Coding Reviewer

ADP, Inc.; Jericho (NY); On-site; USD 65,000 - 70,000; Full time

Job summary

ADP, Inc. is seeking a Coding Reviewer to validate DRG codes and oversee coding accuracy for outpatient records.

This on-site role in Jericho, NY requires interpreting regulations, applying CPT/HCPCS guidelines, and producing concise reviews for external agencies. The ideal candidate holds RHIA/RHIT/CCS/CCS-P credentials, with 2+ years of outpatient coding experience, strong interpersonal skills, and proficiency in EHRs and MS Office.

Qualifications

• Active RHIA/RHIT/CCS/CCS-P certification required.
• Two+ years of outpatient coding and abstracting experience.
• Experience with CPT, HCPCS and ICD-10 coding.
• Bachelor’s degree in health information management or related field preferred.

Responsibilities

• Validate DRG codes and ensure coding accuracy.
• Apply CPT/HCPCS and ICD-10 guidelines to claims and data.
• Prepare independent dispute resolution reviews from external agencies.
• Provide subject matter input and support agency-wide projects.
• On-site work at the Jericho, NY office.

Skills

Interpersonal skills

Explicit written communication

Verbal communication

EHR proficiency

Office software (MS Office)

Handling sensitive information

Teamwork & independence

Education

RHIA/RHIT/CCS/CCS-P certification

Bachelor's in health information management or related

Tools

EHR software

MS Office

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Coding Reviewer

Full-time Regular Professional Jericho, NY, US

30+ days ago Requisition ID: 1065

Salary Range: $65,000.00 To $70,000.00 Annually

As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. Duties include but are not limited to:

• Confirm and verify submitted codes for DRG validation.
• Apply national coding standards and regulations to the claims and clinical data.
• Provide subject matter input and support agency-wide projects.
• Other duties as assigned.

This position requires working on-site at the Jericho, NY office.

Qualifications

• Excellent interpersonal and communication skills, both written and verbal.
• Ability to relate effectively with technical, medical, analytical and administrative personnel.
• Proficiency in EHR applications, office technology, and Microsoft applications including Word, Excel, and PowerPoint.
• Being able to handle sensitive and confidential information.
• Ability to work in a team environment and independently.

Education & Experience

• Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required.
• Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required
• Bachelor’s degree in healthcare administration or health information management preferred.
• Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing.
• Some experience in utilization reviews preferred.

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $65,000.00 - $70,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget.

The salary range listed does not include other forms of compensation or benefits.

IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.