Parsippany-Troy Hills, New Jersey, United States · Remote OK
Job Purpose The Clinical Documentation Integrity DRG Downgrade Specialist is responsible for reviewing, analyzing, and responding to payer‑initiated DRG downgrades. The Clinical Documentation Integrity DRG Downgrade Spec…
Skills: DRG Downgrade Analysis, ICD-10-CM/PCS Coding, Medical Record Review, Appeal Letter Writing, Clinical Documentation Improvement
Parsippany-Troy Hills, New Jersey, United States · Remote OK
Job Purpose The Director, Patient Access will provide leadership to RCM/AR Follow Up Managers and their teams, including supervision of staff, reviewing of processes, and providing recommendations for improvement of oper…
Skills: Revenue Cycle Management, Patient Access, Insurance Verification, Authorization Management, KPI Monitoring
Parsippany-Troy Hills, New Jersey, United States · On-site
Pritchard Industries is a dynamic and innovative provider of comprehensive facility services, dedicated to enhancing the operational efficiency of our client partners in the industries we serve. With services from facili…
Skills: Vacuuming, Mopping, Sweeping, Trash Removal, Restroom Cleaning
Parsippany-Troy Hills, New Jersey, United States · Remote OK
Job Purpose The Team Lead, Provider Enrollment is responsible for training and oversight of offshore team members and assisting the provider enrollment manager to ensure the credentialing/enrolling of new and established…
Skills: Provider Enrollment, Credentialing, Team Leadership, Offshore Team Management, HIPAA Compliance
Parsippany-Troy Hills, New Jersey, United States · Hybrid
$82k–$118k/yr
Role Description This role reports to the Director, Site Services & Commodities, Indirect Procurement and supports the Site Services & Commodities team, including Category Managers, as an analyst. The role is structured …
Skills: Spend Analysis, Market Intelligence, TCO Modeling, Supplier Risk Profiling, KPI Tracking
Parsippany-Troy Hills, New Jersey, United States · On-site
Pritchard Industries is a dynamic and innovative provider of comprehensive facility services, dedicated to enhancing the operational efficiency of our client partners in the industries we serve. With services from facili…
Skills: Vacuuming, Mopping, Sweeping, Trash Removal, Restroom Cleaning
Parsippany-Troy Hills, New Jersey, United States · On-site
$64k–$84k/yr
The Total Loss Unit within our Claims Organization is responsible for identifying, negotiating and settling total losses with both insureds and claimants. The Senior Total Loss Claim Representative processes payments and…
Skills: Claims Handling, Negotiation, Total Loss Evaluation, Damage Estimate Review, Salvage Coordination
Parsippany-Troy Hills, New Jersey, United States · On-site
Overview Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace…
Skills: Customer Service, Access Control, Visitor Management, Incident Response, Communication
Parsippany-Troy Hills, New Jersey, United States · On-site
Overview Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace…
Skills: Customer Service, Access Control, Visitor Management, Incident Response, Communication
Parsippany-Troy Hills, New Jersey, United States · On-site
Overview Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace…
Skills: Customer Service, Access Control, Visitor Management, Incident Response, Communication
Parsippany-Troy Hills, New Jersey, United States · Remote OK
$45k–$53k/yr
Weichert Financial Services is hiring a Destination Manager Assistant (DMA) for its Mortgage Mobility Division. This position will be remote. The Destination Manager Assistant (DMA) provides comprehensive sales and admin…
Skills: Mortgage Origination, Loan Processing, Underwriting, Microsoft Office, CRM Management
Parsippany-Troy Hills, New Jersey, United States · On-site
$42k–$50k/yr
Are you a smart, driven and customer-focused person looking for a rewarding full-time opportunity with great company and excellent employee benefits? If so, we are currently hiring a Rental Operations Claims Technician t…
Skills: Customer Service, Claims Handling, Policy Interpretation, Professional Communication, Time Management
Parsippany-Troy Hills, New Jersey, United States · Remote OK
Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, su…
Skills: Claims Handling, Liability Evaluation, Customer Service, Investigation, Policy Interpretation
Parsippany-Troy Hills, New Jersey, United States · On-site
Position Summary As a Front Desk Agent, you are the first point of contact for all residents, visitors, and clients. You are expected to provide professional, courteous service while maintaining a safe, secure, and welco…
Skills: Customer Service, Communication, Interpersonal Skills, Multitasking, Professionalism
Parsippany-Troy Hills, New Jersey, United States · Hybrid
$18/hr
Job Title: Newspaper Operations Coordinator Position Summary The Newspaper Operations Planner plays an essential role in coordinating the day-to-day workflow of newspaper production, circulation, and distribution. This p…
