The Certified Professional Coder (CPC) serves as liaison between the medical group and the external coding vendor. This role ensures consistent communication, accurate and compliant coding practices, timely issue resolution, and alignment with organizational policies and payer requirements. The Coding Liaison supports documentation integrity, monitors vendor performance, and acts as a subject matter expert for coding-related inquiries. This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices.
Key Responsibilities:
Serve as the liaison to ensure coding queries issued by the vendor are addressed by providers, resolved appropriately, and returned to the vendor in accordance with established timelines. Identify documentation deficiencies and initiate provider queries when clarification is neededApply current CMS, payer, and organizational coding guidelinesAssist with coding-related denials, audits, and appealsStay current with coding updates, rule changes, and ongoing education requirementsSt. Joseph's Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care".Benefits Eligibility: (Full-time and Part-time Employees-over 20 hours a week) Competitive salary*Robust benefits with health, dental, Rx and vision plans403b retirement plan options with company match**Health & Wellness*Non-Profit Health System – eligible for Federal Student Loan ForgivenessPTO, and paid holidaysTuition reimbursementEmployee Assistance ProgramLTD : Long Term DisabilityLife Insurance OptionsOnsite Day care Program*Available for Per Diem Employees and Part-time Employees working under 20 hours per week.**403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.
Pay transparency:
St. Joseph's Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc." The salary range does not include incentives, differential pay or other forms of compensation. St. Joseph's University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures. The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women's health, imaging and pediatrics. The nursing team at St. Joseph's University Medical Center, which includes St. Joseph's Children's Hospital, has held the Magnet Award for Nursing Excellence, the profession's highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award. Medical Coder Qualifications/Skills: Active AAPC certification (CPC)3+ years of medical coding experience. Strong knowledge of: CPT, ICD-10-CM, and HCPCS coding guidelinesE/M coding (including 2021+ E/M guidelines if applicable)CMS and major payer regulationsProvider education and relationship managementPreferred QualificationsProficiency in electronic health records (EHR) and encoder systemsExperience in hospital, multispecialty, or high-volume outpatient environmentsFamiliarity with auditing, compliance programs, and denial resolutionExcellent attention to detail and analytical skillsStrong written and verbal communication skillsAdministrative writing skillsReporting skillsProficiency in Microsoft Office Product Suite. Full timePosting Date: 2026-01-16
