Coding Quality Auditor

Hackensack Meridian Health; Neptune City (NJ); Remote; USD 87,000 - 107,000; Full time

Job summary

Hackensack Meridian Health is seeking a Coding Quality Auditor to monitor compliance with clinical documentation for coding and billing. This 100% remote role operates 11:00–19:30 and requires one weekend day per week (Saturday or Sunday).

Required are an associates degree or higher (or equivalent coding experience), at least 5 years inpatient coding in a complex healthcare setting, and 2 years of quality improvement audits. CCS certification is required.

Qualifications

• Associate's degree or higher or equivalent years of coding experience (2-4 years).
• Minimum of 5 years of inpatient coding experience in a complex healthcare environment.
• Minimum 2 years of quality improvement audit.
• Experience and thorough knowledge of ICD-10 and DRG methodologies.
• Knowledge of data reporting requirements and proficiency in computer skills.
• Extensive knowledge in data collection and clinical coding reviews.
• Excellent written, verbal, and interpersonal communication skills.
• Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Responsibilities

• Monitor compliance with applicable clinical documentation to support coding and billing regulations.
• Support coding and billing initiatives as directed by Hackensack Meridian Health (HMH) Network.

Skills

ICD-10 knowledge

DRG methodologies

Data reporting

Communication skills

Computer proficiency

Education

Associate degree or higher

Tools

Microsoft Office

Google Suite

Job description

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Coding Quality Auditor is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to insure appropriate reimbursement and to support public reporting and various initiatives as directed by Hackensack Meridian Health (HMH) Network.

This position is 100% remote, the hours are 11 am - 7:30 pm and it require a team member to work one weekend day each week, Saturday or Sunday.

Education, Knowledge, Skills and Abilities Required:

• Associate's degree or higher or equivalent years of coding experience (2-4 years).

• Minimum of 5 years of inpatient coding experience in a complex healthcare environment.

• Minimum 2 years of quality improvement audit.

• Experience and thorough knowledge of ICD-10 and DRG methodologies.

• Knowledge of data reporting requirements and proficiency in computer skills.

• Extensive knowledge in data collection and clinical coding reviews.

• Excellent written, verbal, and interpersonal communication skills.

• Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Licenses and Certifications Required:

• Certified Coding Specialist.

Minimum rate of $97,011.20 Annually

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.

• Experience: Years of relevant work experience.

• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.

• Skills: Demonstrated proficiency in relevant skills and competencies.

• Geographic Location: Cost of living and market rates for the specific location.

• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.

• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.