Outpatient Coding Auditor, Health Information, Management, Full Time, Day

Valley Health System (New Jersey); Paramus (NJ); On-site; USD 46,824 - 58,534; Full time

Benefits offered by this job

Medical/Prescription, Dental & Vision

Group Term Life Insurance & AD&D

Flexible Spending Accounts & Commuter

Tuition Assistance

Paid Holidays & PTO

Employee Assistance Program (EAP)

Retirement Plan

Fitness Center Membership Discount

Day Care Discounts

Job summary

Valley Health System is seeking an experienced Outpatient Coding Auditor to review coded outpatient encounters for accuracy and compliance. You will support coding education, identify audit variances, and partner with leadership to drive process improvements.

A collaborative role with external vendors ensures ongoing adoption of industry best practices. Requirements include a high school diploma or equivalent, 5+ years in hospital auditing or related education experience, and proficiency in

Qualifications

• High school diploma or equivalent required.

Responsibilities

• Audit outpatient coded medical records for compliance with official guidelines and internal policies.
• Identify trends and variances and communicate findings to coding staff and leadership.
• Collaborate with external vendors to monitor performance and implement best practices in audit feedback and education.

Skills

CPC

RHIT

RHIA

CCS

COC

Medical Terminology

Anatomy & Physiology

ICD-10-CM

CPT-4

HCPCS

Education

High school diploma or equivalent

Tools

3M Encoder

Meditech

EPIC

CERNER

Job description

Position SummaryThe Outpatient Coding Auditor is responsible for auditing coded outpatient medical records to ensure compliance with official coding guidelines, regulatory agencies, and internal policies. This role supports coding accuracy, education, and process improvement through detailed review of encounters, identification of trends and variances, and communication with coding staff and leadership. This position also collaborates with external vendors to monitor performance and incorporate industry best practices into audit feedback and education.EducationHigh school diploma or equivalent required.ExperienceMinimum of 5 years of experience in hospital auditing or education experience ICD-10-CM and Outpatient CPT-4, HCPCs coding experience required. Knowledge of Medical Necessity APC, OCE, LCD, and NCD edits required . 3M Encoder experience, Meditech, EPIC, or CERNER preferred.SkillsCCS or COC, CPC, RHIT, RHIA required. Knowledge of ICD-10-CM, CPT-4 and HCPCs coding, Medical Terminology and Anatomy, and Physiology required.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: $33.99 - $42.49 (per hour)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.