41 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.

Rheumatology Clinician Educator at Montefiore Medical Center and the Albert Einstein College of MedicineAt Montefiore, DOING MORE means building on a history of firsts to create the future of healthcare. For over 100 years, weve been pushing the boundaries of medicine with innovations such as the intravenous cardiac pacemaker and one of the nations first pediatric kidney transplants. The Division of Rheumatology at Montefiore Medical Center/the Albert Einstein College of Medicine is seeking a candidate for a tenure track, full time faculty position at the Assistant or Associate Professor level as a Clinician Educator. The position entails:Clinical outpatient practice at our multi-specialty sites in the Bronx with potential opportunity to expand to the brand new Immunologic Diseases Center in Westchester CountyInpatient consultations and teaching of medical students, residents, and fellows in the Bronx CampusesParticipation in all clinical and academic divisional activities as set...

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...

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...

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

New York, NY, offers physicians an unparalleled professional landscape with world-renowned hospitals, cutting-edge medical research institutions, and diverse patient populations. The city's fast-paced environment fosters continuous learning, collaboration with top-tier medical professionals, and access to the latest advancements in healthcare. With a high demand for medical services across various specialties, physicians can build thriving careers while making a significant impact on public health. Additionally, New York's cultural vibrancy, rich amenities, and endless networking opportunities make it an exciting and fulfilling place to live and work. As industry leaders and Joint Commission Certified, CompHealth applies over 40 years of tenured experience to your unique situation, preferences, and goals. Contact Gordon Diaz at or to learn more about this opportunity. Hospital-employed position at a well-established community health clinic in New York Panel of 22 - 25 patients per...

Case Associate Needed in Queens Residential facility Hours: Sunday-Thursday 9am-5pm Tuesday-Saturday 9am-5pm POSITION OVERVIEW: The Case Associate is the intermediate level of direct care staff working with residents of a supported housing program in order to help residents live in the community as independently as possible. RESPONSIBILITIES May carry a caseload of residents Provides services to those residents within the scope of program regulations and agency mission. Evaluates and assesses independent living skills, and supports residents in meeting individual goals. Assist residents with locating and securing housing Advocates on behalf of residents with other services providers. If carrying a caseload, links residents to community based treatment and collaborate with other service providers when coordinating services. If carrying a caseload, practices person-centered and collaborative service planning with residents, also ensuring service plans are completed and signed by...

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 blend of suburban comfort...

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 rare blend of suburban...

Hilton Veterinary Care Hospital in Houston, TX seeks an Associate Veterinarian to provide high-quality medical, surgical, and preventive care for small animals. In this team-oriented, compassionate practice, you will perform exams, diagnose and treat illnesses, develop treatment plans, and educate clients on pet health and wellness. Responsibilities include routine surgeries, dental procedures, interpreting diagnostics, maintaining accurate medical records, and collaborating closely with technicians and support staff. This role offers strong mentorship, professional growth, and the chance to build lasting relationships with clients and their pets. Responsibilities Perform comprehensive physical exams and wellness visits for small animals Diagnose and treat common medical conditions and manage chronic diseases Perform routine soft-tissue surgeries and basic dental procedures Order, interpret, and explain diagnostic tests including lab work and imaging Develop and...

ArchCare cares for people of  all  ages and faiths where they are most comfortable and best able to receive it --  at home, in the community and in nursing homes . As the Continuing Care Community of the Archdiocese of New York, we see enhancing the lives of our elders and others who need extra help to stay healthy and live life to its fullest as more than just a job.  To us, it's a privilege and our calling. We are proud to be Certified™ by Great Place to Work® , a testament to our commitment to fostering a positive, supportive, and inclusive workplace culture. Benefits/Perks: Includes accrued vacation days, sick days, and holidays. Participation in 403 (b) Voluntary Benefits: Short Term Disability, Life Insurance, Cancer Insurance, Pet Insurance Discounted membership: Plum Benefits Pay for work-related eligible commuter expenses with pre-tax dollars Responsibilities: Assesses and evaluates the health care needs of patients and...

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...