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St. Joseph's Health · Paterson, NJ

Certified Coding Auditor

TypeFull time
ScheduleDays
Experience3+ yrs
PostedAug 12
✓You’ll need
Certifications
✓Active AAPC certification (CPC®)
Qualifications
✓3+ years of medical coding experience.
✓Strong knowledge of: CPT®, ICD-10-CM, and HCPCS coding guidelines, E/M coding (including 2021+ E/M guidelines if applicable), CMS and major payer regulations.
Proficiency in electronic health records (EHR) and encoder systems preferred
Experience in hospital, multispecialty, or high-volume outpatient environments preferred
Familiarity with auditing, compliance programs, and denial resolution preferred
Excellent attention to detail and analytical skills preferred
Strong written and verbal communication skills preferred
Proficiency in Microsoft Office Product Suite. preferred
St. Joseph's Health
415open roles
27administration roles open in NJ
21 miPaterson to New York
All 415 St. Joseph's jobsSt. Joseph's pay scales
Want the next administration job in New Jersey by email?
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Pay for this position
$32.27 – $50.02/hr
New Jersey administration paymedian $27.45 – $35.00
$18/hrFloor 18% above the New Jersey median floor$78/hr
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✓You’ll need
Certifications
✓Active AAPC certification (CPC®)
Qualifications
✓3+ years of medical coding experience.
✓Strong knowledge of: CPT®, ICD-10-CM, and HCPCS coding guidelines, E/M coding (including 2021+ E/M guidelines if applicable), CMS and major payer regulations.
Proficiency in electronic health records (EHR) and encoder systems preferred
Experience in hospital, multispecialty, or high-volume outpatient environments preferred
Familiarity with auditing, compliance programs, and denial resolution preferred
Excellent attention to detail and analytical skills preferred
Strong written and verbal communication skills preferred
Proficiency in Microsoft Office Product Suite. preferred
St. Joseph's Health
415open roles
27administration roles open in NJ
21 miPaterson to New York
All 415 St. Joseph's jobsSt. Joseph's pay scales
Want the next administration job in New Jersey by email?
Weekly, free, unsubscribe with one click.

Full employer posting

Full time · Day Responsible for audits which are internal record reviews for compliance with coding regulations and guidelines in order to provide rebuttals to CMS or other payer denials and to assist and improve on physician correct coding/documentation education. Provides assistance with the creation of EMR templates in order to to improve capture of correct documentation to support E&M (Evaluation and Management Coding) levels.

Responds to government and other payers records requests and audits. Work requires the level of knowledge normally acquired through the completion of two to three years of occupationally specific education beyond high school OR an Associates degree in Medical Record Technology or closely related field and two to three years of previous work related experience. Certified coder with auditing experience required for ensuring accuracy of coding and documentation on hard copy charts and electronic forms and using ICD/CPT.

Monitors regulatory changes on coding/auditing guidelines. Works closely with physicians and billing staff on coding, documentation, and improvements. Ability to use independent judgment to manage and impart confidential information.

Must be knowledgeable of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation. Ability to communicate clearly to professional practitioners and or the general public.