Outpatient Coding Auditor
Valley Health System
Outpatient Coding Auditor
Valley Health System
Regional health system with hospital care
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.
Education
High school diploma or equivalent required.
Experience
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. 3M Encoder experience, Meditech, EPIC, or CERNER preferred.
Skills
CCS or COC, CPC, RHIT, RHIA required. Knowledge of ICD-10-CM, CPT-4 and HCPCs coding, Medical Terminology and Anatomy, and Physiology required.
Job Location
The Valley Health System-RidgewoodShift
Day (United States of America)Benefits
EEO Statement
Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.
Regional health system with hospital care
Valley Health System is a regional healthcare network in northern New Jersey. It includes The Valley Hospital (a 385-bed not-for-profit acute-care hospital), Valley Home Care, and Valley Medical Group, a multispecialty practice with more than 200 clinicians across over 40 specialties who work at The Valley Hospital, Valley-Mount Sinai Comprehensive Cancer Care in Paramus, and eight urgent and primary care centers in New Jersey and New York. The system provides hospital care, home-based care, hospice services, and outpatient specialty care through an integrated network that serves the regional population. Its goal is to deliver accessible, coordinated, high-quality medical services that improve patient outcomes and experiences by connecting hospital care, home care, and multi-specialty outpatient services.”} يمكن
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