Outpatient Coding Auditor: Compliance & Education Lead

01 The Valley Hospital; Ridgewood (NJ); On-site; USD 97,423,872 - 121,888,670; Full time

Benefits offered by this job

Medical/Dental/Vision discount program

Group term life insurance and AD&D

FSA and commuter benefits

Disability and long-term care options

Holidays and PTO, wellness time off

Tuition assistance and EAP

Job summary

The Valley Health System in Ridgewood, NJ is seeking an Outpatient Coding Auditor to review outpatient records for compliance with coding guidelines and regulatory requirements. You will identify trends, educate staff, and collaborate with external vendors to implement industry best practices and improve overall audit results.

Requires 5+ years in hospital auditing with ICD-10-CM, outpatient CPT-4, HCPCS coding experience; 3M Encoder experience and EPIC/Meditech/CERNER familiarity are preferred.

Qualifications

• CCS or COC, CPC, RHIT, RHIA credentials required.
• Extensive ICD-10-CM, CPT-4 and HCPCS coding knowledge.
• Strong medical terminology, anatomy and physiology understanding.

Responsibilities

• Audit outpatient coded records for compliance with guidelines and policies.
• Identify trends/variances and provide education to staff.
• Collaborate with external vendors to implement best practices.

Skills

CPC

COC

RHIT

RHIA

Medical Terminology

Education

High school diploma or equivalent

Tools

3M Encoder

EPIC

Meditech

CERNER

Job description

The Valley Health System in Ridgewood, NJ is seeking an Outpatient Coding Auditor to review outpatient records for compliance with coding guidelines and regulatory requirements. You will identify trends, educate staff, and collaborate with external vendors to implement industry best practices and improve overall audit results.

Requires 5+ years in hospital auditing with ICD-10-CM, outpatient CPT-4, HCPCS coding experience; 3M Encoder experience and EPIC/Meditech/CERNER familiarity are preferred.