New Jersey Licensed Professional Coder

Job Summary

To enhance coding accuracy and compliance, the full-time New Jersey Licensed Professional Coder will perform code abstraction using ICD-9-CM/ICD-10-CM guidelines, support risk adjustment initiatives, and educate staff in a remote work environment.

Key responsibilities

• Compile and analyze chart review findings to implement action plans for improving provider performance
• Educate new staff on high-quality data abstraction and develop quality assurance processes for data integrity
• Conduct mock audits and collaborate with clinical leadership to identify coding improvements and best practices

Required qualifications

• Current RHIT certification or equivalent from a nationally recognized accrediting agency
• Minimum of 5 years of medical coding experience
• 5+ years of experience in health insurance quality chart audits and/or utilization review
• Bachelor's degree required
• Proficiency in CPT-4, HCPC, ICD-9/ICD-10 coding