Coding Auditor, Health Information Management, Full Time, Day

Valley Health System•Ridgewood, NJ

11d•$34 - $42•Onsite

About The Position

The Coding Auditor is responsible for performing comprehensive coding audits to ensure accuracy, compliance, and consistency across all professional services at VMG. This role supports service-line transitions, vendor oversight, and quality validation. Each Coding Auditor will be aligned to a Coding Educator to ensure coordinated education and quality improvement efforts.

Requirements

High school diploma or equivalent required.
Minimum of 5 years of professional coding experience
Certified Professional Coder (CPC) – AAPC required or equivalent
Multi-specialty experience in professional coding
Strong presentation and communication skills
Advanced knowledge of coding guidelines.
Strong understanding of professional fee coding, reimbursement methodologies, and revenue cycle operations.
Demonstrated expertise in conducting audits and evaluating physician documentation for coding accuracy, completeness, and compliance.
Strong analytical and critical thinking skills
Experience monitoring coding quality metrics, audit outcomes, and performance indicators, and communicating findings, recommendations, and financial impact to providers, leadership, and operational stakeholders.
Ability to develop corrective action plans and collaborate with coding educators, operational leaders, and providers to drive coding quality and documentation improvement initiatives.
Experience evaluating outsourced coding vendor performance, monitoring service level agreements (SLAs), and ensuring adherence to quality and compliance standards.
Strong organizational, project management, and prioritization skills with the ability to manage multiple audits, projects, and deadlines simultaneously.
Excellent written, verbal, and interpersonal communication skills with the ability to effectively collaborate across departments and present complex information to diverse audiences.
Ability to exercise sound judgment, maintain confidentiality, and handle sensitive compliance-related matters with professionalism.

Nice To Haves

CPC-H (Hospital Outpatient) preferred
CPMA (Certified Professional Medical Auditor) preferred

Responsibilities

Performing comprehensive coding audits to ensure accuracy, compliance, and consistency across all professional services at VMG.
Supporting service-line transitions, vendor oversight, and quality validation.
Coordinating education and quality improvement efforts with a Coding Educator.
Conducting audits and evaluating physician documentation for coding accuracy, completeness, and compliance.
Monitoring coding quality metrics, audit outcomes, and performance indicators.
Communicating findings, recommendations, and financial impact to providers, leadership, and operational stakeholders.
Developing corrective action plans and collaborating with coding educators, operational leaders, and providers to drive coding quality and documentation improvement initiatives.
Evaluating outsourced coding vendor performance, monitoring service level agreements (SLAs), and ensuring adherence to quality and compliance standards.

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