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Coder and Reimbursement Specialist

1 month ago

Jersey City, New Jersey, United States CarePoint Health Full time
About Us

CarePoint Health is a leading healthcare system in New Jersey, comprising three hospitals: Bayonne Medical Center, Christ Hospital, and Hoboken University Medical Center.

Our system provides 360-degree coordinated care by integrating medical facilities and physician networks.

We are the largest private employer in Hudson County, New Jersey, with over 4,500 employees, and provide care to over 300,000 individuals each year.


CarePoint Health prides itself on its patient-focused approach to care delivery, emphasizing preventative medicine, health education, and disease management.

Leveraging our vast network of physicians and healthcare experts, we are recognized as a leader in the healthcare landscape, pioneering creative solutions to address urgent population health needs.


What You'll Be Doing

Determine the extent to which patients' insurance covers their treatments, reviewing appropriateness of CPT-4/ICD-10 coding and ensuring compliance with Federal and State regulations and company policies.

May assist in identifying fraudulent non-plan billing practices and assist the legal department with litigation preparation.


The successful candidate will be able to:

  • Abstract clinical information from medical records charts and documents
  • Assign appropriate ICD-10 and/or CPT-4 codes to patient records according to documentation
  • Perform other related duties as required and assigned
  • Serve as a resource to employees and respond to employee questions related to coding/billing
  • Meet regularly with Director Physician Billing to identify trends and work with physician and staff to reduce Denials
  • Develop and update training related to coding/billing
  • Plan and schedule special projects as requested by Management


What We're Looking For

High School/Associates Degree

CPC – A/AAPC Certified Professional Coder (CPC)

Personal computer skills including Microsoft Office

Working knowledge of CPT, ICD-10, and HCPCS

Strong analytical and oral/written communication skills

Ability to work well with others

Strong interpersonal and relationship building skills

Ability to maintain independence and objectivity

Must be able to organize, prioritize, and complete tasks within established time constraints

Must have good planning and organizational skills


What We Offer

Competitive pay

Medical, dental, and vision insurance

401k with Company match

Generous paid time off

Paid Holidays

Tuition Reimbursement

Advancement and career development opportunities

Influenza Vaccinations are a requirement for employment at CarePoint Health.

CarePoint Health is an Equal Opportunity Employer encouraging diversity in the workplace.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.