Certified Coder

St. Joseph's Health•Paterson, NJ

3d•$31 - $48

About The Position

The Certified Professional Coder (CPC) serves as the liaison between the medical group and the external coding vendor. The role supports 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 serves as a subject matter expert for coding-related inquiries. Working with providers, clinical staff, and revenue cycle teams, the role reviews medical records, validates documentation completeness, applies the correct CPT®, ICD-10-CM, and HCPCS codes, and educates providers on documentation best practices. The position also supports coding-related denials, audits, and appeals and stays current with coding updates and requirements. St. Joseph’s Health describes itself as a respected healthcare organization and a major employer in Passaic County. St. Joseph’s University Medical Center is an academic tertiary care medical center and state-designated trauma center on the Paterson campus, offering a broad range of specialty and subspecialty services.

Requirements

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

Nice To Haves

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 the Microsoft Office Product Suite.

Responsibilities

Serve as liaison to ensure vendor-issued coding queries are addressed by providers, resolved appropriately, and returned to the vendor within established timelines.
Identify documentation deficiencies and initiate provider queries when clarification is needed.
Apply current CMS, payer, and organizational coding guidelines.
Assist with coding-related denials, audits, and appeals.
Stay current with coding updates, rule changes, and ongoing education requirements.
Review medical records, validate documentation completeness, and apply correct CPT®, ICD-10-CM, and HCPCS codes.
Educate providers on documentation best practices.
Monitor external coding vendor performance and support documentation integrity.

Benefits

Competitive salary.
Health, dental, prescription drug, and vision plans.
403(b) retirement plan options with company match, subject to stated eligibility limitations.
Health and wellness benefits.
Eligibility for Federal Student Loan Forgiveness through the nonprofit health system.
PTO and paid holidays.
Tuition reimbursement.
Employee Assistance Program.
Long-term disability (LTD).
Life insurance options.
Onsite day care program.