Certified Health Information Coder & Audit Specialist

Valley Health System; Paramus (NJ); On-site; USD 44,000 - 55,000; Full time

Benefits offered by this job

Medical/Prescription, Dental & Vision

Group Life Insurance & AD&D

Flexible Spending Accounts

Tuition Assistance

Employee Assistance Program

Fitness Center Membership Discount

Day Care Discounts

Job summary

Valley Health System seeks an experienced coding professional to review and correct billed services based on clinical documentation for the VMG enterprise. You will assist in audits and respond to payer denials and inquiries related to services billed.

Ideal candidates have CPC certification, extensive ICD-9/ICD-10 and CPT coding knowledge, and 8–10 years of coding experience, with strong collaboration with physicians and VMG staff.

Qualifications

• CPC (AAPC) certification required.
• Degree in Health Services Management, Business or related field preferred.
• Extensive knowledge of ICD-9-CM/ICD-10-CM and CPT coding principles and guidelines required.
• Extensive knowledge of reimbursement systems required.
• Eight to ten years' experience in ICD-9/ICD-10 coding.

Responsibilities

• Review billed services and recommend corrections related to clinical documentation for VMG enterprise.
• Assist in reviews and responses to payer and governmental audits of billed services.
• Assist CBO in replying to payer denials and patient inquiries about billed services.
• Research new coding guidelines and codes.
• Support VHS corporate compliance staff.

Skills

Medical Terminology

ICD-9/ICD-10 Coding

CPT Coding

People skills

Practice management software

Computer skills

Education

CPC (AAPC) certification

Degree in Health Services Management, Business or related field

Tools

EHR/EMR systems

Practice management software

Job description

Valley Health System seeks an experienced coding professional to review and correct billed services based on clinical documentation for the VMG enterprise. You will assist in audits and respond to payer denials and inquiries related to services billed.

Ideal candidates have CPC certification, extensive ICD-9/ICD-10 and CPT coding knowledge, and 8–10 years of coding experience, with strong collaboration with physicians and VMG staff.