Medical Coder
Planned Parenthood of Metropolitan New Jersey
full-time
Posted on:
Location Type: Hybrid
Location: Mulberry • New Jersey • United States
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Salary
💰 $33 - $41 per hour
About the role
- Reporting to the Director of Revenue Cycle, the Medical Coder translates clinical documentation into standardized codes for billing, reporting, and quality initiatives.
- Supports coding audits, revenue cycle workflows, and regulatory compliance.
- Verifies clinical information with medical staff, resolving documentation gaps, and collaborating with billing staff to ensure accurate claims submission.
- Ensures appropriate codes are assigned to all procedures and diagnoses.
- Assigns and sequences of ICD-10-CM, CPT & HCPCS codes accurately in compliance with government and insurance regulations.
- Ensures codes reflect patient diagnoses and procedures as documented by clinicians, meeting payer, OSHA, and HIPAA requirements.
- Reviews and abstracts clinical documentation from outpatient encounters to assign accurate ICD-10-CM, CPT/HCPCS codes, and modifiers.
- Clarifies and resolves coding questions or ambiguities for staff as needed.
- Gathers and compiles data from clinicians, EPIC, and other sources for monthly reporting.
- Collaborates with the Director of RQM to investigate reported medical malpractice by analyzing and identifying the medical procedures, diagnoses, or events that contributed to negligence.
- Validates coding accuracy through prospective and retrospective coding audits; implements corrective actions as needed.
- Collaborates with lead clinicians, clinicians, and other team members to resolve documentation gaps that affect coding accuracy and reimbursement.
- Maintains up-to-date knowledge of payer policies, CMS/Medicare updates, and specialty-specific coding practices (e.g., family practice, women’s health, etc.).
- Submits coded data to billing and medical records systems; verifies proper claim submission to ensure optimal reimbursement
Requirements
- Associate (Required)
- Certified Medical Coding: 3 years (Required)
Benefits
- 401(k)
- 401(k) matching
- Health insurance
- Paid time off
- Professional development assistance
- Vision insurance
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CM codingCPT codingHCPCS codingcoding auditsclinical documentation reviewdata compilationcoding accuracy validationmodifier assignmentregulatory compliancebilling procedures
Soft Skills
collaborationproblem-solvingcommunicationattention to detailanalytical skillsinterpersonal skillsorganizational skillscritical thinkingadaptabilityconflict resolution
Certifications
Certified Medical Coder