Senior Certified Coder Abstractor

St. Joseph's Health; Paterson (NJ); On-site; USD 85,000 - 110,000; Full time

Job summary

St. Joseph's Health is seeking a Certified Professional Coder (CPC) to act as a liaison between the medical group and an external coding vendor.

The role ensures consistent communication, accurate coding, timely issue resolution, and alignment with payer requirements while supporting documentation integrity and provider education. The Coding Liaison reviews records, validates documentation, applies CPT®, ICD-10-CM, and HCPCS codes, and educates providers on documentation best practices to

Qualifications

• Active CPC certification and continuous coding education.
• Strong CPT/ICD-10-CM/HCPCS knowledge and payer rules.
• Experience reviewing medical records and assigning correct codes.
• Ability to educate providers on documentation best practices.

Responsibilities

• Review medical records to validate documentation completeness.
• Apply correct CPT, ICD-10-CM, and HCPCS codes for claims.
• Act as liaison between medical group and coding vendor.
• Educate providers on documentation and coding improvements.

Skills

CPC coding knowledge

CPT/ICD-10-CM/HCPCS knowledge

E/M coding (2021+)

CMS & payer regulations

Provider education & relationship mgmt

Education

Active AAPC CPC certification

Tools

EHR systems

Encoder systems

Job description

Job Description

The Certified Professional Coder (CPC) serves as liaison between the medical group and the external coding vendor. This role ensures consistent communication, accurate and compliant coding practices, timely issue resolution, and alignment with organizational policies and payer requirements. The Coding Liaison supports documentation integrity, monitors vendor performance, and acts as a subject matter expert for coding-related inquiries. This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT®, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices.

Job Description

The Certified Professional Coder (CPC) serves as liaison between the medical group and the external coding vendor. This role ensures consistent communication, accurate and compliant coding practices, timely issue resolution, and alignment with organizational policies and payer requirements. The Coding Liaison supports documentation integrity, monitors vendor performance, and acts as a subject matter expert for coding-related inquiries. This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT®, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices.

Qualifications

• Active AAPC certification (CPC®)
• 3+ years of medical coding experience
• Strong knowledge of: CPT®, ICD-10-CM, and HCPCS coding guidelines, E/M coding (including 2021+ E/M guidelines if applicable),CMS and major payer regulations, Provider education and relationship management.

Preferred Qualifications

• Proficiency in electronic health records (EHR) and encoder systems
• Experience in hospital, multispecialty, or high-volume outpatient environments
• Familiarity with auditing, compliance programs, and denial resolution
• Excellent attention to detail and analytical skills
• Strong written and verbal communication skills
• Administrative writing skills
• Reporting skills
• Proficiency in Microsoft Office Product Suite