Operational Compliance Lead - RCM & Clinical Documentation (Clinical Background Required) Reporting ... International Medical Graduate (IMG) or foreign medical degree highly valued. * Active coding ...
Operational Compliance Lead - RCM & Clinical Documentation (Clinical Background Required) Reporting ... International Medical Graduate (IMG) or foreign medical degree highly valued. * Active coding ...
VP, RCM Business Operations
New York, NY · On-site
OneOncology is positioning community oncologists to drive the future of medical care through a ... Infusion and drug billing (e.g., J-codes, NDC mapping), prior * authorization for high-cost ...
VP, RCM Business Operations
New York, NY · On-site
OneOncology is positioning community oncologists to drive the future of medical care through a ... Infusion and drug billing (e.g., J-codes, NDC mapping), prior * authorization for high-cost ...
Compliance Lead - RCM & Clinical Documentation (Clinical Background Required)
Bronx, NY · On-site
$37 - $49.75/hr
Operational Compliance Lead - RCM & Clinical Documentation (Clinical Background Required) Reporting ... International Medical Graduate (IMG) or foreign medical degree highly valued. * Active coding ...
Compliance Lead - RCM & Clinical Documentation (Clinical Background Required)
Bronx, NY · On-site
$37 - $49.75/hr
Operational Compliance Lead - RCM & Clinical Documentation (Clinical Background Required) Reporting ... International Medical Graduate (IMG) or foreign medical degree highly valued. * Active coding ...
RCM Business Development Manager
Edison, NJ · On-site
$75K - $125K/yr
... medical billing space. • Lead Generation: Proactively identify and engage prospective clients ... Deep understanding of the full RCM lifecycle, including front - end eligibility, coding, claim ...
Quick apply
RCM Business Development Manager
Edison, NJ · On-site
$75K - $125K/yr
... medical billing space. • Lead Generation: Proactively identify and engage prospective clients ... Deep understanding of the full RCM lifecycle, including front - end eligibility, coding, claim ...
RCM Business Development Manager
Edison, NJ · On-site
$80K - $90K/yr
... within the RCM and medical billing space. Lead Generation: Proactively identify and engage ... Deep understanding of the full RCM lifecycle, including front-end eligibility, coding, claim ...
RCM Business Development Manager
Edison, NJ · On-site
$80K - $90K/yr
... within the RCM and medical billing space. Lead Generation: Proactively identify and engage ... Deep understanding of the full RCM lifecycle, including front-end eligibility, coding, claim ...
Senior Data Analyst - RCM
Stamford, CT · On-site +1
$102K - $154K/yr
CPT/ICD coding, ERA/EOB processing, denial management, payer contracting basics, and A/R metrics ... medical conditions), gender identity or gender expression (including transgender status), sexual ...
Senior Data Analyst - RCM
Stamford, CT · On-site +1
$102K - $154K/yr
CPT/ICD coding, ERA/EOB processing, denial management, payer contracting basics, and A/R metrics ... medical conditions), gender identity or gender expression (including transgender status), sexual ...
RCM Business Development Manager
$80K - $90K/yr
... within the RCM and medical billing space. Lead Generation: Proactively identify and engage ... Deep understanding of the full RCM lifecycle, including front-end eligibility, coding, claim ...
Quick apply
RCM Business Development Manager
$80K - $90K/yr
... within the RCM and medical billing space. Lead Generation: Proactively identify and engage ... Deep understanding of the full RCM lifecycle, including front-end eligibility, coding, claim ...
RCM Business Development Manager
Edison, NJ · On-site
$75K - $125K/yr
... medical billing space. • Lead Generation: Proactively identify and engage prospective clients ... Deep understanding of the full RCM lifecycle, including front - end eligibility, coding, claim ...
RCM Business Development Manager
Edison, NJ · On-site
$75K - $125K/yr
... medical billing space. • Lead Generation: Proactively identify and engage prospective clients ... Deep understanding of the full RCM lifecycle, including front - end eligibility, coding, claim ...
RCM Business Development Manager
$80K - $90K/yr
... within the RCM and medical billing space. Lead Generation: Proactively identify and engage ... Deep understanding of the full RCM lifecycle, including front-end eligibility, coding, claim ...
RCM Business Development Manager
$80K - $90K/yr
... within the RCM and medical billing space. Lead Generation: Proactively identify and engage ... Deep understanding of the full RCM lifecycle, including front-end eligibility, coding, claim ...
RCM Business Development Manager
$75K - $125K/yr
... within the RCM and medical billing space. Lead Generation: Proactively identify and engage ... Deep understanding of the full RCM lifecycle, including front - end eligibility, coding, claim ...
