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Full Time
9/1/2025
Oceanport, NJ 07757
(27.6 miles)
Job Title: Inpatient Coding Quality Officer III - (Medicare)Location: Barnabas Health CorpDepartment: HIM - Coding QualityReq#: Status: Full-TimeShift: DayPay Range: $75,597.00 - $117,458.00 AnnualPay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.Job Overview:The Quality Officer 3 is responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient Medicare encounters. This requires critical thinking and a higher level skill set due to the complexity and risk relative to Medicare patients. Quality Officer 3 must also sustain an excellent organizational average accuracy rate. Adherance to applicable Federal and State Regulations, Compliance Guidelines, and Coding Guidelines set forth by RWJBH, American Hospital Association (AHA) and the American Medical Association (AMA) must be maintained.Qualifications:Required:Bachelor’s degree or equivalent in experience.5+ years acute care coding and/or auditing experience with a concentration on inpatient Medicare records is required with a Bachelor’s degree. 9+ years acute coding and/or auditing experience required without a Bachelor’s degree. Extensive knowledge of ICD-10-CM/PCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required.Knowledge of Medicare and Medicaid billing and coding regulations.Must have excellent interpersonal, oral, and written communication skills. Must be capable of critical thinking and analysis and written conveyance of same. Must have excellent organizational and time management skills. Must maintain a professional demeanor.Must be able to work independently and cooperatively with minimal supervision.Must foster positive relationships with fellow co-workers and the coding team.Certifications and Licenses Required:CCS requiredICD-I0-CM/PCS proficiency required.Preferred:CPC-H, RHIT, RHIA and/or RN also encouraged.Scheduling Requirements:Position is primarily remoteEssentialFunctions:Ensures the accuracy and integrity of ICD-10-CM/PCS, CPT coding when applicable and DRG assignment for adherence to Federal and State Regulations and Compliance Guidelines.Critically analyzes each Medicare inpatient medical record to apply appropriate coding, DRG judgements, SOI, ROM and POA.Independently manages SMART pending queues for all acute care RWJBarnabas facilities. Reviews ICD-10-CM/PCS coding and DRG assignment of medical records as “flagged” by SMART.Independently manages EPIC SMART WQ’s to assure proper workflow of identified accounts.Directs coders with appropriate case-specific recommendations. Educates and coaches coders in the application of coding principles, code assignment and sequencing, DRG assignment and clinical disease processes. Coding advice must be clearly and concisely written with appropriate clinical indicators cited. Additional facilities that may join the System receive the same education and coaching from the Quality Officers to ensure a unified methodology within the RWJBH organization. This results in improved outcomes in DRG assignment, coder education and DNB lag time within all facilities.Sustains an excellent organizational average accuracy rate by leveraging advanced knowledge of coding practices leading to exceptional results.The Quality Officer’s coding analysis is reviewed by the Coding Specialists on a biannual basis. The consequences of incorrect judgments affecting the DRG may include an increased monitoring, until quality scores of 90% or better for two consecutive months are obtained. The consequences of incorrect coding resulting in erroneous DRGs includes under reporting and/or over reporting. Incorrect coding may result in an incorrect reporting of diagnoses and procedures to the patient’s EHR which may affect the patient’s future care, insurance claims and coverage. When accounts are not reviewed and released in a timely manner, there is a detrimental impact to the reimbursement flow for the facility (DNB).Productivity Standards must be met for all Quality Officers. Failure to meet productivity standards will result in progressive disciplinary action.Provides Guidance to Quality Officer 1 and 2 as requested.Independently monitors SMART queues to ensure all records imported by SMART are reviewed and properly directed, with/or without coding or other recommendations, or released to billing as appropriate and within department accepted timelines.Works as a team with other Quality Officers to ensure SMART review goals are met for all RWJBarnabas facilities.May review ICD-10-CM/PCS coding associated with RAC audits and/or other additional medical records as needed, and provides appropriate written feedback including rationale, research, and coding guidelines to management and/or the Coding Specialists. Reviews Discharge Status, Admission and Discharge Dates, and other related demographic information coded and entered by affiliate staff for accuracy and completeness. Communicates the need for Case Management review to the RWJBarnabas facilities when appropriate.Reviews Present on Admission (POA) indicators for all diagnosis coded and entered by coders for accuracy and completeness. Reviews Physician Queries submitted by staff for necessity, accuracy and completeness and communicate recommendations to the sites as appropriate.Participates in the review of other payers as directed.Independently reports problems with any and all computer system to RWJBarnabas IT&S or SMART helpdesk for resolution.May perform classroom training in ICD-10-CM/PCS and CPT coding for affiliate staff when needed at the internal RWJ Barnabas Coding School which may be held to train new facility coders.Maintains proper computer and written records of all review activity.Effectively communicates coding recommendations and rationale to Coding team.Performs regulatory coding research as needed.May be required to perform other related duties.Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.Duties, responsibilities and activities may change at any time with or without notice.At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health.Paid Time Off (PTO) Medical and Prescription Drug InsuranceDental and Vision InsuranceRetirement PlansShort & Long Term DisabilityLife & Accidental Death InsuranceTuition ReimbursementHealth Care/Dependent Care Flexible Spending AccountsWellness ProgramsVoluntary Benefits (e.g., Pet Insurance)Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered,high-quality academic medicine in a compassionate and equitable manner, while deliveringa best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jerseywhether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.Equal Opportunity Employer
