Job Description

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, work queue 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 ICDaEUR'10aEUR'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:

CPB, CEMC, or CPC I

(AAPC approved instructor) strongly preferred. Minimum five years of professional coding and/or billing experience preferred, including demonstrated experience in provider education, auditing or physician coding reviews, E/M coding, and denial management or revenue cycle exposure. Experience with coding and clinical platforms (3M, EncoderPro, Epic) preferred.

Scheduling Requirements:

Full-Time, Salaried position- 37.5 hours a week The successful candidate must have the flexibility to report on-site as needed to support operational or business priorities, including education delivery and meeting attendance. Ability to deliver education in person and remotely; some travel for onsite support may be required.
Pay: $28.65 - $34.50 per hour

Expected hours: 37.5 per week

Benefits:

Dental insurance Flexible schedule Health insurance Paid time off Vision insurance
Work Location: Hybrid remote in Oceanport, NJ 07757