RCM Business Development Manager
$75K - $125K/yr
... within the RCM and medical billing space. Lead Generation: Proactively identify and engage ... Deep understanding of the full RCM lifecycle, including front - end eligibility, coding, claim ...
Senior Data Analyst - RCM
Stamford, CT · On-site
$91K - $115K/yr
CPT/ICD coding, ERA/EOB processing, denial management, payer contracting basics, and A/R metrics ... medical conditions), gender identity or gender expression (including transgender status), sexual ...
Senior Data Analyst - RCM
Stamford, CT · On-site
$91K - $115K/yr
CPT/ICD coding, ERA/EOB processing, denial management, payer contracting basics, and A/R metrics ... medical conditions), gender identity or gender expression (including transgender status), sexual ...
RCM Specialist II (On-Site)
Jackson, NJ · On-site
$22 - $27/hr
On-site Schedule: Full-time, Monday-Friday ROLE OVERVIEW The RCM Specialist II is an individual ... Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) credentials ...
Quick apply
RCM Specialist II (On-Site)
Jackson, NJ · On-site
$22 - $27/hr
On-site Schedule: Full-time, Monday-Friday ROLE OVERVIEW The RCM Specialist II is an individual ... Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) credentials ...
Office Manager/ Medical Biller and coder
Jersey City, NJ · On-site
$18 - $20/hr
Manage office meetings, RCM meetings Requirements Experience in Medical office management and medical billing and coding is required. Having worked in a pediatric office setting is a plus. Should be ...
Office Manager/ Medical Biller and coder
Jersey City, NJ · On-site
$18 - $20/hr
Manage office meetings, RCM meetings Requirements Experience in Medical office management and medical billing and coding is required. Having worked in a pediatric office setting is a plus. Should be ...
Office Manager/ Medical Biller and coder
Jersey City, NJ · On-site
$19 - $24.50/hr
Manage office meetings, RCM meetings Requirements Experience in Medical office management and medical billing and coding is required. Having worked in a pediatric office setting is a plus. Should be ...
Office Manager/ Medical Biller and coder
Jersey City, NJ · On-site
$19 - $24.50/hr
Manage office meetings, RCM meetings Requirements Experience in Medical office management and medical billing and coding is required. Having worked in a pediatric office setting is a plus. Should be ...
Office Manager/ Medical Biller and coder
Jersey City, NJ · On-site
$19 - $24.50/hr
Manage office meetings, RCM meetings Requirements Experience in Medical office management and medical billing and coding is required. Having worked in a pediatric office setting is a plus. Should be ...
Office Manager/ Medical Biller and coder
Jersey City, NJ · On-site
$19 - $24.50/hr
Manage office meetings, RCM meetings Requirements Experience in Medical office management and medical billing and coding is required. Having worked in a pediatric office setting is a plus. Should be ...
Office Manager/ Medical Biller and coder
Jersey City, NJ · On-site
$18 - $20/hr
Manage office meetings, RCM meetings Requirements: Experience in Medical office management and medical billing and coding is required. Having worked in a pediatric office setting is a plus. Should be ...
Quick apply
Office Manager/ Medical Biller and coder
Jersey City, NJ · On-site
$18 - $20/hr
Manage office meetings, RCM meetings Requirements: Experience in Medical office management and medical billing and coding is required. Having worked in a pediatric office setting is a plus. Should be ...
About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert ... We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing ...
Quick apply
About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert ... We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing ...
About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert ... We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing ...
Quick apply
About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert ... We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing ...
Applied AI Scientist, Clinical AI Agents
New York, NY · On-site +1
$140K - $300K/yr
You will be embedded in hard healthcare problems - clinical documentation integrity, medical coding ... R1 RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The ...
Applied AI Scientist, Clinical AI Agents
New York, NY · On-site +1
$140K - $300K/yr
You will be embedded in hard healthcare problems - clinical documentation integrity, medical coding ... R1 RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The ...
About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert ... We are seeking a knowledgeable and detail-oriented Medical Billing Accounts Receivable Senior ...
Quick apply
About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert ... We are seeking a knowledgeable and detail-oriented Medical Billing Accounts Receivable Senior ...
