Senior Medical Coding Auditor & Compliance Advocate

St. Joseph's Health; Paterson (NJ); On-site; USD 70,000 - 90,000; Full time

Job summary

St. Joseph's Health in Paterson, NJ seeks a certified coder with auditing experience to review coding and documentation for compliance, support EMR template creation, and respond to payer and government requests.

The role involves collaboration with physicians and billing staff to improve accuracy and documentation quality. The candidate should have an Associates degree in Medical Record Technology or equivalent education plus auditing experience, familiarity with ICD/CPT, and ability to handle

Qualifications

• Two to three years of education beyond high school or an Associates degree in Medical Record Technology.
• Certified coder with auditing experience required for ensuring accuracy of coding and documentation.
• Knowledge of ICD/CPT and regulatory changes in coding/auditing guidelines.
• Ability to communicate clearly to professional practitioners and the general public.
• Ability to handle confidential information and comply with legal and regulatory requirements.

Responsibilities

• Conduct internal audits to ensure coding compliance and prepare rebuttals to payer denials.
• Assist in creating EMR templates to improve the capture of documentation for E/M coding levels.
• Respond to government and payer records requests and audits.
• Collaborate with physicians and billing staff on coding, documentation, and process improvements.

Skills

Auditing experience

Medical coding

Documentation improvements

Regulatory knowledge

Communication skills

Confidential information handling

Education

Associates degree in Medical Record Technology

Tools

ICD/CPT

Job description

St. Joseph's Health in Paterson, NJ seeks a certified coder with auditing experience to review coding and documentation for compliance, support EMR template creation, and respond to payer and government requests.

The role involves collaboration with physicians and billing staff to improve accuracy and documentation quality. The candidate should have an Associates degree in Medical Record Technology or equivalent education plus auditing experience, familiarity with ICD/CPT, and ability to handle