Outpatient Coding Auditor (HIM), Full Time, Day shift

The Valley HospitalRidgewood, NJ
10d$33 - $41

About The Position

The Outpatient Coding Auditor is responsible for auditing coded outpatient medical records to ensure compliance with official coding guidelines, regulatory agencies, and internal policies. This role supports coding accuracy, education, and process improvement through detailed review of encounters, identification of trends and variances, and communication with coding staff and leadership. This position also collaborates with external vendors to monitor performance and incorporate industry best practices into audit feedback and education.

Requirements

  • High school diploma or equivalent required.
  • Minimum of 5 years of experience in hospital auditing or education experience ICD-10-CM and Outpatient CPT-4, HCPCs coding experience required.
  • Knowledge of Medical Necessity APC,OCE, LCD, and NCD edits required .
  • CCS or COC, CPC, RHIT, RHIA required.
  • Knowledge of ICD-10-CM, CPT-4 and HCPCs coding, Medical Terminology and Anatomy, and Physiology required.

Nice To Haves

  • 3M Encoder experience, Meditech, EPIC, or CERNER preferred.

Responsibilities

  • Auditing coded outpatient medical records
  • Ensure compliance with official coding guidelines, regulatory agencies, and internal policies
  • Supports coding accuracy, education, and process improvement through detailed review of encounters
  • Identification of trends and variances
  • Communication with coding staff and leadership
  • Collaborates with external vendors to monitor performance and incorporate industry best practices into audit feedback and education.

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

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

1,001-5,000 employees

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