5 jobs found in Paterson

Inpatient Coding Auditor The Inpatient Coding Auditor is responsible for auditing inpatient coding and DRG assignment to ensure accurate ICD-10-CM/PCS coding, documentation support, and compliance with official guidelines and payer requirements. This role tracks audit outcomes, supports corrective actions, and provides education to improve coding quality and reduce audit risk. Responsibilities include, but are not limited to: Review entire medical record to confirm correct assignment of ICD-10-CM/PCS coding, sequencing and POA to ensure proper assignment of MS-DRG/APR-DRG. Review clinical documentation for guideline compliance, clinical support, and accurate capture of CC/MCC and key secondary diagnoses and procedures. Identify trends, root causes, and compliance risks; recommend corrective actions and process improvements in collaboration with coding leadership and CDI. Work closely with leadership create and prepare detailed audit reports, including findings,...

Certified Professional Coder (Cpc) The Certified Professional Coder (CPC) serves as liaison between the medical group and the external coding vendor. This role ensures 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 acts as a subject matter expert for coding-related inquiries. This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices. Key Responsibilities Serve as the liaison to ensure coding queries issued by the vendor are addressed by providers, resolved appropriately, and returned to the vendor in accordance with established timelines. Identify documentation deficiencies and initiate provider...

A reputable healthcare organization in Paterson, NJ, is seeking a Certified Coder Abstractor. The role involves reviewing and abstracting demographic and clinical data from medical records, ensuring accurate coding in compliance with health regulations. The ideal candidate should have an Associate's Degree in Health Information Technology and strong analytical skills. The position offers competitive salary and benefits, including health, dental, and retirement plans. #J-18808-Ljbffr

Location: Passaic County, NJ Join a dynamic medical billing team as a Medical Insurance Coder, where your expertise in coding will make a significant impact. This role requires a professional who can accurately interpret clinical documentation and apply appropriate CPT and ICD codes without relying on predefined codes. Key Responsibilities: Analyze and code medical records, including Progress Notes and Op Reports, independently. Offer expert advice to physicians regarding coding practices, ensuring optimal billing accuracy and compliance. Maintain high levels of organization, speed, and precision, managing approximately 150-200 claims daily. Facilitate proactive communication with physicians and medical staff to enhance billing processes and resolve coding queries. Qualifications: Minimum of 2 years' experience in medical coding, specifically with CPC and E-Clinical Works. Strong understanding of office, hospital, and procedural billing practices. Proven...

Join to apply for the Certified Coder Abstractor role at St. Joseph's Health 4 days ago Be among the first 25 applicants Join to apply for the Certified Coder Abstractor role at St. Joseph's Health Job Description Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT4. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and timely manner. Job Description Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT4. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate...