validate ICD-10 diagnosis and procedure codes Ensures accuracy, proper sequencing, and adherence to coding guidelines on all cases Reviews cases identified as OIG-focused DRGs, transfer DRGs, and other target areas as needed Verifies the accuracy and appropriateness of the selected DRG Communicates coding corrections to coders and explains the rationale for...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Board Certified Orthopedist with fellowship training in Sports Medicine is sought to join a university affiliated, community based practice. Training or experience in caring for Sports patients is required. Must be a team player and be able to supervise mid-level providers. Call is light. Employed by an award-winning hospital system, the position will offer a competitive base compensation of $427-835,000 plus RVU productivity-based compensation model and an extensive benefits package. The salary range listed does not include any bonuses, incentive pay, or other forms of compensation that may be applicable to this job. Highly desirable area provides easy access to Manhattan for commuters, a wide arrange of award-winning public schools and private school and Universities. Beautiful coastal location, historic communities complete the picture.

Optimum is proud to partner with a medical center in Brooklyn, New York, that has a new opening for an Associate Director of Minimally Invasive Gynecologic Surgery to join their team. About the Position: Schedule: Monday-Friday, 8-hour day shifts Backup GYN call, no OB call requirement Setting: Hospital and clinic Daily Volume: 15-20+ clinic patients Annual Volume: 6K deliveries EMR: Epic Must be board-certified or board-eligible About the Benefits: Competitive base salary + bonuses Full benefits package Medical malpractice coverage with tail To learn more, please apply. PRM - 73027

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must have...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology Radiation, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Cardiology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Neurology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Surgery - Orthopedics, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

We represent a mission?driven, non?profit Federally Qualified Health Center (FQHC) located in Staten Island, New York. The organization is seeking a Family Medicine Physician who is committed to providing comprehensive, high?quality care and thrives in a collaborative, patient?centered environment while making a meaningful impact within the community. Position Overview: Outpatient primary care opportunity within an established community?based practice Flexible weekday scheduling with some extended hours and limited weekend coverage Open to MD/DO physicians; new graduates encouraged to apply Manageable patient volume in a supportive clinical environment Call by phone only one week a month Average base salary ranges from $175k-$225kbased on experience Robust benefits, including a generous employer?matched retirement plan Sign?on and relocation assistance available Eligibility for federal loan repayment programs About the Community: Staten Island offers a rare...

We represent a mission?driven, non?profit Federally Qualified Health Center (FQHC) located in Staten Island, New York. The organization is seeking an Internal Medicine Physician who is committed to providing comprehensive, high?quality care and thrives in a collaborative, patient?centered environment while making a meaningful impact within the community. Position Overview: Outpatient primary care opportunity within an established community?based practice Flexible weekday scheduling with some extended hours and limited weekend coverage Open to MD/DO physicians; new graduates encouraged to apply Manageable patient volume in a supportive clinical environment Call by phone only one week a month Average base salary ranges from $175k-$225kbased on experience Robust benefits, including a generous employer?matched retirement plan Sign?on and relocation assistance available Eligibility for federal loan repayment programs About the Community: Staten Island offers a...

Family Law Associate - Premier Boutique Firm! This Jobot Job is hosted by: Jacob Vane Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $150,000 - $225,000 per year A bit about us: Based in San Francisco, CA, we are a Top Ranked Legal Services Firm known for our commitment to excellence. Our core values are centered around our people and our clients. We believe that putting your employees first is not only the right thing to do, but it also gives us the competitive edge to ensure our clients have an excellent experience! Over the years, our reputation for providing our people with the very best has caught the eye of some reputable clients who have chosen to use us as their primary firm! If you are an experienced Family Law Associate, then please apply! Why join us? Do you want to work with some of the nation’s best Clients AND enjoy time at home w/ family? We do too! Meaningful Work! Best in Class Firm! Competitive...

As a Behavior Specialist at ChanceLight Behavioral Health, Therapy, & Education, you will provide direct behavioral support to students in educational settings. You will implement behavior intervention plans, collect and analyze data, and collaborate closely with teachers, therapists, and families. Using research-based, ABA-informed strategies, you'll teach social, communication, and adaptive skills while reducing challenging behaviors. In ChanceLight's collaborative, growth-focused culture, you'll receive training, mentorship, and the opportunity to make a lasting impact on children and young adults. Responsibilities Implement individualized behavior intervention plans in educational settings Collect and analyze behavioral and skill acquisition data Collaborate with teachers, therapists, and families to support student goals Use positive behavior supports and de-escalation strategies Assist with FBAs and contribute to IEP and treatment planning Provide direct...

As an RN Educator at Rochester Regional Health, you will design, deliver, and evaluate clinical education for nurses and interprofessional staff to enhance quality, safety, and patient outcomes. You will assess learning needs, develop evidence-based curricula, lead orientations, in-services, and simulation-based trainings, and support competency validation across units. Partnering closely with nursing leadership and frontline teams, you will promote best practices, regulatory readiness, and a culture of continuous learning in a diverse, collaborative environment with strong opportunities for growth and advancement. Responsibilities Design and deliver clinical education programs for nursing staff and interprofessional teams Assess staff learning needs and develop evidence-based curricula and materials Lead orientations, in-services, and simulation-based trainings Support ongoing competency assessment and validation for clinical staff Collaborate with nursing leadership to...

Amsterdam Nursing Home is seeking an Assistant Director of Nursing (ADON): Nurse Educator/Staff Development to join our team at our facility in Manhattan, NY.    Key Responsibilities: The primary responsibilities for this position relate to education (i.e. – weekly and/or bi-weekly orientation, education, competencies, etc.).   Lead and deliver clinical education and training for staff, ensuring compliance with NYSDOH and facility standards Assess and enhance staff competencies via coaching, mentoring, audits, and performance evaluations Ensure adherence to regulatory standards and best practices Evaluate and improve staff competencies and performance Ensure Quality Assurance for all nursing staff and practices Offer mentorship and professional development opportunities Collaborate with facility leadership to enhance patient care quality Lead staff onboarding orientations Conduct regular audits and assessments to...

Zucker Hillside Hospital/Northwell Health is seeking two full-time attending psychiatrists for its expanding Division of Interventional Psychiatry: an Associate Director and a Staff Psychiatrist. These roles offer the opportunity to work within one of the country's largest ECT programs, with services also including ketamine/esketamine administration and transcranial magnetic stimulation (TMS). The positions involve clinical care, teaching, and research opportunities within a renowned academic behavioral health facility. Practice Info The Division of Interventional Psychiatry oversees one of the largest ECT programs in the country. Services include ketamine/esketamine administration and transcranial magnetic stimulation (TMS). Zucker Hillside Hospital is a 236-bed behavioral health facility. Inpatient services include units dedicated to adolescent, college-aged, adult, geriatric, and women's (perinatal psychiatry) populations. Outpatient programs serve all ages and...

1 Day In Office - Hands-On Litigation - Collaborative Team This Jobot Job is hosted by: Scott Rundlett Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $135,000 - $185,000 per year A bit about us: We are a litigation-focused firm representing businesses, insurers, and employers across a range of matters, including civil disputes and workplace-related issues. Our team handles a mix of work that keeps things interesting while maintaining a steady, organized approach to managing cases. We operate with a collaborative structure where attorneys and staff work closely together, and everyone plays a role in moving matters forward. Our environment emphasizes clear communication, reliability, and practical problem-solving, supported by systems that help keep work on track without unnecessary complexity. Why join us? We offer a stable and supportive environment where people can do good work without unnecessary pressure or chaos....