Full Time
9/1/2025
Oceanport, NJ 07757
(27.6 miles)
Job Title: DirectorLocation: Barnabas Health CorpDepartment: Corporate ReimbursementReq#: Status: Full-TimeShift: DayPay Range: $144,483.00 - $209,501.00 AnnualPay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.Job Overview:The Director will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies across all RWJBarnabas Health hospitals. This includes planning, preparing and reviewing of the annual Medicare/Medicaid cost reports filings. In partnership with theVice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, and Geographic Reclassification projects. In addition, the Director will closely assess, track, and monitor’s participation in state level supplemental payments programs and will be asked to assist with regulatory research. The Director will also work closely with finance department personnel at system facilities and will oversee the accurate determination of third party receivables/payables, ensuring revenue and receivables reporting complies with GAAP. The Director will have advanced level of knowledge of government payment regulation, third party revenue accounting practices, and have excellent communication/staff management skills. Furthermore, promotes a positive atmosphere and maintains a high degree of customer service orientation to include proactive interaction with staff and managers. Qualifications:Required:BS/BA in Accounting, Finance, or Health Administration required. Minimum of 10 years of experience interpreting Medicare and Medicaid payment regulations, ensuring optimization of revenue and completing Medicare and Medicaid cost reports. Expert level of knowledge of Medicare and Medicaid regulation and payment rules is essential.The ability to interpret Medicare and Medicaid payment regulations and develop and implement processes ensuring hospitals are reimbursed for all programs and services is required.Educated on and follows Generally Accepted Accounting Principles (GAAP);Proactively prioritizes needs and effectively manages resources;Delegates and trains appropriately to ensure required deadlines are met; Communication - communicates clearly and concisely;Guides individuals and groups toward desired outcomes with minimal supervision, sets high performance standards and delivers high quality services;Demonstrates appropriate decision-making skills and escalates issues to supervisor as appropriateEstablish and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations;Coordinates with leadership and deploys and directs resources appropriately (e.g. Cost Report preparation, Wage Index, etc.) as directed;Demonstrates proficiency in Microsoft Office applications (i.e. Excel, Word) and others as requiredPreferred:HFMA CertificationScheduling Requirements:Full TimeWorking Location(s): Hybrid/Remote; Homebase- Oceanport, NJEssential Functions:Prepares Medicare and Medicaid cost reports and supporting forms/schedules as requiredResponsible for the completion and review of the annual New Jersey Acute Care Hospital (SHARE) cost reportsMonitor and validate State and federal issued reimbursement ratesInvestigates and responds to audit reviews/questions/adjustmentsRegularly monitor and evaluate changes in reimbursement regulations and policies to optimize reimbursement opportunities Monitor Medicare and Medicaid appeal and cost report reopening issues. Completed Medicare 855As (and Medicaid) when applicable – such as Change of Ownership (CHOW) and Change of Information applicationsCompleted the annual Medicaid DSH Surveys. Manage and optimize the data collection and reporting process for the Medicare, Medicaid and NJ SHARE cost reports (Physician Time Studies, Contracted Labor, A-6 Reclasses, and B-1 Statistics)Maintains working knowledge of various Medicaid state regulations and Medicare federal regulations.Assists in orientation, training and development of new Financial Analysts as needed.Supervises Financial and Senior Financial Analyst(s) in completion of certain projects when assigned by senior management.Assists in Reimbursement Department projects not listed above.Assists in special projects as needed.Other work duties as assigned.Other Duties:Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time, with or without notice.Benefits and Perks:At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health.Paid Time Off (PTO) Medical and Prescription Drug InsuranceDental and Vision InsuranceRetirement PlansShort- & Long-Term DisabilityLife & Accidental Death InsuranceTuition ReimbursementHealth Care/Dependent Care Flexible Spending AccountsWellness ProgramsVoluntary Benefits (e.g., Pet Insurance)Discounts through our partners, such as NJ Devils, NJ PAC, Verizon, and more!Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jerseywhether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.Equal Opportunity Employer
Full Time
9/1/2025
Oceanport, NJ 07757
(27.6 miles)
