NorthBay Healthcare Group

NorthBay Health is seeking a Professional Fee Coding Auditor to oversee auditing of professional fee coding across Ambulatory/Hospitalist, Surgery, and Emergency Medicine. You will resolve pre-billing edits and review post-billing denials to ensure coding accuracy and payer compliance. Your role includes education for coders and physicians and collaboration with leadership to strengthen workflows. Candidates should have extensive coding experience, certification (CPC/CCS-P/CPMA), and strong #J-18808-Ljbffr

NorthBay Health is seeking a Coder I to join the Health Information Management Team. You will convert diagnoses and procedures for emergency and outpatient cases into ICD-10, CPT and HCPCS codes with accuracy and timeliness, using an EHR system and encoder. The role requires knowledge of anatomy, medical terminology, and reimbursement methods, with experience in ICD-10-CM, CPT and HCPCS. You must have a private, distraction-free home workspace for HIPAA compliance and be prepared for #J-18808-Ljbffr

Job Description At NorthBay Health the Professional Fee Coding Auditor is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre‑billing coding edits, and reviewing post‑billing coding‑related denials. This role ensures coding accuracy, documentation integrity, and compliance with CPT, HCPCS, ICD‑10‑CM, and payer‑specific rules. The position supports coding quality improvement, identifies trends, provides coder feedback and physician education based on audit and edit findings, and partners with leadership to strengthen coding workflows across the organization. Primary Job Duties Audit Responsibilities Performs routine and targeted professional fee coding audits across all service lines: Ambulatory/Hospitalist (including Urgent Care and Pools), Surgery, and ED ProFee. Reviews documentation for completeness, accuracy, and compliance with CPT, HCPCS, ICD‑10‑CM, and payer policies....