The Certified Professional Coder (CPC) serves as a 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. The 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 include addressing vendor coding queries, identifying documentation deficiencies, initiating provider queries when clarification is needed, applying CMS and payer coding guidelines, assisting with coding-related denials, audits, and appeals, and staying current with coding updates and rule changes.
Qualifications
- Active AAPC CPC® certification
- 3+ years of medical coding experience
- Strong knowledge of CPT®, ICD-10-CM, and HCPCS coding guidelines
- Knowledge of E/M coding, including 2021+ E/M guidelines if applicable
- Understanding of CMS and major payer regulations
- Experience with provider education and relationship management
Preferred Qualifications
- Proficiency in electronic health records (EHR) and encoder systems
- Experience in hospital, multispecialty, or high-volume outpatient environments
- Familiarity with auditing, compliance programs, and denial resolution
- Excellent attention to detail and analytical skills
- Strong written and verbal communication skills
- Administrative writing and reporting skills
- Proficiency in Microsoft Office Suite
Benefits
- Competitive salary
- Robust health, dental, Rx, and vision plans
- 403(b) retirement plan with company match
- Health and wellness support
- Non-profit health system eligible for Federal Student Loan Forgiveness
- PTO and paid holidays
- Tuition reimbursement
- Employee Assistance Program
- Long-term disability coverage
- Life insurance options
- Onsite day care program
Location
New Jersey, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 year ago