Jobs · Healthcare · New Jersey

Lead Coding Specialist

Atlantic Health · Pompton Plains, NJ · 1 mo ago
On-siteHealthcareFull-time
We need to output HTML fragment with sections: About the role (maybe from description), Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We need to parse the job description. First, the job description text includes: - Job Description: A Lead HIM Coder assists in managing the coding team by educating staff and monitoring all coding functions and work queues. They audit records to improve the accuracy and quality of coding and charging within the team. Serves as a liaison with CDI and physicians to enhance documentation, optimize reimbursement, and support efficient AR performance. Then "Principal Accountabilities" bullet list (actually paragraphs). Those are responsibilities. Then "Required QUALIFICATIONS" list. Then "Preferred" etc. Then "About Us" (company description). That could be "About the role"? Actually "About Us" is company info, not role. But we could put under "About the role"? The instruction: use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we need sections like About the role (maybe a brief summary), Responsibilities (principal accountabilities), Requirements (maybe required qualifications), Qualifications (preferred?), Skills (maybe not explicit), Benefits (from Summary), Pay (from note about NJ Pay Transparency Act: they say will include hourly wage or salary but not given actual number; they say "Final compensation and benefit eligibility may vary". There's no actual pay figure given. So we cannot include Pay section because no specific pay info. Similarly Schedule not given. We need to include Benefits section because they gave a summary of benefits. We need to include Skills? Not explicit list; maybe we can infer from responsibilities but better not to create filler. So omit Skills if no explicit list. We need to include About the role: maybe the first paragraph under Job Description serves as about the role. Responsibilities: the Principal Accountabilities bullet points. Requirements: maybe the "Required QUALIFICATIONS" (high school diploma, CCS, 5 years experience). Could be separate from Qualifications (preferred). But we can treat Required as Requirements, Preferred as Qualifications. We need to preserve all substantive info; not invent. We need to remove boilerplate: EEO statement, legal, navigation, duplicated lines, application instructions. Also remove the "Note: In Compliance..." maybe that's boilerplate but includes mention of pay transparency; but we should not include Pay section because no actual pay. The note itself is boilerplate; we can drop it. Also remove the "About Us" section? It's company info; maybe we can include as "About the role"? Actually "About Us" is not about the role but about the company. The instruction says we can use About the role heading for section headings. It didn't forbid including company info under About the role? Probably we should put company info under About the role? But the heading "About the role" suggests description of the role, not company. However we have no explicit "About the role" besides the first paragraph. The "About Us" is company overview; maybe we can treat that as "About the role"? Not ideal but maybe we can include it under About the role as it's substantive. But we could also omit About the role section if we only have the first paragraph; but we have that paragraph, so we can use it. Thus:

About the role

A Lead HIM Coder assists in managing the coding team by educating staff and monitoring all coding functions and work queues. They audit records to improve the accuracy and quality of coding and charging within the team. Serves as a liaison with CDI and physicians to enhance documentation, optimize reimbursement, and support efficient AR performance.

Responsibilities

  • Manages multiple EPIC work queues (WQs) to ensure timely billing and resolution of all encounters within 2–3 days.
  • Monitors and audits coder performance, ensuring >= 95% coding and DRG accuracy through regular reviews, meetings, and feedback sessions.
  • Educates and mentors coding staff, providing onboarding for new coders, daily coaching, and monthly team meetings to maintain accuracy and compliance.
  • Acts as a liaison between the Coding Division, CDI Program, physicians, and Revenue Integrity to improve documentation, query processes, and charge accuracy.
  • Conducts daily coding audits and reviews all PSI, Vizient, and 3M data to validate coding accuracy, case quality, and performance metrics.
  • Oversees the DRG validation and denial management program, resolving coding disputes and ensuring documentation supports accurate reimbursement.
  • Applies national coding standards and metrics, maintaining expertise in SOI/ROM, AHRQ PSI criteria, NTAP cases, and Medicare reimbursement systems.
  • Stays current on industry updates, including Medicare PPS changes, Coding Clinic guidance, and emerging trends such as SDOH and COVID-related coding.
  • Drives process improvement initiatives, collaborating with CDI, Quality, and ER leaders to enhance documentation, reduce denials, and improve national quality ratings.
  • Performs coding duties as needed, supporting workload balance, reducing discharged-not-billed (DNB) cases, and meeting monthly performance goals.

Requirements

  • High School Diploma or equivalent and Medical Coding Education
  • Certified Coding Specialist - CCS
  • Five (5) years progressive coding experience.

