Certified Professional Coder

DaMar Staffing; Pennington (NJ); On-site; USD 48,000 - 52,000; Full time

Job summary

DaMar Staffing seeks a Certified Professional Coder for a 6-month assignment in Hopewell, NJ. The role leads on-site and remote hospital billing audits, with a focus on DRG validation and per diem audits.

Pay is $35-$38 per hour on W2, and the position requires an RN license and CCS/RHIT/RHIA certifications. The ideal candidate has 3+ years in medical records auditing, DRG validation experience, and ICD-10-CM training.

Qualifications

• High School Diploma/GED required.
• Bachelor's Degree in Health Information Management preferred or equivalent relevant experience.
• Minimum 3 years of experience in a medical records department within an acute care hospital or healthcare setting.
• Experience with DRG validation, ICD-10-CM training, and healthcare auditing required.
• Active RN License required.
• CCS or RHIT/RHIA Certification required.
• Preferred CCS, CCS-P, or CCA certifications.
• Experience with ACCESS Software preferred.

Responsibilities

• Lead hospital billing and coding audits, both on-site and remote.
• Identify and present billing discrepancies and coordinate improper claim payment referrals.
• Analyze trends in documentation, billing errors, and provider contract interpretation issues.
• Compile audit reports, statistics, and findings for internal teams and regulatory agencies.
• Review and enhance audit processes to align with clinical review innovations and cost-containment initiatives.
• Train and mentor new staff on departmental audit procedures.
• Ensure compliance with healthcare laws, regulations, and company policies.
• Support special projects and additional assignments as requested by management.

Skills

DRG validation

ICD-10-CM training

Healthcare auditing

Auditing

Education

Bachelor's Degree in Health Information Management

Tools

ACCESS Software

Job description

Job Title: Certified Professional Coder

Job Location: Hopewell, NJ

Job Duration: 6 Months (possibility of extension)

Payrate: $35 - $38/ hr. on w2

Job Summary: This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends. The role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. The position also provides education and guidance on ICD-10-CM coding, DRG assignment, payment methodologies, and auditing practices.

Key Responsibilities

• Lead hospital billing and coding audits, both on-site and remote
• Identify and present billing discrepancies and coordinate improper claim payment referrals
• Analyze trends related to documentation, billing errors, and provider contract interpretation issues
• Compile audit reports, statistics, and findings for internal teams and regulatory agencies
• Review and enhance audit processes to align with clinical review innovations and cost-containment initiatives
• Train and mentor new staff on departmental audit procedures
• Ensure compliance with healthcare laws, regulations, and company policies
• Support special projects and additional assignments as requested by management

Education & Experience

• High School Diploma/GED required
• Bachelor's Degree in Health Information Management preferred or equivalent relevant experience
• Minimum 3 years of experience in a medical records department within an acute care hospital or healthcare setting
• Experience with DRG validation, ICD-10-CM training, and healthcare auditing required

Required Certifications & Licensure

• Active RN License required
• CCS or RHIT/RHIA Certification required

Preferred Certifications

• CCS
• CCS-P
• CCA

Preferred Knowledge

• Experience with ACCESS Software preferred.