Skills: Operations Coordination, Logistics Planning, Circulation Management, Production Scheduling, Inventory Management
Parsippany-Troy Hills, New Jersey, United States · On-site
$20/hr
ADULT NIGHT OUT PROGRAM COORDINATOR - $20.00 hour - Part time Service Area: Budd Lake, NJ Advancing Opportunities, an affiliate with Apis Services, Inc., is currently seeking ANO (Adult’s Night Out) Program Coordin…
Skills: Program Coordination, Staff Supervision, Event Planning, Community Inclusion, Crisis Intervention
Parsippany-Troy Hills, New Jersey, United States · On-site
Emprime is seeking a professional, dependable, and customer-service-oriented Concierge to join our team at a luxury residential community in Parsippany, NJ. The ideal candidate will provide exceptional service to residen…
Skills: Customer Service, Communication Skills, Multitasking, Computer Proficiency, Administrative Support
Parsippany-Troy Hills, New Jersey, United States · On-site
$60k–$70k/yr
Driven To Be The Best People. Performance. Purpose. At Avis Budget Group, we’re driven to be the best vehicle rental company in the world, together. Our 25,000 employees raise the bar every day, bringing different perspe…
Skills: Internal Communications, Employee Engagement, Digital Content Management, WorkJam, Writing
Parsippany-Troy Hills, New Jersey, United States · On-site
$50k–$65k/yr
The Auto Property Damage Claims Representative is responsible for managing Auto Property Damage claims within our “Auto PD Claim Unit.” This role demands a high level of customer service, patience, and professionalism wh…
Skills: Policy Analysis, Claim Investigation, Liability Assessment, Claims Management, Negotiation
Parsippany-Troy Hills, New Jersey, United States · On-site
Leasing Consultant: We are looking for a diligent Leasing Consultant to join our team. The leasing consultant will work with the rest of the team helping prospects with the initial stages of the leasing process for a por…
Skills: Leasing, Real Estate Sales, Customer Service, Yardi Software, CRM Software
Parsippany-Troy Hills, New Jersey, United States • Remote OK
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Responsible for reviewing and appealing payer-initiated DRG downgrades to ensure accurate reimbursement and revenue integrity. Acts as an educator for providers to improve clinical documentation quality and coding accuracy.
Requires a Bachelor's degree in Nursing, an active RN license, and certifications including CCDS/CDIP and CCS/CIC. Must have at least 5 years of acute care nursing experience and 3 years in a clinical documentation improvement role.
Job Purpose
The Clinical Documentation Integrity DRG Downgrade Specialist is responsible for reviewing, analyzing, and responding to payer‑initiated DRG downgrades. The Clinical Documentation Integrity DRG Downgrade Specialist ensures accurate DRG assignment, protects revenue integrity, and supports compliant documentation practices through detailed review, appeal preparation, and performance tracking. The Clinical Documentation Integrity DRG Downgrade Specialist serves as an effective change agent, acting as a resource and educator for providers and interdisciplinary care teams to improve documentation quality, coding accuracy, and audit readiness.
Duties & Responsibilities
Qualifications
Working Conditions
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
Higher Standards, Better Results
About Us: A leader in the Revenue Cycle Management (RCM) industry, we provide healthcare systems, hospitals, and healthcare providers with the right tools, technology, and services to improve the patient experience and revenue collections so they can focus on delivering the highest quality care to those they serve. How: We accomplish that through proprietary cutting edge technology, advanced analytics, uncompromised service delivery, and highly-trained people who are passionate about getting it done, every day. Explore Opportunities: Our goal is to provide every employee with opportunities to learn, to grow, to be challenged. To help you get there, we provide thorough skills training through Med-Metrix University based on your job responsibilities and experience level. And, you’ll work closely with your management team to ensure role-specific training, resources, and coaching. See how you can start – or grow – your career at Med-Metrix.
Offices: 9 Entin Road, Parsippany, New Jersey 07054, US · 19176 Hall Rd, Clinton Township, Michigan 48038, US · 331 Newman Springs Rd, Red Bank, New Jersey 07701, US · 100 Quentin Roosevelt Blvd, Garden City, NY 11530, US · 265 Spagnoli Rd, Melville, New York 11747, US
There are currently 44 open administrative positions in Parsippany-Troy Hills, NJ listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Allied Universal, Med-Metrix, Pritchard Industries, Plymouth Rock Assurance, HANOVER BUILDING SERVICES LTD, among others. Browse the listings above to see every active employer.
Yes — 13 of the 44 open administrative positions offer remote or hybrid work (7 remote, 6 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
