Certified Coding Auditor

St.-Joseph; Paterson (NJ); On-site; USD 60,000 - 90,000; Full time

Job summary

St.-Joseph is seeking a documentation and coding auditor to review internal records for compliance with coding regulations and guidelines. The role supports rebuttals to CMS/payor denials and helps improve physician documentation education and correct coding practices.

The position involves assisting with EMR template creation to enhance capture of accurate documentation for E&M levels and responding to government and payer records requests.

Qualifications

• Two to three years of education beyond high school or an Associate degree in Medical Record Technology or closely related field.
• Certified coder with auditing experience required to ensure accuracy of coding and documentation.
• Knowledge of regulatory changes in coding/auditing guidelines.
• Ability to communicate clearly to professional practitioners and or the general public.

Responsibilities

• Perform internal audits of records to ensure coding accuracy and regulatory compliance.
• Prepare rebuttals to CMS or payer denials and respond to records requests.
• Assist in creating EMR templates to improve documentation for proper E&M coding levels.
• Collaborate with physicians and billing staff to drive coding improvements.

Skills

ICD/CPT coding

Auditing

Regulatory compliance

Medical record documentation

Communication with physicians

Education

Associate degree in Medical Record Technology

Tools

EMR systems

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 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.

Job Info

• Job Identification 20261414
• Job Category Clinical
• Posting Date 08/13/2026, 11:24 AM
• Job Shift Day
• Locations 1270-P-DISTRIBUTION (SJRMC) (On-site)