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Jefferson Health Plans

Remote Job Openings at Jefferson Health Plans (16)

Revenue Cycle Representative I

United States 0-2 yrs exp Healthcare

The representative is responsible for following up on outstanding account balances, resolving payment discrepancies, and managing denied claims with third-party payers. They must also interact with patients and internal departments to ensure accurate account resolution and maintain compliance with regulatory requirements.

CDI Specialist

United States 2-5 yrs exp Others

The CDI Specialist reviews medical records to ensure accurate documentation of clinical treatment, diagnoses, and procedures to support hospital outcomes and financial compliance. They also educate physicians and healthcare staff on documentation requirements and collaborate with coding teams to reflect the patient's true clinical status.

Sr. Coder

United States 2-5 yrs exp Others

The Sr. Coder is responsible for reviewing patient medical records to assign accurate diagnostic and procedural codes while ensuring compliance with federal and insurance regulations. They also prepare and submit claims to insurance companies and collaborate with healthcare providers to clarify documentation.

Compliance Auditor - Billing

United States 2-5 yrs exp Finance

Performs risk-based audits of clinical documentation, coding, and billing records to ensure compliance with regulatory and organizational requirements. Identifies compliance risks, supports external audit readiness, and communicates findings to stakeholders to improve documentation practices.

Adjunct Instructor - online business courses

United States 5-10 yrs exp Teaching

The adjunct instructor is responsible for teaching asynchronous online business and IT courses while managing student engagement and discussion boards. Additional duties include grading assignments, providing individual student feedback, and performing administrative reporting tasks.

Enterprise Clinical Documentation Improvement Clinical Data Analyst

United States 2-5 yrs exp Software Development

The CDI Enterprise Clinical Data Analyst is responsible for compiling, analyzing, and managing clinical and staff data to drive operational efficiency. This role involves developing dashboards, maintaining internal databases, and providing actionable insights to senior leadership.

Clinical Documentation Improvement Specialist

United States 2-5 yrs exp Healthcare

The Clinical Documentation Improvement Specialist reviews medical records to ensure accurate documentation of diagnoses and procedures for regulatory and financial compliance. They also educate physicians and healthcare staff on documentation requirements to support severity of illness and quality outcomes.