Qualifications

  • Preferred: Associate or bachelor's degree in a healthcare related field.
  • Preferred: More than Seven (7) years of coding experience in an academic medical center.
  • Preferred: Physician-Based (CCS-P) or a Certified Coding Associate (CCA).

Benefits

  • Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
  • Life & AD&D Insurance
  • Short-Term and Long-Term Disability (with options to supplement)
  • 403(b) Retirement Plan: Employer match, additional non-elective contribution
  • PTO & Paid Sick Leave
  • Tuition Assistance, Advancement & Academic Advising
  • Parental, Adoption, Surrogacy Leave
  • Backup and On-Site Childcare
  • Well-Being Rewards
  • Employee Assistance Program (EAP)
  • Fertility Benefits, Healthy Pregnancy Program
  • Flexible Spending & Commuter Accounts
  • Pet, Home & Auto, Identity Theft and Legal Insurance
We should not include Pay or Schedule sections because no specific info. We need to ensure we didn't include any boilerplate like EEO, Note, etc. Check for duplicated lines: we have not included the "About Us" company description; we omitted it. That's okay because we used About the role for role description. The company description is substantive but not requested as a section; we could include it under About the role? But we already used that for role description. Could we add another paragraph under About the role containing company info? The instruction: "use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)". It doesn't forbid multiple paragraphs under a heading. So we could combine role description and company info under About the role. However the company info is not about the role but about the employer; still could be placed there. But maybe better to keep About the role limited to role description; we could add another heading like "About the company" but not allowed headings list. So we either omit company info or include it under About the role as extra paragraph. The instruction: "Prefer a few substantive sections over many thin ones." Including company info under About the role would make that section thicker, which is okay. Let's do that: after the role description paragraph, add another paragraph with company overview. Thus About the role will have two paragraphs: first the role description, second the company overview (the "About Us" paragraph). Ensure we keep all substantive info: we need to include the company overview details: At Atlantic Health, our promise... etc. Also the list of facilities and awards. That's a lot; we should preserve all substantive information. So we need to include the entire "About Us" block (including the list of facilities and awards). That is substantive. So we will put that as a second paragraph (or maybe as a

containing the whole block). However the block includes line breaks and lists; we can keep as a single paragraph with sentences; but we need to preserve line breaks? Not required; just preserve info. We'll convert to a paragraph with the text. Thus About the role will contain:

A Lead HIM Coder assists in managing the coding team by educating staff and monitoring all coding functions and work queues. They audit records to improve the accuracy and quality of coding and charging within the team. Serves as a liaison with CDI and physicians to enhance documentation, optimize reimbursement, and support efficient AR performance.

At Atlantic Health, our promise to our communities is; Anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 22,000 team members. Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include: Atlantic Health Morristown Medical Center, Morristown, NJAtlantic Health Overlook Medical Center, Summit, NJAtlantic Health Newton Medical Center, Newton, NJAtlantic Health Chilton Medical Center, Pompton Plains, NJAtlantic Health Hackettstown Medical Center, Hackettstown, NJAtlantic Health Goryeb Children's Hospital, Morristown, NJAtlantic Health CentraState Healthcare System, Freehold, NJAtlantic Medical GroupAtlantic Visiting NurseAtlantic Mobile HealthAtlantic Rehabilitation We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. We Have Received Awards And Recognition For The Services We Have Provided To Our Patients, Team Members And Communities. Below Are Just a Few Of Our Accolades Chosen for 17 years by Fortune as one of the magazine’s “100 Best Companies to Work For." Atlantic Health Morristown and Atlantic Health Overlook Named by Newsweek as two of the “World’s Best Hospitals” in 2026.Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News & World Report’s 2025-2026 Best Hospital rankings. Atlantic Health scored four “A” grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm. Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026.Named by Becker's Healthcare as one of the "165 Top Places to Work in Healthcare – 2026.Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton and Atlantic Health Newton all Forbes Top Hospitals for 2026.Named by Newsweek as one of America’s Greatest Workplaces for Inclusion & Diversity 2025.Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired.

We need to ensure we didn't miss any content: The "About Us" also includes a line "Summary Atlantic Health offers a competitive and

Similar jobs

Lead Systems Developer

Reinsurance Group of America, IncorporatedSt Louis, MO· 1 wk ago
$107k–$159k/yrapply on rgarecareers.com

Lead Systems Engineer

Curtiss-Wright CorporationSanta Clarita, CA· 2 wk ago
Information Technology$109k–$145k/yrapply on curtisswright.wd1.myworkdayjobs.com