Job Title: Certified Professional Coder
Job Location: Hopewell, NJ
Job Duration: 6 Months (possibility of extension)
Payrate: $35 – $38/ hr. on w2
Job Summary:
This position is responsible for leading audits of hospital billing and coding practices, including desk audits, bill verification, DRG validation/utilization review audits, and credit balance reviews. The role also supports audit protocol development, trend analysis, special projects, and provides guidance on ICD-10-CM coding, DRG assignments, payments, and auditing processes.
Key Responsibilities:
- Lead and finalize hospital billing and coding audits
- Identify billing discrepancies and coordinate improper claim payment referrals
- Analyze and report audit error trends related to documentation and billing practices
- Compile audit statistics and present findings to internal teams and regulatory agencies
- Review and improve audit processes and clinical data review initiatives
- Train and onboard new staff on audit procedures
- Support compliance with healthcare laws, regulations, and company policies
- Perform additional special projects as assigned
Education & Experience:
- High School Diploma/GED required
- Bachelor’s Degree in Health Information Management preferred or equivalent relevant experience
- Minimum 3 years of experience in a medical records department within an acute care hospital or healthcare facility
- Experience with DRG validation, utilization review audits, and ICD-10-CM education required
Required Certifications & Licensure:
- Active RN License required
- CCS or RHIT/RHIA Certification required
Preferred Certifications:
- CCS
- CCS-P
- CCA
Preferred Knowledge:
- Experience with ACCESS Software preferred