Coding Auditor, Health Information Management, Full Time, Day

valleyhealth; Ridgewood (NJ); On-site; USD 71,000 - 88,000; Full time

Benefits offered by this job

Medical & Dental & Vision

Life Insurance

FSAs & Commuter Benefits

Voluntary Benefits

Paid Holidays & PTO

Retirement Plan

Tuition Assistance

EAP

Fitness Center Discount

Day Care Discounts

Job summary

Valley Health System in Ridgewood, NJ seeks a Coding Auditor to perform comprehensive audits across professional services, ensuring accuracy, compliance, and quality. This role supports service-line transitions, vendor oversight, and quality validation.

Aligned to a Coding Educator to coordinate education and improvement efforts, the auditor will monitor metrics, communicate findings to providers and leadership, and drive corrective actions.

Qualifications

• High school diploma or equivalent required.
• CPC certification (AAPC) required or equivalent.
• CPMA and CPC-H preferred.
• Multi-specialty experience in professional coding.
• Strong presentation and communication skills.

Responsibilities

• Perform comprehensive coding audits for accuracy, compliance, and consistency across professional services.
• Align with Coding Educator to coordinate education and quality-improvement efforts.
• Monitor coding quality metrics, audit outcomes, and communicate findings and financial impact to providers and leadership.
• Develop corrective action plans and collaborate with educators, operational leaders, and providers to improve coding quality.

Skills

Auditing & compliance

Presentation skills

Analytical thinking

Vendor management

Documentation communication

Education

High school diploma

CPC - AAPC

CPMA preferred

CPC-H preferred

Job description

Position Summary

The Coding Auditor is responsible for performing comprehensive coding audits to ensure accuracy, compliance, and consistency across all professional services at VMG. This role supports service-line transitions, vendor oversight, and quality validation.

Each Coding Auditor will be aligned to a Coding Educator to ensure coordinated education and quality improvement efforts.

Education

High school diploma or equivalent required.

Experience

• Minimum of 5 years of professional coding experience
• Certified Professional Coder (CPC) - AAPC required or equivalent
• Multi-specialty experience in professional coding
• Strong presentation and communication skills
• CPC-H (Hospital Outpatient) preferred
• CPMA (Certified Professional Medical Auditor) preferred

Skills

• Advanced knowledge of coding guidelines.
• Strong understanding of professional fee coding, reimbursement methodologies, and revenue cycle operations.
• Demonstrated expertise in conducting audits and evaluating physician documentation for coding accuracy, completeness, and compliance.
• Strong analytical and critical thinking skills
• Experience monitoring coding quality metrics, audit outcomes, and performance indicators, and communicating findings, recommendations, and financial impact to providers, leadership, and operational stakeholders.
• Ability to develop corrective action plans and collaborate with coding educators, operational leaders, and providers to drive coding quality and documentation improvement initiatives.
• Experience evaluating outsourced coding vendor performance, monitoring service level agreements (SLAs), and ensuring adherence to quality and compliance standards.
• Strong organizational, project management, and prioritization skills with the ability to manage multiple audits, projects, and deadlines simultaneously.
• Excellent written, verbal, and interpersonal communication skills with the ability to effectively collaborate across departments and present complex information to diverse audiences.
• Ability to exercise sound judgment, maintain confidentiality, and handle sensitive compliance-related matters with professionalism.

Job Location

The Valley Health System-Ridgewood

Shift

Day (United States of America)

Benefits

• Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees)
• Group Term Life Insurance and AD&D(Full Time Employees)
• Flexible Spending Accounts and Commuter Benefit Plans
• Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)
• 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness
• Retirement Plan
• Tuition Assistance
• Employee Assistance Program (EAP)
• Valley Health LifeStyles Fitness Center Membership Discount
• Day Care Discounts for Various Daycare Facilities

Salary

Joining Valley Health System means becoming part of a dedicated team that values the highest quality of care in a supportive environment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure. Actual individual salaries vary depending on these factors. The salary listed does not include other forms of compensation or benefits.

Pay Range: $33.99 - $42.49 (per hour)

EEO Statement

Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran's status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.