Northwell Health

(RN) Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time

Northwell Health$75K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in Nursing or equivalent experience required.
  • Current New York State RN license required.
  • HCS-D (Home Care Coding Specialist-Diagnosis) certification required.
  • COS-C (OASIS Specialist-Clinical) certification preferred.
  • Prior CHHA nursing experience strongly preferred.

Responsibilities

  • Validate DRG code assignments based on medical record documentation.
  • Review CDI suggested code changes thoroughly.
  • Conduct audits of coding practices for guidelines compliance.
  • Ensure Medicare/non-Medicare charts meet regulatory standards.
  • Communicate changes in DRG code assignments to staff.
  • Identify necessary coding adjustments for compliance purposes.
  • Exercise independent decision-making in review processes.

Benefits

  • Remote work flexibility from New York.
  • Opportunity to utilize clinical expertise in coding.
  • Engagement in compliance with federal and state regulations.
  • Involvement in optimizing clinical documentation integrity.
  • Professional growth through coding audits and education.
Full Job Description
Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 4.Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI staff. 8.Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations. 9.Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. 10.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. 11.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification 1.Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, required, or equivalent combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Prior CHHA Nursing experience strongly preferred. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

About Northwell Health

Northwell Health is a non-profit healthcare organization that provides clinical care, research, and medical education in New York. It is the largest healthcare provider and private employer in the state of New York, with over 72000 employees. Northwell Health has 23 hospitals and more than 700 outpatient facilities, as well as a medical school and a research institute. The organization was founded in 1997 as North Shore-Long Island Jewish Health System and changed its name to Northwell Health in 2015.
Learn more about Northwell Health
Size
72,000 employees
Industry
Founded
1997

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