Team up with the area's leader
Job #2173
Coding Educator/DRG Validator
Health Information Management Dept.
$7,500 Sign-On Bonus!
Full Time, Days
Trenton, NJ
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  • Educates coders in ICD-10, CPT and HCPCs Level II coding guidelines, modifier guidelines, proper diagnosis and procedure code selection, documentation guidelines and abstracting for reimbursement, insurance and statistical reports.
  • Acts as liaison in a supporting role to physicians to assist in their documentation efforts.
  • Creates training materials to guide physicians in their education process for more accurate documentation, and participates in informal and formal medical staff education.
  • Verifies accurate assignment of diagnoses and procedures within the medical record to comply with federal and state regulations.
  • Acts as the primary department expert on APCs and DRGs.
  • Conducts regular audits, reviews medical records, and assists with external and internal reviews for coding accuracy.
  • Reviews claim denials and rejections pertaining to coding and medical necessity issues. Provides management with various statistical reports, data and audit information on health information management compliance issues, internal and external quality assurance results and activities, performance improvement activities and other statistical information.
  • Assists in implementation of policy and procedural changes within the department regarding coding and quality issues required by third-party payers and according to recommendations by coding consultants and agencies.
  • Develops and coordinates educational and training programs on coding and documentation for department staff, physicians, billing staff and ancillary departments.

  • High school diploma or GED.
  • Associate's degree in Health Information Technology preferred.
  • Five years of coding experience in a healthcare setting.
  • Certification in coding.
  • Experience with encoder computer system.
  • Acquired expertise in DRG and APC assignment and the application of the requirements needed to comply with federal and local regulations.
  • Strong knowledge of medical terminology and anatomy/physiology, and understanding of disease management.
Coding Educator/ DRG Validator, Diagnosis Related Groupings, Health Information Management, ICD-10, CPT, HCPC, APC, Coder, Trenton, Pennington, Health Care, Healthcare, Hospital, Full-time, Days
Capital Health is the region's leader in advanced medicine with significant investments in advanced technologies and the best physicians. Comprising its two hospitals (Capital Health Regional Medical Center in Trenton and the Capital Health Medical Center - Hopewell) and the Capital Health - Hamilton outpatient facility, Capital Health is a growing healthcare organization that is accredited by The Joint Commission. Capital Health has also received Magnet® status for the fourth consecutive time in recognition of its quality patient care, innovations in professional nursing practice, and nursing excellence. Only 29 organizations in the country have received Magnet status four times and five of those organizations are in New Jersey. In addition, our nursing team received special recognition for excellence in stroke and outpatient emergency care.

We offer competitive compensation and benefits that include:
  • Tuition reimbursement
  • Low employee expense for medical and dental insurance
  • 403b savings and retirement program
  • Educational assistance program
  • Facility with $100 million in new renovations
Find out why our 3000+ employees have chosen Capital Health.

Easy commute from PA and major NJ routes.

Learn more about us:

Equal Opportunity Employer.