Certified Coding Auditor

St. Joseph's Health; Paterson (NJ); On-site; USD 70,000 - 90,000; Full time

Job summary

St. Joseph's Health in Paterson, NJ seeks a certified coder with auditing experience to review coding and documentation for compliance, support EMR template creation, and respond to payer and government requests.

The role involves collaboration with physicians and billing staff to improve accuracy and documentation quality. The candidate should have an Associates degree in Medical Record Technology or equivalent education plus auditing experience, familiarity with ICD/CPT, and ability to handle

Qualifications

• Two to three years of education beyond high school or an Associates degree in Medical Record Technology.
• Certified coder with auditing experience required for ensuring accuracy of coding and documentation.
• Knowledge of ICD/CPT and regulatory changes in coding/auditing guidelines.
• Ability to communicate clearly to professional practitioners and the general public.
• Ability to handle confidential information and comply with legal and regulatory requirements.

Responsibilities

• Conduct internal audits to ensure coding compliance and prepare rebuttals to payer denials.
• Assist in creating EMR templates to improve the capture of documentation for E/M coding levels.
• Respond to government and payer records requests and audits.
• Collaborate with physicians and billing staff on coding, documentation, and process improvements.

Skills

Auditing experience

Medical coding

Documentation improvements

Regulatory knowledge

Communication skills

Confidential information handling

Education

Associates degree in Medical Record Technology

Tools

ICD/CPT

Job description

Job Description

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 improve capture of correct documentation to support E&M (Evaluation and Management Coding) levels. Responds to government and other payers records requests and audits.

Qualifications

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.