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Senior R1 Rcm Medical Coding Jobs in Florence, NJ

... the Sr. Coding Specialist I job position and has obtained the CCS credential. A strong background in Anatomy, Physiology, Clinical Medicine and Medical Terminology. A graduate of an accredited ...

Med Care Manager

Jackson, NJ · On-site

$19.65 - $24.65/hr

When you join Sunrise Senior Living, you will be able to use your unique skills to empower ... fire codes. * Comply with all infection control techniques, placement of bio-hazard containers ...

Med Care Manager

Jackson, NJ · On-site

$19.65 - $24.65/hr

When you join Sunrise Senior Living, you will be able to use your unique skills to empower ... fire codes. * Comply with all infection control techniques, placement of bio-hazard containers ...

Senior Project Data Manager

Philadelphia, PA · On-site

$52.25 - $70.75/hr

Coordinates user testing per User Test Plans developed for data entry screens, electronic edit checks, data listings, import/export programs, and medical coding. Provides project specific training ...

Senior Project Data Manager

Philadelphia, PA

$52.25 - $70.75/hr

Coordinates user testing per User Test Plans developed for data entry screens, electronic edit checks, data listings, import/export programs, and medical coding. Provides project specific training ...

... Senior Living, "to champion the quality of life for all seniors" in accordance with federal, state ... fire codes. * Comply with all infection control techniques, placement of bio-hazard containers ...

Senior Security Engineer

Philadelphia, PA · On-site

$115K - $158K/yr

Medical Guardian is a fast-growing digital health and safety company on a mission to help people ... Automate security guardrails using infrastructure as code such as Terraform, Bicep, and ...

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Senior R1 Rcm Medical Coding information

See Florence, NJ salary details

$14

$25

$36

How much do senior r1 rcm medical coding jobs pay per hour?

As of Jun 28, 2026, the average hourly pay for senior r1 rcm medical coding in Florence, NJ is $25.52, according to ZipRecruiter salary data. Most workers in this role earn between $20.96 and $28.61 per hour, depending on experience, location, and employer.

Can I make 6 figures as a medical coder?

Senior R1 Rcm Medical Coders with extensive experience, certifications, and specialization in complex coding can potentially earn six-figure salaries, especially in high-demand healthcare settings. However, most medical coding roles typically offer salaries below six figures, and reaching that level often requires additional skills, certifications, or managerial responsibilities.

Is R1 Careers legit?

R1 RCM is a healthcare technology and revenue cycle management company, not a job title. If referring to employment opportunities with R1 RCM, it is a legitimate organization that offers roles such as Senior R1 RCM Medical Coder, which typically require relevant certifications and experience. Job seekers should verify openings directly through official company channels.

What is the difference between Senior R1 Rcm Medical Coding vs Medical Coding Specialist?

AspectSenior R1 Rcm Medical CodingMedical Coding Specialist
CertificationsAHIMA/ACMEC certifications, CPC, CCSSimilar certifications, often CPC or CCS
Work EnvironmentHealthcare facilities, RCM companies, remote optionsHospitals, clinics, remote or onsite
Job ResponsibilitiesComplex coding, audits, mentoringStandard coding, claim submission
Experience LevelAdvanced, with years of experienceEntry to mid-level

Senior R1 Rcm Medical Coders typically handle complex cases, audits, and mentoring, requiring more experience and advanced certifications. Medical Coding Specialists focus on standard coding tasks and claim submissions, often at entry or mid-level. Both roles share similar certifications and work environments but differ in complexity and responsibility.

What is the highest paid medical coder job?

Senior R1 Rcm Medical Coding roles are among the highest paid in medical coding, often due to advanced expertise, certifications, and experience. These positions typically offer higher salaries compared to entry-level coding jobs and may involve specialized knowledge of complex medical procedures and billing systems.

Is medical coding worth it in 2026?

Senior R1 Rcm Medical Coding is a stable career with consistent demand due to ongoing healthcare documentation needs. Certified coders with strong knowledge of coding systems like ICD-10 and CPT are likely to find good job prospects, especially as healthcare regulations evolve. The profession offers opportunities for remote work and flexible schedules, making it a viable career choice in 2026.
Senior Authorization Specialist