Internship R1 Rcm Medical Coding information
What is the difference between Internship R1 Rcm Medical Coding vs Medical Coding Specialist?
| Aspect | Internship R1 Rcm Medical Coding | Medical Coding Specialist |
|---|---|---|
| Certifications | Typically none or basic certifications | Certified Professional Coder (CPC) or equivalent |
| Work Environment | Training setting, supervised | Healthcare facilities, outpatient clinics, or remote |
| Job Responsibilities | Learning coding processes, assisting with tasks | Assigning codes, ensuring compliance, billing |
| Experience Level | Entry-level, internship | Entry to mid-level, with certification |
Internship R1 Rcm Medical Coding is a training role designed for beginners gaining hands-on experience, often without certifications. In contrast, a Medical Coding Specialist is a full-time professional responsible for accurate coding and billing, usually holding relevant certifications. Both roles are essential in healthcare revenue cycle management but differ mainly in experience, responsibility, and certification requirements.
What types of tasks and responsibilities can I expect during an Internship R1 RCM Medical Coding position?
What are Internship R1 Rcm Medical Coding positions?
What are the key skills and qualifications needed to thrive as an Internship R1 RCM Medical Coder, and why are they important?
Compliance Lead RCM & Clinical Documentation (Clinical Background Required)
Bronx, NY
$75K - $90K/yr
Full-time
Posted 28 days ago
Essen Health Care rating
3.8
Based on 7 frontline employees who took The Breakroom Quiz
Job description
Company Overview: At Essen Health Care, we care for that!
Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents. Founded in 1999, we’ve grown to 50+ locations and 600+ providers delivering urgent care, primary care, specialty services, nursing home support, and in-home care – guided by a Population Health model across in-person, home, and telehealth settings.
Position Title: Operational Compliance Lead – RCM & Clinical Documentation (Clinical Background Required)
Reporting to: Chief Administrative Officer
Scope: Essen Health Care & Nursing Home Division only
Job Summary: The Operational Compliance Lead is an embedded, frontline role managing day-to-day RCM and clinical operations compliance within Essen Health Care and its Nursing Home division. This is a hands-on operational position – distinct from the corporate compliance function – focused on identifying, correcting, and monitoring coding and billing accuracy before issues escalate to external review. Drawing on a clinical background (IMG preferred) and coding expertise, this Lead works directly with administrative and clinical operations leaders to drive documentation integrity, prevent CMS or state audit exposure, and ensure the organization is always audit-ready.
Operational Compliance & Chart Review
- Conduct routine and targeted clinical chart reviews and RCM audits assessing coding accuracy, billing integrity, and documentation completeness across CMS and state-billed services.
- Proactively monitor for compliance risk patterns; generate ongoing trend reports to flag issues before they escalate to external review.
- Identify coding discrepancies and billing vulnerabilities with focus on ICD-10-CM, CPT, E&M level selection, and Medical Decision Making (MDM) accuracy.
- Develop, own, and drive Corrective Action Plans (CAPs) to confirmed completion, including re-audit to validate sustained improvement.
Clinical Coding & RCM Collaboration
- Apply clinical knowledge to review documentation with a clinician’s lens – ensuring diagnoses, MDM, and services support the codes being billed.
- Work directly with admin and clinical operations leaders on ICD-10-CM, CPT, E&M, HCPCS, and HCC/risk adjustment coding accuracy.
- Serve as the operational compliance liaison to RCM – bridging clinical documentation, coding, and billing to ensure alignment and defensibility.
Provider & Leadership Education
- Deliver targeted, clinically grounded education to physicians, NPs, PAs, and staff on documentation best practices and coding compliance.
- Develop training content on coding standards and payer-specific regulatory requirements as guidelines evolve.
Reporting & CAP Management
- Produce executive-ready compliance trend reports and audit summaries that inform leadership decisions and prioritize risk.
- Present CAPs to clinical and administrative leadership with clear timelines, owners, and success metrics – then own follow-through to resolution.
- Act as the first line of resolution before issues surface at the corporate compliance level; maintain continuous audit readiness.
Qualifications
Required
- Bachelor’s Degree in Healthcare Administration, Nursing, Health Information Management, Public Health, or related field.
- Clinical background required; International Medical Graduate (IMG) or foreign medical degree highly valued.
- Active coding certification: CPC, CRC, CCS, or equivalent.
- Minimum 3 years of operational compliance, coding, clinical chart review, or RCM experience; demonstrated ability to develop and close out CAPs.
- Strong knowledge of ICD-10-CM, CPT, HCPCS, HCC/Risk Adjustment, Medicare/Medicaid regulations, and HIPAA.
- Demonstrated ability to present audit findings and CAPs to senior leadership; comfortable owning follow-through to resolution.
Preferred
What Essen Health Care employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Essen Healthcare
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Bronx, NY, US