Job Title: Inpatient Coding Quality Officer I - (All Other Payer)Location: Barnabas Health CorpDepartment: HIM - Coding QualityReq#: Status: Full-TimeShift: DayPay Range: $75,597.00 - $117,458.00 AnnualPay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.Job Overview:The Quality Officer 1 is responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient encounters for other payers (not Medicare/Managed Medicare). This requires critical thinking and a skill set above what is expected as a coder. Quality Officers must also sustain an excellent organizational average accuracy rate. Adherence to applicable Federal and State Regulations, Compliance Guidelines, and Coding Guidelines set forth by RWJBH, American Hospital Association (AHA) and the American Medical Association (AMA) must be maintained. Qualifications:Required:Bachelor’s degree or equivalent in experience. 4+ years acute care coding and/or auditing experience with a Bachelor’s degree. 7+ years acute coding and/or auditing experience required without a Bachelor’s degree.Extensive knowledge of ICD-10-CM/PCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is requiredKnowledge of billing and coding regulations.Must have excellent interpersonal, oral, and written communication skills. Must be capable of critical thinking and analysis and written conveyance of same. Must have excellent organizational and time management skills. Must maintain a professional demeanor.Must be able to work independently and cooperatively with minimal supervision. Must foster positive relationships with fellow co-workers and the coding team.Certifications and Licenses Required:CCS requiredICD-I0-CM/PCS proficiency required.Preferred:CPC-H, RHIT, RHIA and/or RN also encouraged.Scheduling Requirements:Position is primarily remote.EssentialFunctions:Ensures the accuracy and integrity of ICD-10-CM/PCS, CPT coding when applicable and DRG assignment for adherence to Federal and State Regulations and Compliance Guidelines.Critically analyzes each inpatient medical record to apply appropriate coding, DRG judgements, SOI, ROM and POA.Independently manages SMART pending queues for all acute care RWJBarnabas facilities. Reviews ICD-10-CM/PCS coding and DRG assignment of medical records as “flagged” by SMART.Independently manages EPIC SMART WQ’s to assure proper workflow of identified accounts.Directs coders with appropriate case-specific recommendations. Educates and coaches coders in the application of coding principles, code assignment and sequencing, DRG assignment and clinical disease processes. Coding advice must be clearly and concisely written with appropriate clinical indicators cited. Additional facilities that may join the System receive the same education and coaching from the Quality Officers to ensure a unified methodology within the RWJBH organization. This results in improved outcomes in DRG assignment, coder education and DNB lag time within all facilities.Sustains an excellent organizational average accuracy rate by leveraging advanced knowledge of coding practices leading to exceptional results.The Quality Officer’s coding analysis is reviewed by the Coding Specialists on a biannual basis. The consequences of incorrect judgments affecting the DRG may include an increased monitoring, until quality scores of 90% or better for two consecutive months are obtained. The consequences of incorrect coding resulting in erroneous DRGs includes under reporting and/or over reporting. Incorrect coding may result in an incorrect reporting of diagnoses and procedures to the patient’s EHR which may affect the patient’s future care, insurance claims and coverage. When accounts are not reviewed and released in a timely manner, there is a detrimental impact to the reimbursement flow for the facility (DNB).Productivity Standards must be met for all Quality Officers. Failure to meet productivity standards will result in progressive disciplinary action.Independently monitors SMART queues to ensure all records imported by SMART are reviewed and properly directed, with/or without coding or other recommendations, or released to billing as appropriate and within department accepted timelines.Works as a team with other Quality Officers to ensure SMART review goals are met for all RWJBarnabas facilities. Reviews Discharge Status, Admission and Discharge Dates, and other related demographic information coded and entered by affiliate staff for accuracy and completeness. Communicates the need for Case Management review to the RWJBarnabas facilities when appropriate.Reviews Present on Admission (POA) indicators for all diagnosis coded and entered by coders for accuracy and completeness. Independently reports problems with any and all computer system to RWJBarnabas IT&S or SMART helpdesk for resolution.Maintains proper computer and written records of all review activity.Effectively communicates coding recommendations and rationale to Coding team.Performs regulatory coding research as needed.May be required to perform other related duties.Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.Duties, responsibilities and activities may change at any time with or without notice.At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health.Paid Time Off (PTO) Medical and Prescription Drug InsuranceDental and Vision InsuranceRetirement PlansShort & Long Term DisabilityLife & Accidental Death InsuranceTuition ReimbursementHealth Care/Dependent Care Flexible Spending AccountsWellness ProgramsVoluntary Benefits (e.g., Pet Insurance)Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered,high-quality academic medicine in a compassionate and equitable manner, while deliveringa best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jerseywhether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.Equal Opportunity Employer
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Full Time
9/1/2025
Riverside, CT 06878
(29.1 miles)
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Full Time
