About this Coding Auditor, Health Information Management, Full Time, Day role at Valley Health System
Position Summary
The Coding Auditor is responsible for performing comprehensive coding audits to ensure accuracy, compliance, and consistency across all professional services at VMG. This role supports service-line transitions, vendor oversight, and quality validation.
Each Coding Auditor will be aligned to a Coding Educator to ensure coordinated education and quality improvement efforts.
Education
High school diploma or equivalent required.
Experience
- Minimum of 5 years of professional coding experience
- Certified Professional Coder (CPC) – AAPC required or equivalent
- Multi-specialty experience in professional coding
- Strong presentation and communication skills
- CPC-H (Hospital Outpatient) preferred
- CPMA (Certified Professional Medical Auditor) preferred
Skills
- Advanced knowledge of coding guidelines.
- Strong understanding of professional fee coding, reimbursement methodologies, and revenue cycle operations.
- Demonstrated expertise in conducting audits and evaluating physician documentation for coding accuracy, completeness, and compliance.
- Strong analytical and critical thinking skills
- Experience monitoring coding quality metrics, audit outcomes, and performance indicators, and communicating findings, recommendations, and financial impact to providers, leadership, and operational stakeholders.
- Ability to develop corrective action plans and collaborate with coding educators, operational leaders, and providers to drive coding quality and documentation improvement initiatives.
- Experience evaluating outsourced coding vendor performance, monitoring service level agreements (SLAs), and ensuring adherence to quality and compliance standards.
- Strong organizational, project management, and prioritization skills with the ability to manage multiple audits, projects, and deadlines simultaneously.
- Excellent written, verbal, and interpersonal communication skills with the ability to effectively collaborate across departments and present complex information to diverse audiences.
- Ability to exercise sound judgment, maintain confidentiality, and handle sensitive compliance-related matters with professionalism.
Job Location
The Valley Health System-RidgewoodShift
Day (United States of America)Benefits
- Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees)
- Group Term Life Insurance and AD&D(Full Time Employees)
- Flexible Spending Accounts and Commuter Benefit Plans
- Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)
- 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness
- Retirement Plan
- Tuition Assistance
- Employee Assistance Program (EAP)
- Valley Health LifeStyles Fitness Center Membership Discount
- Day Care Discounts for Various Daycare Facilities
EEO Statement
Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.
