Manager, Professional Coding Quality & Education, Health Information Management, Full Time

Valley Health System (New Jersey); Paramus (NJ); On-site; USD 109,000 - 136,000; Full time

Benefits offered by this job

Medical/Prescription, Dental & Vision

Group Term Life Insurance

AD&D

Flexible Spending Accounts

Commuter Benefit Plans

Tuition Assistance

Employee Assistance Program

Fitness Center Membership Discount

Paid Holidays

Paid Time Off

Wellness Time Off

Retirement Plan

Job summary

Valley Health System in Ridgewood, NJ, seeks a Manager of Professional Coding Quality & Education to lead coding education and quality across the physician enterprise. You will collaborate with physician leadership, Compliance, Revenue Cycle, CDI, and IT to ensure accurate, timely, and compliant coding for optimal reimbursement.

The role requires a CPC or equivalent, a Bachelor’s degree in HIM or related field, and 5+ years of progressive coding leadership experience within a large health

Qualifications

• Bachelor’s degree or higher in HIM or a related field.
• Certified Professional Coder (CPC) or equivalent certification is required.
• Progressive leadership experience in professional coding quality, education, and audits.
• Experience managing outsourced coding vendors and vendor performance.
• Strong knowledge of ICD-10-CM/PCS, CPT, HCPCS II, and value-based reimbursement.

Responsibilities

• Lead coding education and quality initiatives across the physician enterprise.
• Oversee coding quality audits and compliance activities.
• Partner with physician leadership, departments, compliance, finance, and IT to promote coding excellence.
• Drive adoption of CAC, AI-enabled coding solutions, and workflow automation.

Skills

Coding leadership

Education programs

Analytics

Physician collaboration

ICD-10 knowledge

Vendor management

Workflow automation

Education

Bachelor's degree

CPC certified

RHIT/RHIA preferred

Tools

Encoder software

CAC/AI coding tools

Workflow automation tools

Job description

Position SummaryThe Manager, Professional Coding Quality & Education is a key leader within Health Information Management (HIM) and the Medical Group organization. This role is responsible for leading coding education and quality operations across the physician enterprise and partners closely with physician leadership, operational leaders, Compliance, Finance, Revenue Cycle, Clinical Departments, Information Technology, Clinical Documentation Integrity (CDI), and outsourced coding vendors to ensure accurate, timely, and compliant coding practices that support quality care, regulatory compliance, and optimal reimbursement.The Manager develops and implements coding education, oversees coding quality and audit programs, provides coding guidance to providers and operational leaders while promoting coding excellence through provider education, coding quality improvement, audit readiness, performance analytics, and technology optimization. This leader drives the adoption of innovative coding technologies, including computer-assisted coding (CAC), AI-enabled coding solutions, and workflow automation to improve coding performance, documentation integrity, ICD-10 specificity, and reimbursement accuracy.EducationBachelor’s degree required. Certified Professional Coder (CPC), or equivalent professional coding certification required. Degree in Health Information Management (HIM) preferred with a RHIT or RHIA certification preferred.ExperienceFive or more years of progressive professional coding leadership experience within an integrated health system, academic medical center, or large physician enterprise.Demonstrated experience leading professional coding quality, compliance and education initiativesExperience partnering with physician leadership, clinical departments, revenue cycle, compliance, finance, and information technology.Experience managing outsourced coding vendors and vendor performance.Experience leading and developing coding quality initiatives, provider education programs, audit response, and regulatory compliance activities.Experience implementing coding technology, encoder software, computer-assisted coding, AI-assisted coding, and workflow optimization tools preferred.Strong understanding of ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, HCCs, and value-based reimbursement methodologies.SkillsExpert knowledge of professional coding guidelines, including: ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, Medicare, Medicaid, and commercial payer reimbursement methodologies.Strong knowledge of federal and state regulations governing coding, billing, documentation, and reimbursement.Strong understanding of physician documentation requirements and documentation integrity principles.Ability to collaborate effectively with physicians, executive leadership, operational departments, clinical operations, finance, compliance, revenue cycle, clinical documentation integrity, and information technology.Strong analytical skills with experience utilizing coding productivity, quality, reimbursement, denial, and audit data to drive operational improvements.Demonstrated leadership in change management, process improvement, and technology implementation.Job LocationThe Valley Health System-RidgewoodShiftDay (United States of America)BenefitsMedical/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 PlansSupplemental 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 IllnessRetirement PlanTuition AssistanceEmployee Assistance Program (EAP)Valley Health LifeStyles Fitness Center Membership DiscountDay Care Discounts for Various Daycare FacilitiesSalaryJoining 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: $108,784.00 - $135,990.40The posted pay range reflects the compensation for a full-time equivalent (1.0 FTE)EEO StatementValley 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.