Professional Coder
Location
New Jersey + 1 moreAll locations: New Jersey | Pennsylvania
Posted
128 days ago
Salary
$25 - $33 / hour
Seniority
Mid Level
Job Description
Professional Coder
HCA Healthcare
• Responsible for accurately reviewing and assigning Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and ICD-10-CM codes for professional claims billed by Capital Health Medical Group (CHMG) for hospital and outpatient procedures • Accurately applies official coding conventions and rules established by the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) for assignment of procedural and diagnostic codes • Reviews procedure documentation for accurate assignment of ICD-10-CM diagnosis, current procedural terminology (CPT-4) codes and modifiers • Ensures appropriate coding of evaluation and management services when applicable • Meets or exceeds departmental accuracy and productivity standards • Ensures compliance with national coding guidelines and Capital Health's policies for complete, accurate and consistent coding resulting in appropriate reimbursement and data integrity • Fosters teamwork and collaboration • Addresses professional coding pre-bill edits timely to ensure minimal days in DNFB • Acts as a subject matter expert for professional coding
Job Requirements
- Candidates must reside in the New Jersey/Pennsylvania area
- High school diploma or equivalent
- Certified Professional Coder-Apprentice (CPC-A), Certified Professional Coder (CPC), or Certified Coding Specialist-Physician (CCS-P) certification required
- Associate's degree in health information management preferred
- Two years' experience in physician coding role preferred
- ICD-10-CM, CPT-4 and HCPCS coding experience preferred
- One year surgical coding experience preferred
- Knowledge and Skills: Excellent verbal and written communication skills
- Strong knowledge of surgical coding guidelines
- Knowledge of pathophysiology and disease processes
- Special Training: Physician coding and training certification
- Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint
- Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge
- CPC-A, CPC, or CCS-P required
Benefits
- Medical Plan
- Prescription drug coverage & In-House Employee Pharmacy
- Dental Plan
- Vision Plan
- Flexible Spending Account (FSA) - Healthcare
- FSA - Dependent Care
- Retirement Savings and Investment Plan
- Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
- Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
- Disability Benefits – Long Term Disability (LTD)
- Disability Benefits – Short Term Disability (STD)
- Employee Assistance Program
- Commuter Transit
- Commuter Parking
- Supplemental Life Insurance - Voluntary Life
- Spouse - Voluntary Life
- Employee - Voluntary Life
- Child Voluntary Legal Services
- Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
- Voluntary Identity Theft Insurance
- Voluntary Pet Insurance
- Paid Time-Off Program
Related Guides
Related Categories
Related Job Pages
More Medical Billing and Coding Jobs
Emergency Department Medical Coder
St. Luke's University Health NetworkHeadquartered in Bethlehem, Pennsylvania, St. Luke's University Health Network - SLUHN is a nationally recognized nonprofit network of health organizations, hos
• Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines. • Maintains a 95% coding accuracy rate as measured through quality reviews. • Conducts educational sessions to the medical staff for coding and documentation compliance. • Performs data entry of abstracted physician information into specialty-specific databases.
Coder
Solaris HealthSolaris Health is a national healthcare platform to enhance access to specialty healthcare and improve patient outcomes.
• Responsible for successfully coding all cases to the highest level of accuracy. • Ensure quality and productivity standards are met. • Escalate coding issues with the Coding Supervisor. • Review chart documentation for accuracy and completeness. • Communicate with Claims Resolution Specialists and Business Office staff. • Demonstrate knowledge of CPT, HCPCS, modifiers, diagnosis codes, and medical terminology. • Collaborate with providers to obtain complete documentation to support coding. • Monitor compliance with policies and procedures. • Identify process opportunity trends and recommend improvements. • Maintain current knowledge of coding guidelines and relevant regulations. • Participate in special projects, personal development training, and cross-training.
• Analyze billing, claims, and payment data to identify trends, irregularities, and denial patterns • Investigate root causes of denied/underpaid claims, including policy discrepancies and documentation gaps • Recommend and implement corrective actions to prevent future denials and improve collections • Collaborate with billing, coding, and reimbursement teams to strengthen process accuracy and compliance • Independently troubleshoot issues with minimal oversight—self-starter mindset required • Create reports and dashboards using advanced Excel skills to support revenue recovery and operational insights • Apply quality assurance principles to ensure accuracy, integrity, and compliance across billing workflows
Mental Health Revenue Cycle / Medical Billing Coordinator
RIVIA MindHolistic mental health treatment & wellness therapy for individual clients 18+ & couples. Teletherapy appts. available.
• Under the direct supervision of the Revenue Cycle Supervisor, the Revenue Cycle Coordinator serves as a key support role within the billing department. • This position contributes to claim processing, denial resolution, insurance follow-up, and patient invoicing. • It also plays a critical role in handling communication across billing channels, including emails, phone calls, and chat messages, with an emphasis on timely and professional follow-through. • The Coordinator leverages prior billing experience to help maintain accuracy, efficiency, and responsiveness across all core revenue cycle functions.



