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Valley Health System

Regional health system with hospital care

Coding Auditor - Health Information Management, Day

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeRidgewood, NJ, USA$33.99 - $42.49 /hrIn-person

About the Job

Requirements

  • A high school diploma or equivalent is required.
  • At least five years of professional coding experience is required.
  • Certified Professional Coder (CPC) certification from AAPC, or equivalent, is required.
  • Multi-specialty experience in professional coding is required.
  • Advanced knowledge of coding guidelines is required.
  • A strong understanding of professional fee coding, reimbursement methodologies, and revenue cycle operations is required.
  • Experience conducting audits and evaluating physician documentation for coding accuracy, completeness, and compliance is required.
  • Experience monitoring coding quality metrics, audit outcomes, and performance indicators, and communicating findings, recommendations, and financial impact to providers, leadership, and operational stakeholders is required.
  • The ability to develop corrective action plans and collaborate with coding educators, operational leaders, and providers to improve coding quality and documentation is required.
  • Experience evaluating outsourced coding vendor performance, monitoring service level agreements, and ensuring adherence to quality and compliance standards is required.
  • Strong organizational, project management, and prioritization skills are required to manage multiple audits, projects, and deadlines simultaneously.
  • The ability to collaborate across departments and present complex information to diverse audiences is required.
  • The ability to exercise sound judgment, maintain confidentiality, and handle sensitive compliance-related matters professionally is required.

Responsibilities

  • Perform comprehensive coding audits to ensure accuracy, compliance, and consistency across professional services at VMG.
  • Support service-line transitions, vendor oversight, and quality validation.
  • Coordinate with an aligned Coding Educator to support education and quality improvement efforts.

Desired Qualifications

  • CPC-H (Hospital Outpatient) certification is preferred.
  • CPMA (Certified Professional Medical Auditor) certification is preferred.

About the Company

Valley Health System

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

Company size
1,001-5,000
Company stage
Grant
Total funding
$36.3M
Headquarters
Ridgewood, NJ
Founded
Not listed

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