Medical Records Coder I, Full time - 8:30am-4:00pm, Family Medicine, Summit

Atlantic Health System; Summit (NJ); On-site; USD 65,000 - 85,000; Full time

Job summary

Atlantic Health System in Summit, NJ, is seeking a skilled medical coder to accurately assign ICD-10-CM, CPT, and HCPCS codes for discharged patient records. You will review clinical documentation to ensure coding aligns with payer requirements and compliance standards.

This role emphasizes accuracy, timely chart abstracting, and collaboration with clinicians to resolve documentation gaps. CCS certification and Epic training are preferred and help support audits and revenue integrity.

Qualifications

• Review clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes.
• Code office visits, procedures, and other services in accordance with payer requirements and organizational policies.
• Verify that documentation supports the codes and services billed; request clarification from clinicians when needed.
• Review charges before claim submission and correct coding errors or omissions.
• Research coding edits, claim rejections, and denials; make corrections and support appeals.

Responsibilities

• Review clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes.
• Code office visits, procedures, and other services in accordance with payer requirements and organizational policies.
• Verify that documentation supports the codes and services billed; request clarification from clinicians when needed.
• Review charges before claim submission and correct coding errors or omissions.
• Research coding edits, claim rejections, and denials; make corrections and support appeals.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

Payer policy interpretation

HIPAA compliance

Education

High School Diploma or equivalent

CCS certification

Tools

Epic Training

Job description

Responsible for chart assembly, chart analysis, coding, and computer abstracting of all discharged patient medical records. Accurately assigns ICD-9-CM codes to all discharge diagnoses and processes requests for patient information. Makes decisions on codes and functions to be assigned in each instance including diagnostic and procedural information, significant reportable elements, and other complex classifications.

Principal Accountabilities:

• Review clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes.
• Code office visits, procedures, and other services in accordance with payer requirements and organizational policies.
• Verify that documentation supports the codes and services billed; request clarification from clinicians when needed.
• Review charges before claim submission and correct coding errors or omissions.
• Research coding edits, claim rejections, and denials; make corrections and support appeals.
• Monitor coding work queues and complete assigned work within established timeframes.
• Stay current with coding updates, payer policies, and compliance requirements.
• Identify recurring documentation or coding issues and share guidance with clinicians and practice leadership.
• Maintain patient confidentiality and follow HIPAA requirements.
• Apply teaching physician and resident billing rules when reviewing services involving residents and supervising clinicians.

Level I - High School Diploma or equivalent. 0-3 years of experience in Physician coding, Billing or other related field with demonstrated increased responsibility in the healthcare industry. Certified Coding Specialist (CCS) certification and Epic training preferred.

Level II - High School Diploma or equivalent. 3-5 years of experience in Physician coding, Billing or other related field with demonstrated increased responsibility in the healthcare industry. Certified Coding Specialist (CCS) certification and Epic training preferred.