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

Valley Health System; Ridgewood (NJ); On-site; USD 46,838 - 57,859; Full time

Benefits offered by this job

Medical, Dental & Vision coverage

Group Life Insurance & AD&D

Flexible Spending Accounts & Commuter

Disability insurance (short/long-term)

Paid Holidays & PTO

Retirement Plan

Tuition Assistance

Employee Assistance Program (EAP)

Fitness Center Membership Discount

Day Care Discounts

Job summary

Valley Health System in Ridgewood, NJ is seeking an Outpatient Coding Auditor to review coded outpatient records for adherence to official coding guidelines, regulatory standards, and internal policies. The role drives education and process improvements through detailed case reviews and trend analyses.

The incumbent will collaborate with external vendors and coding leadership to ensure accuracy and implement best practices in audit feedback and staff education.

Qualifications

• Minimum of 5 years of experience in hospital auditing or education experience.
• Proficiency in ICD-10-CM, outpatient CPT-4, HCPCS coding.
• Knowledge of Medical Necessity APC, OCE, LCD, and NCD edits.
• 3M Encoder, Meditech, EPIC, or CERNER experience preferred.

Responsibilities

• Audit coded outpatient records for compliance with coding guidelines and policies.
• Identify trends and communicate findings to coding staff and leadership.
• Collaborate with external vendors to monitor performance and share best practices.

Skills

ICD-10-CM

CPT-4

HCPCS coding

Medical Terminology

Anatomy & Physiology

Education

High school diploma or equivalent

Tools

3M Encoder

Meditech

EPIC

CERNER

Job description

Position Summary

The 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.

Education

High school diploma or equivalent required.

Experience

Minimum 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.

Skills

CCS or COC, CPC, RHIT, RHIA required. Knowledge of ICD-10-CM, CPT-4 and HCPCs coding, Medical Terminology and Anatomy, and Physiology required.

Job Location

The Valley Health System-Ridgewood

Shift

Day (United States of America)

Benefits

• Medical/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 Plans
• Supplemental 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 Illness
• Retirement Plan
• Tuition Assistance
• Employee Assistance Program (EAP)
• Valley Health LifeStyles Fitness Center Membership Discount
• Day Care Discounts for Various Daycare Facilities

SalaryJoining 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 Statement

Valley 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.