Coding Qlty Anlst & Prov Educ

Westchester Medical Center Health Network

Valhalla, NY

JOB DETAILS
SALARY
$82,501–$103,724 Per Year
SKILLS
Administrative Skills, Auditing, Billing Records, Business Object Notation (BON), Centers for Medicare and Medicaid Services (CMS), Cerner, Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Communication Skills, Current Procedural Terminology (CPT), Database Management Software/Systems (DBMS), Documentation, Email Software, English Language, Financial Procedures, Financial Systems, Health Information Management, Healthcare Common Procedure Coding System (HCPCS), Healthcare Providers, Hospital, Identify Issues, Information Technology & Information Systems, International Classification of Diseases (ICD), Medical Coding, Medical Diagnosis, Medical Protocols, Medical Record System, Medical Records, Medical Terminology, Medical Treatment, Nursing, Nursing Management, Outpatient Care, Presentation/Verbal Skills, Retirement Plan, Root Cause Analysis, SSI, Spreadsheets, Support Documentation, System Operations, Team Player, Technical Support, Training/Teaching, Trend Analysis, Word Processing
LOCATION
Valhalla, NY
POSTED
7 days ago

Keywords

Job Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support clerical/Administrative Supportc Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades

Company Company Bon Secours Charity Medical Group Bon Secours Community Hospital Good Samaritan Hospital HealthAlliance Hospital Margaretville Hospital MidHudson Regional Hospital Mountainside Residential Care Center NorthEast Provider Solutions Inc. Schervier Pavilion St Anthony Community Hospital St. Joseph's Place Westchester Medical Center WMC Advanced Physician Services PC

City/State City NY Hawthorne Kingston Margaretville Monroe Nanuet Port Jervis Poughkeepsie Suffern Valhalla Warwick

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Job Title: Coding Qlty Anlst & Prov Educ

Company: NorthEast Provider Solutions Inc.

City/State: Valhalla, NY

Category: Clerical/Administrative Support

Department: Revenue Integrity

Union: No

Position: Full Time

Hours: 8-4:30pm, M-F

Shift: Day

Req #: 48309

Posted Date: Jun 23, 2026

Hiring Range: $82,501 - $103,724

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External Applicant link Internal Applicant link

Job Details:

Job Summary:

The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide education and training to providers and other agency coders based on the findings of the medical records audits. Does related work as required.

Responsibilities:

  • Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding for accuracy
  • Identifies patterns and opportunities requiring provider education.
  • Works with providers and office staff to educate on proper coding and documentation. Identifies service-specific/provider specific trends for education.
  • Conducts focused audits on specific services/specialties to identify root causes of coding/denials and provide feedback. Keeps a log of findings and re-reviews to ensure understanding and ongoing correctness. .
  • Identifies coding trends for the purpose of education to the coding and physicians and APPs
  • Provides education to physicians and APP's regarding proper documentation to support billing activities
  • Keeps abreast of payor rules regarding coding to assist with possible charge transformation rules.
  • Reviews edits in Cerner and SSI to identify additional documentation/coding/medical necessity trends for correction and education. Works with Clinisys team to flag possible coding issues.
  • Monitors coding E/M levels to identify trends requiring further education
  • Other duties as assigned.

Qualifications/Requirements:

Experience:

Three to four years of experience where the primary function of the position was outpatient medical records coding in the ambulatory setting

Education:

High school or equivalency diploma, required. An Associate's degree or Bachelor's degree in health information management may be substituted for one year of the required experience.

Licenses / Certifications:

Current certification as either a Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician Based (CCS-P) through AHIMA, or as a Certified Professional Coder (CPC) through the American Academy of Professional Coders.

Other:

Thorough knowledge of the current HCPCS, CPT and ICD codes; thorough knowledge of medical terminology; thorough knowledge of the principles of the medical record system and its operation; ability to understand and code medical records; ability to communicate effectively both orally and in writing; ability to effectively use computer applications or other automated systems such as spreadsheets, word processing, calendar, e-mail and database software in performing work assignments; ability to read, write, speak, understand, and communicate in English sufficiently to perform the essential duties of the position; thoroughness; sound judgment; tact; discretion; initiative; accuracy; physical condition commensurate with the demands of the position.

About Us:

NorthEast Provider Solutions Inc.

Benefits:

We offer a comprehensive compensation and benefits package that includes:

  • Health Insurance
  • Dental
  • Vision
  • Retirement Savings Plan
  • Flexible Savings Account
  • Paid Time Off
  • Holidays
  • Tuition Reimbursement

Apply Now

External Applicant link Internal Applicant link

About the Company

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Westchester Medical Center Health Network