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Coding Reviewer Jobs in New Jersey (NOW HIRING)

Reviews KPIs daily and take an active role in making appropriate adjustments to ensure goals are ... Oversees coding personnel Qualities & Skills * Expert on physician billing with an in-depth ...

This role reviews the coded data listings for accuracy and consistency within a study, within a project, and across projects, and follows up with clinical representative(s) as to questions arising ...

Coding Coordinator

Trenton, NJ · On-site

$37.14/hr

Reviews dashboards and reports, to identify and report needs to coding leadership. (30%) * Continually assesses and monitors work queues to identify fluctuating needs. Escalates items based on what ...

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

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Coding Reviewer information

What is a coding reviewer?

Coding Reviewers are professionals responsible for evaluating, analyzing, and verifying code written by other developers to ensure it meets established standards and best practices. They check for errors, maintainability, security vulnerabilities, and adherence to coding guidelines. Their feedback helps improve code quality, reduce bugs, and facilitate team collaboration. Coding Reviewers often participate in code walkthroughs, pull request reviews, and may also mentor junior developers.

How does a coding reviewer typically collaborate with software development teams during the review process?

Coding Reviewers work closely with developers by examining code for quality, consistency, and adherence to best practices before it is merged into the main codebase. They often provide constructive feedback through code review tools or meetings, helping developers understand and resolve issues. Effective collaboration also involves clear communication to ensure that suggested changes are well-understood and implemented, fostering continuous improvement and knowledge sharing within the team.

What are the key skills and qualifications needed to thrive as a coding reviewer, and why are they important?

To thrive as a Coding Reviewer, you need in-depth knowledge of medical coding standards (such as ICD-10, CPT, and HCPCS), healthcare regulations, and relevant clinical terminology, typically supported by a certification like CPC or CCS. Familiarity with electronic health records (EHR) systems, coding audit tools, and healthcare compliance software is essential. Strong attention to detail, analytical thinking, and effective communication skills help Coding Reviewers identify errors and provide clear feedback. These skills ensure accurate billing, regulatory compliance, and optimized revenue cycles in healthcare organizations.

What is the difference between Coding Reviewer vs Medical Coder?

AspectCoding ReviewerMedical Coder
CredentialsCertification in coding (e.g., CPC, CCS)Certification in coding (e.g., CPC, CCS)
Work EnvironmentReviewing medical codes, often in healthcare settingsAssigning medical codes from patient records
Industry UsageUsed in hospitals, clinics, insurance companiesUsed in hospitals, clinics, billing companies
Primary RoleReview and validate coding accuracyAssign and input medical codes

Both Coding Reviewers and Medical Coders require similar certifications and work in healthcare environments. Coding Reviewers focus on verifying the accuracy of codes assigned by others, ensuring compliance and correctness. Medical Coders are responsible for assigning the initial codes based on medical records. While their roles are interconnected, Coding Reviewers primarily audit and validate, whereas Medical Coders handle the coding process itself.

Clinical Coding and OASIS Reviewer

Pennsauken, NJ • Remote

BAYADA Home Health Care
Health Care and Social Assistance • 10K+ employees

$77K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago


Bayada Home Health Care rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

452nd of 898 rated healthcare providers


Job description

Remote role but must be willing to work 8:30-5 Eastern time.

Please note- Candidates must have COS-C, HCS-O or COQS and HCS-D or BCHH-C certifications in order to be considered.

BAYADA Home Health Care has an immediate opening for a Full Time, Quality Reviewer with OASIS certification to work remotely. RN’s with certifications will be considered for this role.

The Quality Reviewer is responsible for auditing, validating, and optimizing the patient’s Plan of Care (Form CMS-485) and OASIS assessments. This role ensures clinical accuracy, regulatory compliance with Medicare/CMS guidelines, and appropriate reimbursement for home health services.

BAYADA Perks:

  • This is a fully remote position.
  • Base Salary: $77,000 - $80,000 / year
  • BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit, and employee assistance program.

Responsibilities:

  • Compare the CMS-485 against referral documents, History & Physical (H&P), OASIS, and therapy/nursing evaluations for 100% consistency and medical necessity.
  • Review and communicate OASIS edit recommendations to each clinician to promote OASIS accuracy.
  • Timely review and coding of diagnoses and OASIS documents with productivity maintained at the quarterly target set by the Director of MCM.
  • Review clinical information for appropriateness, congruency, and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines.
  • Provide support and communication to all disciplines within the service.
  • Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, PDGM guidelines and billing related issues.
  • Provide ongoing communication with service offices via e-mail, zoom, or telephone (specific to the service office needs).
  • Communication with service offices monthly and as appropriate with a focus on documentation trends, star ratings and potential revenue impact.
  • Perform related duties, or as required or requested by Manager/Director.

Qualifications:

  • Competency in PC skills required to perform job function.
  • Active Compact RN Nursing License, with a minimum of 2 years clinical experience.
  • COS-C or HCS-O or COQS OASIS Certification and experience required.
  • HSC-D or BCHH-C.
  • HCHB experience, a plus!

As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.

BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.


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Bayada Home Healthcare logo

About Bayada Home Healthcare

Sourced by ZipRecruiter

BAYADA has a special purpose: to help people of all ages have a safe home life with comfort, independence, and dignity. We believe our clients and their families deserve the highest quality home health care delivered with compassion, excellence, and reliability - our core values, affording them the opportunity to remain at home and receive the medical care required.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Moorestown, NJ, US

Year founded

1975