8/7/2025
Riverside, CT 06878
(29.1 miles)
Physical Therapist Career Opportunity $65/hour PRN rate Join a Team That Puts Your Passion for Care FirstAre you seeking a fulfilling career that feels like home and lets you make a meaningful impact At Encompass Health, you'll find an opportunity to provide exceptional care and support to our patients, witnessing their remarkable progress firsthand. As a Physical Therapist, your specialized skills will help deliver high-quality, compassionate care, allowing you the time to deeply understand and guide patients on their rehabilitation journey. Our well-equipped physical therapy gyms, backed by the latest technology, foster a supportive, driven, and welcoming environment. From day one, you'll experience a rewarding career and comprehensive benefits that prioritize your peace of mind and professional growth. Welcome to a place where your passion for care fuels remarkable progress and fulfillment. A Glimpse into Our WorldWhether you're at the early stages of your career, seeking to build a strong foundation, or an experienced Physical Therapist in search of a better environment to call home, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means being with a growing national inpatient rehabilitation leader. We take immense pride in our career growth opportunities and how our team collaborates for the greater good of our patients. Our achievements, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, make us truly remarkable. Our Commitment to YouOur benefits are designed to support your well-being and start on day one:Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.Generous paid time off that accrues over time.Tuition reimbursement and continuous education opportunities for your professional advancement.Company-matching 401(k) and employee stock purchase plans for a secure financial future.Flexible spending and health savings accounts tailored to your unique needs.A community of individuals passionate about what they do. Be the Physical Therapist You've Always Aspired to BeYour journey involves:Providing direct inpatient care to patients in need of physical therapy.Supervising care and treatments, leading patient assessments, creating personalized care plans, and addressing patient concerns.Building meaningful relationships with patients by taking the time to understand their physical, mental, and emotional needs to support their recovery.Celebrating every victory along the way. QualificationsCurrent licensure or certification as required by state regulations.CPR certification.Master's Degree preferred, or Bachelor's Degree plus sufficient experience in the field. The Encompass Health WayWe proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.We're eager to meet you, and we truly mean that. Join our family, and let's make a difference together!
Full Time
8/7/2025
Riverside, CT 06878
(29.1 miles)
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Full Time
8/7/2025
Riverside, CT 06878
(29.1 miles)
Physical Therapist Career Opportunity $65/hour PRN rate Join a Team That Puts Your Passion for Care FirstAre you seeking a fulfilling career that feels like home and lets you make a meaningful impact At Encompass Health, you'll find an opportunity to provide exceptional care and support to our patients, witnessing their remarkable progress firsthand. As a Physical Therapist, your specialized skills will help deliver high-quality, compassionate care, allowing you the time to deeply understand and guide patients on their rehabilitation journey. Our well-equipped physical therapy gyms, backed by the latest technology, foster a supportive, driven, and welcoming environment. From day one, you'll experience a rewarding career and comprehensive benefits that prioritize your peace of mind and professional growth. Welcome to a place where your passion for care fuels remarkable progress and fulfillment. A Glimpse into Our WorldWhether you're at the early stages of your career, seeking to build a strong foundation, or an experienced Physical Therapist in search of a better environment to call home, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means being with a growing national inpatient rehabilitation leader. We take immense pride in our career growth opportunities and how our team collaborates for the greater good of our patients. Our achievements, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, make us truly remarkable. Our Commitment to YouOur benefits are designed to support your well-being and start on day one:Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.Generous paid time off that accrues over time.Tuition reimbursement and continuous education opportunities for your professional advancement.Company-matching 401(k) and employee stock purchase plans for a secure financial future.Flexible spending and health savings accounts tailored to your unique needs.A community of individuals passionate about what they do. Be the Physical Therapist You've Always Aspired to BeYour journey involves:Providing direct inpatient care to patients in need of physical therapy.Supervising care and treatments, leading patient assessments, creating personalized care plans, and addressing patient concerns.Building meaningful relationships with patients by taking the time to understand their physical, mental, and emotional needs to support their recovery.Celebrating every victory along the way. QualificationsCurrent licensure or certification as required by state regulations.CPR certification.Master's Degree preferred, or Bachelor's Degree plus sufficient experience in the field. The Encompass Health WayWe proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.We're eager to meet you, and we truly mean that. Join our family, and let's make a difference together!
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