Senior Authorization Specialist

Care Options for Kids

Philadelphia, PA • Remote

$18.25 - $24.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago


Job description

Care Options for Kids connects leading pediatric specialists with families to provide best-in-class pediatric therapy, nursing, and school-based services. We seamlessly integrate into children’s lives by bringing individualized care to children where they live, work, and play.
Our pediatric specialists are committed to providing high-quality pediatric services that help children and families live their best lives. We empower our community of clinicians to meet children where they are by providing the support and resources necessary to decrease administrative burdens. This focus allows our clinicians to obtain optimal work-life balance.
Senior Authorizations Specialist
Position Summary:
The Senior Associate role serves as a subject matter expert and escalation point within the revenue cycle team. This role requires advanced knowledge of revenue cycle operations, independent problem-solving, and a proactive, solution-oriented mindset. This position requires ownership of complex cases, drives resolution strategies, and delivers exceptional service to both internal and external stakeholders. This position is ideal for a seasoned professional who thrives in a fast-paced, collaborative environment and is committed to continuous improvement and operational excellence.
Key Responsibilities:
  • Obtain prior authorizations and pre-certifications for in-home nursing services for a dedicated caseload of pediatric clients.
  • Verify insurance benefits, coverage limitations, and authorization requirements for Medicaid, managed Medicaid, commercial and federal plans.
  • Submit complete and accurate authorization requests through payer portals, phone, or fax.
  • Track authorization status and follow up with payers to ensure timely approvals.
  • Request, negotiate and complete single case agreements and letter agreements.
  • Communicate authorization determinations, requirements, and delays to providers, scheduling teams, and patients.
  • Review clinical documentation to ensure it meets payer medical necessity criteria.
  • Identify and escalate authorization denials or delays for appeal or peer-to-peer review.
  • Maintain accurate records of authorization activity in company EMR systems.
  • Track authorization-related denial trends and escalate recurring payer issues.
  • Stay current on payer policies, authorization rules, state and federal regulations, and out-of-network reimbursement rules.
  • Support denial prevention initiatives and revenue cycle performance improvement efforts.
Note: All roles include administrative tasks that support core revenue cycle outcomes.
Education, Experience, and Competencies:
 

· Minimum 3 years of experience in healthcare revenue cycle management, with a focus on billing, A/R, or authorizations.

  • Experience with private duty nursing authorizations
  • Pennsylvania Medicaid experience

· Demonstrated success in resolving complex RCM issues independently.

· High school diploma or GED required; associate or bachelor’s degree preferred.

· Advanced proficiency with EMR systems, payer portals, and Microsoft Office tools.

· Strong understanding of payer policies, coding, and reimbursement methodologies.

· Exceptional communication and customer service skills, with the ability to de-escalate and resolve sensitive issues.

· Proven ability to manage competing priorities and meet deadlines in a remote work environment.

 

General Duties and Responsibilities:
 

· General understanding of the departments and functions across the organization, especially those that interlock workflow with RCM) in order to assist and direct possible issues to the appropriate department or expertise when needed.

· Manage and resolve high-complexity revenue cycle issues, including escalated claims, denials, and payer disputes.

· Independently analyze and troubleshoot systemic issues impacting billing, collections, or authorizations.

· Serve as a resource and mentor to junior associates, providing guidance on best practices and complex scenarios.

· Collaborate cross-functionally with clinical, operational, and technical teams to streamline workflows and improve outcomes.

· Identify and implement process improvements that enhance efficiency, accuracy, and compliance.

· Maintain detailed documentation of actions taken and outcomes achieved in EMR and other systems.

· Represent the revenue cycle team in cross-departmental meetings and initiatives.

· Adherence to the company’s telecommuter policy.

 
Core Competencies: 
  • Autonomous Ownership: Takes full responsibility for assigned tasks and sees them through to resolution with minimal oversight.
  • Advanced Problem-Solving: Uses critical thinking and data analysis to identify root causes and implement effective solutions.
  • Escalation Expertise: Skilled in navigating payer systems and internal processes to resolve high-level issues.
  • Customer-Centric Mindset: Delivers outstanding service to patients, providers, and internal teams.
  • Process Improvement: Continuously seeks opportunities to enhance workflows and reduce inefficiencies.
  • Mentorship & Collaboration: Supports team development and fosters a culture of knowledge-sharing.

Job Title: Senior Associate, Authorization Services
Classification: Non-Exempt
Reports to: Lead, Manager or Director of Revenue Cycle
Salary Range: $45,000.00 to $55,000.00/year
Location: Hybrid/Remote
What we Offer:
  • A supportive and collaborative work environment.
  • Opportunity to Join a Rapidly Growing, Fast-Paced Organization!
  • Comprehensive benefits package, including health, dental, and vision insurance.
  • Generous Paid Time Off
  • 401K
  • A chance to make a meaningful impact in the lives of children and families.
If you are the best at what you do, and are ready to work with an innovative, positive and supportive organization, please contact us today.
Care Options For Kids is an equal opportunity employer. The Equal Employment Opportunity Policy of Care Options For Kids is to provide a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religion, national origin, gender, sexual orientation, age, marital status or disability. Care Options For Kids hires and promotes individuals solely on the basis of their qualifications for the job to be filled. Care Options For Kids believes that associates should be provided with a working environment which enables each associate to be productive and to work to the best of his or her ability. We do not condone or tolerate an atmosphere of intimidation or harassment based on race, color, religion, national origin, gender, sexual orientation, age, marital status or disability. We expect and require the cooperation of all associates in maintaining a discrimination and harassment-free atmosphere.