Physician Billing Coding Auditor & Educator

DaMar Staffing; Hasbrouck Heights (NJ); On-site; USD 95,000 - 116,000; Full time

Benefits offered by this job

Health insurance

Tuition reimbursement

Retirement benefits

Job summary

Hackensack Meridian Health is seeking a Physician Billing (PB) Coding Auditor and Educator to audit and educate providers on coding and documentation to ensure accurate reimbursement and compliance with CMS and OIG guidelines.

The role collaborates with providers, coding teams, RCA and training groups, delivering feedback, creating audit summaries, and supporting data retrieval for patient care while maintaining ongoing education and quality standards.

Qualifications

• Minimum of 5 years of Physician Coding experience in a large multi-specialty group.
• Experience and thorough knowledge of ICD-10 and CPT coding.
• Knowledge of data reporting requirements and proficiency in computer skills.
• Extensive knowledge in data collection and physician coding reviews.
• Must have advanced coding education and training with a strong foundation in E/M Coding.
• Knowledge of Coding software and Google Suite: Sheets, Slides, and Docs.
• Excellent oral and written communication skills.
• Ability to work independently in a fast-paced environment.
• Ability to interact with management personnel and the provider community.
• Associate's degree or higher.
• Minimum of 2 years of physician quality improvement auditing/education experience.
• RHIT/RHIA/CCS/CPC Certification.
• Certified Professional Medical Auditor (CPMA) at hire or within one year.
• Certified Risk Adjustment Coder (CRAC).

Responsibilities

• Comply with established corporate and departmental policies, procedures, objectives, quality assurance methods, and safety codes.
• Perform coding quality audits of all records (outpatient, inpatient, procedures, diagnostic testing) to assure appropriateness and accurate code assignments in accordance with CMS guidelines and provide ongoing feedback and analysis of the education needs for the providers and staff.
• Create spreadsheets and summaries of audit findings.
• Assist providers, practices, internal/external coding team(s), revenue cycle analysts (RCA), and Training Teams with coding inquiries.
• Clarify complex discrepancies in documentation and coding; assure accuracy and timeliness of coding assignments to expedite the billing process and facilitate data retrieval for physician access and ongoing patient care.
• Perform follow‑up complex coding of medical records per internal or external audits identified as Coding discrepancies.
• Meet or exceed productivity and quality standards and established department benchmarks.
• Maintain annual mandatory education requirements specific to the position as mandated by HMH.
• Keep abreast of coding guidelines and reimbursement reporting requirements, new technology, and procedures in accordance with the CMS and Office of Inspector General (OIG) regulations.
• Bring identified concerns to the department manager and Director for resolution.
• Participate in other special projects, duties and/or projects as assigned.
• Adhere to HMH Organizational competencies and standards of behavior.

Skills

Physician Coding

Data reporting

E/M Coding

Communication skills

Independent work

Education

Associate's degree or higher

Professional certifications (RHIT/RHIA/CCS/CPC)

Tools

Coding software

Google Suite (Sheets/Slides/Docs)

Job description

Hackensack Meridian Health is seeking a Physician Billing (PB) Coding Auditor and Educator to audit and educate providers on coding and documentation to ensure accurate reimbursement and compliance with CMS and OIG guidelines.

The role collaborates with providers, coding teams, RCA and training groups, delivering feedback, creating audit summaries, and supporting data retrieval for patient care while maintaining ongoing education and quality standards.