Medical Coder

Planned Parenthood Federation of America

. Support the VP of Revenue Cycle and Revenue Optimization in auditing provider clinical documentation and EM coding .

Posted 11/9/2026full-timeQueens • New York • United StatesSeniorLead💰 $65,000 - $72,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Expertise in auditing clinical documentation and EM coding, with a strong focus on ICD-10 and CPT coding for compliance and reimbursement optimization. Proven ability to develop and deliver education and training programs for providers while collaborating with cross-functional teams to enhance clinical operations.

Highest-signal resume keywords

ICD-10 CodingCPT CodingEPIC EMR ExperienceClinical Documentation IntegrityCoding Certification (CCS, RHIA, RHIT)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider CodingCharge AuditingData AnalysisMicrosoft Office SuiteAdvanced Excel SkillsProcess Improvement PrinciplesBilling ComplianceModifier Utilization ReviewRevenue Cycle ManagementHealthcare Regulations Knowledge

Soft Skills

Excellent Communication SkillsInterpersonal SkillsOrganizational SkillsTime Management SkillsTeam Collaboration

Tools & Technologies

EPIC EMRAutomated SolutionsHealthcare Auditing Platforms

Certifications & Qualifications

CCSRHIARHIT

Industry Keywords

Medicare RegulationsNYS Medicaid RegulationsClinical DocumentationBilling PracticesThird-Party Payer Reporting

About the role

Key responsibilities & impact

Support the VP of Revenue Cycle and Revenue Optimization in auditing provider clinical documentation and EM coding
Develop and present coding and clinical documentation platforms for provider education and training
Perform charge audits by reviewing chart notes and identifying correct procedure and diagnosis codes
Perform charge audit and coding reviews to determine appropriate ICD-10 and CPT codes for third-party payer reporting
Review modifier utilization to ensure billing compliance and optimal reimbursement
Identify clinical documentation integrity opportunities
Develop document strategies and messages collaboratively with stakeholders
Provide education, training, and mentoring to providers and stakeholders
Develop audit programs for new providers and providers with documentation issues
Maintain ongoing auditing and education platforms to identify provider-specific training opportunities
Work with the EPIC hosting organization to implement automated solutions
Collaborate with the third-party RCM vendor and health center operations to implement process changes
Collaborate with cross-functional teams to align clinical operations and PPGNY billing practices
Track adherence to implemented process changes and quantify financial impact
Review CPT, HCPCS, and revenue-code changes for accuracy, compliance, and reimbursement optimization
Evaluate external coding-audit results and provide training and feedback to clinical providers
Maintain current knowledge of compliant clinical documentation, coding, billing, CMS billing rules, and payer requirements

Requirements

What you’ll need

Minimum of eight years’ experience in physician/provider coding, auditing and education
Two years’ experience with EPIC EMR
Proof of immunization or immunity to certain communicable diseases, including influenza during flu season and Covid-19
Tuberculosis testing
Proficient with Microsoft Office Suite
Advanced Excel skills including Pivot Tables and V Look Ups
Deep understanding of EMR systems
Experience in an EPIC environment
Strong data management and data analysis skills
Ability to critically analyze large data sets
In-depth knowledge of Medicare/NYS Medicaid regulations, including billing, coding, and documentation requirements
Experience working with a variety of commercial contracts
Experience with principles of process improvement
Excellent customer service, communication, interpersonal, written and verbal skills
Ability to develop and maintain effective professional relationships with internal and external stakeholders
Ability to work effectively as part of a team
Excellent organizational and time management skills
Ability to work under deadline in a fast-paced environment
Sound judgment and independent decision-making skills
Ability to produce reliable, high-quality work with minimal direct supervision
Ability to exercise discretion in handling confidential information
Coding certification such as CCS, RHIA, or RHIT, or applicable experience (preferred)

Benefits

Comp & perks

Generous PTO and holiday schedule
Medical, dental and vision coverage options for you and eligible dependents
FSA, HSA, Commuter pre-tax reimbursement funds
Short- and Long-Term Disability
Free Basic Life and AD&D
401(k) Retirement Plan with Safe Harbor contributions after 1 year of employment