Certified Coder Abstractor

St. Joseph's Health; Paterson (NJ); On-site; USD 60,000 - 95,000; Full time

Job summary

St. Joseph's Health is seeking a Certified Professional Coder (CPC) liaison to bridge the medical group and the external coding vendor. The role ensures accurate, compliant coding, timely issue resolution, and alignment with payer requirements.

It supports documentation integrity, monitors vendor performance, and serves as an expert for coding inquiries. You will review records with providers and clinical staff, apply CPT/ICD-10-CM/HCPCS codes, and educate providers on documentation best

Qualifications

• Proficient in CPT, ICD-10-CM, and HCPCS coding guidelines.
• Experience coordinating with external coding vendors and providers.
• Strong knowledge of documentation integrity and revenue cycle impact.

Responsibilities

• Serve as liaison to ensure coding queries issued by the vendor are addressed by providers, resolved appropriately, and returned to the vendor in accordance with established timelines.
• Identify documentation deficiencies and initiate provider queries when clarification is needed.
• Apply current CMS, payer, and organizational coding guidelines.
• Assist with coding-related denials, audits, and appeals.
• Stay current with coding updates, rule changes, and ongoing education requirements.

Skills

Medical coding

CPT ICD-10-CM HCPCS

Vendor liaison

Provider education

Documentation review

Education

CPC certification

RHIT/CCS (preferred)

Job description

The Certified Professional Coder (CPC) serves as liaison between the medical group and the external coding vendor. This role ensures consistent communication, accurate and compliant coding practices, timely issue resolution, and alignment with organizational policies and payer requirements. The Coding Liaison supports documentation integrity, monitors vendor performance, and acts as a subject matter expert for coding-related inquiries. This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT®, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices.

Key Responsibilities

• Serve as the liaison to ensure coding queries issued by the vendor are addressed by providers, resolved appropriately, and returned to the vendor in accordance with established timelines.
• Identify documentation deficiencies and initiate provider queries when clarification is needed
• Apply current CMS, payer, and organizational coding guidelines
• Assist with coding-related denials, audits, and appeals
• Stay current with coding updates, rule changes, and ongoing education requirements