Coding • stamford ct
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Billing and Claims Managers to support the evaluation of AI too... Show more
Perfict Global is a leading IT consulting services provider focused on providing innovative and successful business workforce solutions to Fortune 500 companies.Our trained and experienced professi... Show more
The Accounts Payable (AP) Consultant will be responsible for managing all aspects of the accounts payable function within our corporate finance department.This individual will ensure that invoices ... Show more
The Medical Director is responsible for clinical leadership, operational oversight, and execution of initiatives across Stamford Health Medical Group Walk-In Urgent Care services.The Medical Direct... Show more
Manager Of Coding & Revenue Integrity.Fully Remote WFH KL66 - Stamford, CT 06905.Salary Level Management Position Type Full Time Job Shift Day Education Level Not Specified Travel Percentage None ... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and ove... Show more
Job description: Description*NO CONSULTANTS OR CONTRACTORS NEED TO APPLY! (Only FTE Employees)* *About your Team:* Join our Client Account Team, the group behind company's client account infrastru... Show more
Location – Madison, CT and Rye Brook, NY.Payrate – Starting salary $70,000.Schedule – Monday – Friday 8:30am – 5:00pm.We are seeking a highly skilled and detail-oriented Cl... Show more
QA Lead - Consumer Banking Share Stamford, CT.Overview: Quality Assurance Program Manager - We are seeking a Quality Assurance Program Manager to lead enterprise-scale quality strategy and delivery... Show more
Windchill Senior System Consultant.Our client, a IT Services and Consulting company, is looking for a Windchill Senior System Consultant for their Stamford, CT/Hybrid location.Define high-level and... Show more
Cedar Gate Technologies, an IQVIA business, is seeking a Development Manager to provide technical leadership and hands-on expertise for applications supporting critical Patient Experience and Digit... Show more
Fairfield County Hedge Fund is seeking a mid-to-senior level Software Developer to design, build, and support Windows and web-based applications related to middle and back-office processing, r... Show more
Job Title: Windchill Senior System Consultant<br /> Location: *Now open to fully Remote* - Hybrid in Stamford, CT<br /> Job Type: W2 Contract<br /> Experience: 12+ Years<br /&g... Show more
Burlington, United States of America | Hybrid.Cedar Gate Technologies, an IQVIA business, enables payers, providers, employers, and service administrators to excel at value-based care with a unifie... Show more
Based in San Francisco, California, Turing is the world’s leading research accelerator for frontier AI labs and a trusted partner for global enterprises deploying advanced AI systems.Turing s... Show more
AQR Capital Management Job Opportunity.AQR Capital Management is looking for an exceptionally talented individual to join our Quantitative Research team focused on Prediction Markets.This team will... Show more
Senior Consultant - Healthcare Clinical Documentation Specialist.Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and an evolving regulatory environmen... Show more
Job Summary: The Release Manager is responsible for planning, coordinating, and delivering software releases across multiple environments in a controlled, predictable, and efficient manner.This rol... Show more
The average salary range is between $ 35,360 and $ 95,588 year , with the average salary hovering around $ 37,440 year .
The average salary range is between $ 40,950 and $ 90,663 year , with the average salary hovering around $ 55,745 year .
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Billing and Claims Managers to support the evaluation of AI tools designed to automate and improve medical billing and claims submission workflows. Your expertise in claims processing, payer requirements, EDI transactions, and billing compliance will directly inform AI systems that improve first-pass claim acceptance rates and accelerate revenue cycle performance. **Responsibilities** - Oversee end-to-end medical billing and claims submission operations across professional fee and/or facility billing environments. - Evaluate AI-generated billing outputs, claim edits, and coding validations for accuracy and payer compliance. - Manage claims submission workflows including electronic claim generation, clearinghouse edits, and payer-specific billing requirements. - Monitor clean claim rates, rejection rates, and first-pass acceptance rates and develop improvement strategies. - Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections. - Ensure compliance with CMS billing guidelines, HIPAA 837 transaction standards, and payer-specific billing rules. - Manage billing staff workload, productivity, and quality performance metrics. - Develop and maintain billing SOPs and payer-specific billing reference guides. - Annotate AI outputs and provide structured feedback to support AI training datasets. **Requirements** - 5+ years of experience in medical billing and claims management, with at least 2 years in a management role. - Deep knowledge of professional fee (CMS-1500/837P) and/or facility (UB-04/837I) billing requirements. - Expertise in HIPAA 837 transaction standards, clearinghouse operations, and payer-specific billing rules. - Strong understanding of Medicare, Medicaid, and commercial payer billing requirements. - Proficiency with billing platforms (Epic, Athenahealth, AdvancedMD, or equivalent) and clearinghouse tools. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify billing errors and compliance issues in AI-generated outputs. **Preferred Qualifications** - CPC, CCS, CHFP, or CRCR certification. - Experience with automated billing platforms and RCM technology implementations. - Background in multi-speciality physician group, hospital, or health system billing operations. - Familiarity with AI tools and comfort evaluating AI-generated billing content. - Experience with payer contract interpretation and billing compliance program management. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in medical billing and revenue cycle management. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
