Professional Coding Provider Educator & Reviewer

Job Title : Professional Coding Provider Educator & Reviewer

Location : System Business Office

Department Name : HIM - Professional

Req # : 0000219981

Status : Salaried

Shift : Day

Pay Range : $75,597.00 - $106,780.00 per year

Pay Transparency :

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview :

The Professional Coding Provider Educator / Reviewer is responsible for preparing educational materials and delivering instruction to Medical Group physicians, Advance Practice Providers, and staff across all RWJBH medical centers, as directed by the System Professional Provider Education Coding Manager and Coding Leadership. Education may be provided in response to compliance reviews, physician onboarding, proactive training, or coding and regulatory updates. This role also conducts medical record coding audits to support education needs, including one-on-one instruction for physicians or staff. Education is delivered in person and remotely as directed.

This candidate may support coding operations, including vendor productivity oversight, denial analysis, workqueue management, and efficiency of coding edits and rule sets in Epic. This blended role is accountable for improving coding quality, reducing denials, and ensuring enterprise‑wide consistency in coding policy and practice.

The candidate must demonstrate advanced knowledge of CPT, HCPCS, and ICD-10 guidelines, review annual and quarterly coding updates, and research newly implemented guidance to respond to coding inquiries accurately and in a timely manner. Education is delivered in person or remotely, and attendance records are maintained and submitted to management at regular intervals. This job description is not exhaustive; duties and responsibilities may change with organizational needs.

Qualifications : Required :

• Associate’s degree or equivalent experience required.
• CPC , or COC required; credentials must be maintained for continued employment.
• CPMA required or willing to obtain within 6 months of onboarding.
• Advanced working knowledge of CPT, HCPCS, and ICD‑10‑CM Official Guidelines and comprehensive understanding of E / M coding, NCCI edits, modifier usage, and payer‑specific policies.
• Demonstrated ability to interpret and apply official coding guidance (CPT Assistant, AHA Coding Clinic, CMS manuals); familiarity with NCDs / LCDs, CMS guidance, and OIG Work Plan items.
• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) required.
• Working knowledge of claim scrub processes, coding edits, unbilled account monitoring, vendor productivity / quality metrics, and denial management workflows.
• Excellent verbal, written, and interpersonal communication; strong organizational skills; attention to detail; ability to prioritize multiple tasks, meet deadlines, and work independently and collaboratively in a fast-paced environment.
• Commitment to maintaining and sharing a centralized repository of coding references, timely response to coding inquiries, accurate documentation of interactions, and ongoing credential maintenance.

Preferred :

Scheduling Requirements :

Essential Functions :

Other Duties :

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks :

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health.

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team.  We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time.  As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

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