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Manager, Professional Coding Quality & Education, Health Information Management, Full Time

THE VALLEY HOSPITAL INC

Ridgewood, NJFull-time$109–136K/yrTracked 4w agoSeen in employer's feed 6 days ago

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At a glance

Compensation
$109–136K/yr
Location
Ridgewood, NJ
Schedule
Full-time
Work Authorization
Not specified

Requirements

Credentials this posting asks for.

Certified Professional Coder (CPC)Bachelor's degree

Job overview

THE VALLEY HOSPITAL INC is hiring a Manager, Professional Coding Quality & Education, Health Information Management, Full Time. The Manager, Professional Coding Quality & Education leads coding education and quality initiatives within the Valley Health System’s Health Information Management department, partnering with physicians, compliance, finance, revenue cycle and IT teams. This role oversees audit programs, vendor performance, and implements advanced coding technologies such as AI‑assisted and computer‑assisted solutions to improve documentation integrity, reimbursement accuracy and overall coding performance.

Key focus areas include Lead coding education and quality initiatives across the physician enterprise., Develop and implement coding education programs for providers., and Oversee coding quality and audit programs to ensure compliance..

Successful candidates bring 5+ Years Professional Coding Leadership Experience, Experience Leading Professional Coding Quality, Compliance And Education Initiatives, and Experience Partnering With Physician Leadership. Important skills include ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, HCCs, and Value-Based Reimbursement Methodologies.

Skills & qualifications

RequiredNice to have

Skills

ICD-10-CMICD-10-PCSCPTHCPCS Level IIHCCsValue-Based Reimbursement MethodologiesProfessional Coding GuidelinesMedicare Reimbursement MethodologiesMedicaid Reimbursement MethodologiesCommercial Payer Reimbursement MethodologiesFederal Regulations Governing CodingState Regulations Governing CodingFederal Regulations Governing BillingState Regulations Governing BillingFederal Regulations Governing DocumentationState Regulations Governing DocumentationFederal Regulations Governing ReimbursementState Regulations Governing ReimbursementPhysician Documentation RequirementsDocumentation Integrity PrinciplesCollaborationAnalytical SkillsChange ManagementProcess ImprovementTechnology ImplementationCoding TechnologyEncoder SoftwareComputer-Assisted CodingAI-Assisted CodingWorkflow Optimization ToolsAI-Enabled Coding SolutionsWorkflow AutomationMedicareMedicaid

Qualifications

Bachelor's DegreeCertified Professional Coder (CPC)Degree in Health Information Management (HIM)RHIT or RHIA CertificationFive+ Years Progressive Professional Coding Leadership ExperienceExperience Leading Coding Quality, Compliance and Education InitiativesExperience Partnering With Physician Leadership, Clinical Departments, Revenue Cycle, Compliance, Finance, Information TechnologyExperience Managing Outsourced Coding Vendors and Vendor PerformanceExperience Leading and Developing Coding Quality Initiatives, Provider Education Programs, Audit Response, Regulatory Compliance ActivitiesExperience Implementing Coding Technology, Encoder Software, Computer-Assisted Coding, AI-Assisted Coding, Workflow Optimization Tools

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
Paid Time Off
Tuition Assistance

Full job description

Experience Required

Five or more years of progressive professional coding leadership experience within an integrated health system, academic medical center, or large physician enterprise; experience leading professional coding quality, compliance and education initiatives; experience partnering with physician leadership, clinical departments, revenue cycle, compliance, finance, and information technology; experience managing outsourced coding vendors and vendor performance; experience leading and developing coding quality initiatives, provider education programs, audit response, and regulatory compliance activities.

Minimum Education Required

BACHELOR

License(s) Required

No

Expected Start Date

07/29/2026

Compensation

$108,784.00 - $135,990.00 / Yearly

Hours Per Week

40

Number Of Positions

1

Shift

Unspecified

Job Description

Position Summary

The Manager, Professional Coding Quality & Education is a key leader within Health Information Management (HIM) and the Medical Group organization. This role is responsible for leading coding education and quality operations across the physician enterprise and partners closely with physician leadership, operational leaders, Compliance, Finance, Revenue Cycle, Clinical Departments, Information Technology, Clinical Documentation Integrity (CDI), and outsourced coding vendors to ensure accurate, timely, and compliant coding practices that support quality care, regulatory compliance, and optimal reimbursement.

The Manager develops and implements coding education, oversees coding quality and audit programs, provides coding guidance to providers and operational leaders while promoting coding excellence through provider education, coding quality improvement, audit readiness, performance analytics, and technology optimization. This leader drives the adoption of innovative coding technologies, including computer-assisted coding (CAC), AI-enabled coding solutions, and workflow automation to improve coding performance, documentation integrity, ICD-10 specificity, and reimbursement accuracy.

Education

Bachelor’s degree required. Certified Professional Coder (CPC), or equivalent professional coding certification required. Degree in Health Information Management (HIM) preferred with a RHIT or RHIA certification preferred.

Experience

Five or more years of progressive professional coding leadership experience within an integrated health system, academic medical center, or large physician enterprise.

Demonstrated experience leading professional coding quality, compliance and education initiatives

Experience partnering with physician leadership, clinical departments, revenue cycle, compliance, finance, and information technology.

Experience managing outsourced coding vendors and vendor performance.

Experience leading and developing coding quality initiatives, provider education programs, audit response, and regulatory compliance activities.

Experience implementing coding technology, encoder software, computer-assisted coding, AI-assisted coding, and workflow optimization tools preferred.

Strong understanding of ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, HCCs, and value-based reimbursement methodologies.

Skills

Expert knowledge of professional coding guidelines, including: ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, Medicare, Medicaid, and commercial payer reimbursement methodologies.

Strong knowledge of federal and state regulations governing coding, billing, documentation, and reimbursement.

Strong understanding of physician documentation requirements and documentation integrity principles.

Ability to collaborate effectively with physicians, executive leadership, operational departments, clinical operations, finance, compliance, revenue cycle, clinical documentation integrity, and information technology.

Strong analytical skills with experience utilizing coding productivity, quality, reimbursement, denial, and audit data to drive operational improvements.

Demonstrated leadership in change management, process improvement, and technology implementation.

Job Location

The Valley Health System-Ridgewood

Shift

Day (United States of America)

Benefits

Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees)

Group Term Life Insurance and AD&D(Full Time Employees)

Flexible Spending Accounts and Commuter Benefit Plans

Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)

6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness

Retirement Plan

Tuition Assistance

Employee Assistance Program (EAP)

Valley Health LifeStyles Fitness Center Membership Discount

Day Care Discounts for Various Daycare Facilities

Salary

Joining Valley Health System means becoming part of a dedicated team that values the highest quality of care in a supportive environment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure. Actual individual salaries vary depending on these factors. The salary listed does not include other forms of compensation or benefits.

Pay Range: $108,784.00 - $135,990.40

The posted pay range reflects the compensation for a full-time equivalent (1.0 FTE)

EEO Statement

Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.

Place of Work

On-site

Requisition ID

JR5937

Job Type

Full Time

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