Jobs near Lawrence Township: 3,821
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Relevance Score ranked on: INTEGRITY
Charge Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
Lawrence Township
Responsible for account-level pre-bill charge verification to ensure accurate, complete, and compliant claim construction before final billing. This role focuses on identifying and correcting charge capture issues such as missing CPT/ HCPCS codes, incorrect CPT/ HCPCS selection, unit/revenue code dis...
Search Terms: Integrity, Revenue, Specialist, Healthcare, Business Services
92
0mi
Updated: July 26
Surgical Revenue Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
Lawrence Township
Responsible for pre-bill revenue protection for surgical and procedural encounters, with primary focus on implant, device, and high-cost supply/drug-supported cases. Performs detailed reconciliation of clinical and financial records to ensure complete and accurate charge capture before claim finaliza...
Search Terms: Revenue, Integrity, Surgical, Specialist, Supply Chain
92
0mi
Updated: July 26
Revenue Integrity Supervisor - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
Lawrence Township
Leads daily operations of Revenue Integrity work queues and staff, ensuring accurate, compliant, and timely pre-bill claim readiness across hospital and ambulatory services. Responsible for frontline execution, quality control, escalation management, and team coaching across charge integrity, authori...
Search Terms: Revenue, Integrity, Supervisor, Operations, Authorization
92
0mi
Updated: July 26
Authorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
Lawrence Township
Responsible for proactive authorization controls that protect claim readiness and revenue prior to billing. Performs both pre-service authorization verification and post-procedure pre-bill validation to ensure the authorization aligns with services actually performed. Works high-risk scheduled and pr...
Search Terms: Integrity, Revenue, Authorization, Specialist, Patient Access
89.9
0mi
Updated: July 18
DRG Downgrade Clinical Documentation Improvement - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
Lawrence Township
Responsible for clinical documentation review, validation, and improvement activities related specifically to DRG downgrades. Focuses on prevention and defense of DRG downgrades initiated by payers and third-party audit firms through comprehensive documentation review, provider query support, and col...
Search Terms: Clinical, Revenue, Integrity, Improvement, Clinic
82.5
0mi
Updated: July 26
Outpatient Clinical Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
Lawrence Township
Responsible for administrative management, tracking, and coordination of outpatient clinical denials, including medical policy denials, experimental or investigational determinations, and other payer clinical criteria denials. Ensures outpatient clinical denial cases are properly triaged, routed, doc...
Search Terms: Clinical, Outpatient, Patient, Revenue, Specialist
82.5
0mi
Updated: July 26
Inpatient Clinical Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
Lawrence Township
Responsible for administrative management, tracking, and coordination of inpatient clinical denials, including patient status determinations, medical necessity denials, and readmission-related denials. Ensures inpatient clinical denial cases are properly triaged, routed, documented, tracked, and prep...
Search Terms: Clinical, Patient, Revenue, Specialist, Integrity
81.5
0mi
Updated: July 26
DRG Downgrade Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
Lawrence Township
Responsible for administrative management, tracking, and resolution coordination of DRG downgrade denials across all payers and third-party audit firms. Ensures DRG downgrade cases are properly triaged, routed, documented, tracked, and submitted in accordance with payer and auditor requirements, whil...
Search Terms: Revenue, Specialist, Integrity, Auditor, Healthcare
81.5
0mi
Updated: July 26
Manager Vendor Management - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
Lawrence Township
(Basic Purpose of the Job)Manages overall direction, coordination and evaluation of vendors utilized by the Revenue Cycle Departments with a focus on Hospital and Professional billing. Oversees vendor performance, productivity and meets with vendors on a regular basis. Acts as recipient of all escala...
Search Terms: Management, Revenue, Vendor, Manager, Integrity
81.5
0mi
Updated: July 26
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