Westchester Medical Center Health Network · 2 months ago
Network Practice Coder/Auditor (Hybrid available)
Valhalla, NY
Full-time
Hybrid
Mid Level
3+ years expWestchester Medical Center Health Network is seeking a Network Practice Coder/Auditor to ensure compliance with coding and documentation guidelines. The role involves auditing medical records, educating providers on proper coding, and identifying trends for improvement.
Hospital & Health Care
Responsibilities
Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding for accuracy
Identifies patterns and opportunities requiring provider education
Works with providers and office staff to educate on proper coding and documentation
Identifies service-specific/provider specific trends for education
Conducts focused audits on specific services/specialties to identify root causes of coding/denials and provide feedback
Keeps a log of findings and re-reviews to ensure understanding and ongoing correctness
Identifies coding trends for the purpose of education to the coding and physicians and APPs
Provides education to physicians and APPs regarding proper documentation to support billing activities
Keeps abreast of payor rules regarding coding to assist with possible charge transformation rules
Reviews edits in Cerner and SSI to identify additional documentation/coding/medical necessity trends for correction and education
Works with Clinisys team to flag possible coding issues
Monitors coding E/M levels to identify trends requiring further education
Monitors coding surgical procedures in practice and hospital settings to identify trends requiring further education
Other duties as assigned
Qualification
Required
Three to four years of experience where the primary function of the position was inpatient and outpatient medical records coding and/or auditing in a large multispecialty practice setting, including surgical specialties is required
High school or equivalency diploma, required
Current certification as either a Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician Based (CCS-P) through AHIMA, or as a Certified Professional Coder (CPC) through the American Academy of Professional Coders
Thorough knowledge of the current HCPCS, CPT and ICD codes
Thorough knowledge of medical terminology
Thorough knowledge of the principles of the medical record system and its operation
Ability to understand and code medical records
Ability to communicate effectively both orally and in writing
Ability to effectively use computer applications or other automated systems such as spreadsheets, word processing, calendar, e-mail and database software in performing work assignments
Ability to read, write, speak, understand, and communicate in English sufficiently to perform the essential duties of the position
Thoroughness
Sound judgment
Tact
Discretion
Initiative
Accuracy
Physical condition commensurate with the demands of the position
Preferred
HCC Risk adjustment Coding experience is preferred
Company
Westchester Medical Center Health Network
The Westchester Medical Center Health Network (WMCHealth) is the pre-eminent provider of integrated health care in New York’s Hudson Valley region, serving nearly 2.5 million residents across more than 6,000 square miles.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Sean S. Tedjarati, MD, MPH, MBA, CPE
President and CEO WMCHealth Physicians, Advanced Physicians Services
Anthony Frank
Executive Vice President and CFO
Recent News
Crain's New York Business
2025-06-25
Connecticut Post
2025-05-30
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