Northwell Health

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

Northwell Health$85K — $100K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Graduate from an accredited School of Nursing.
  • Bachelor's Degree in Nursing or equivalent experience required.
  • Current Registered Nurse license in New York State.
  • Specialized certifications in HCS-D and COS-C preferred.
  • Prior CHHA Nursing experience strongly preferred.

Responsibilities

  • Leverage clinical expertise to validate DRG code assignments.
  • Conduct thorough reviews of suggested code changes by CDI.
  • Perform coding audits to ensure compliance with guidelines.
  • Audit Medicare and non-Medicare charts for proper standards.
  • Apply coding regulations during the validation review process.
  • Communicate DRG changes and rationale to staff members.
  • Identify necessary coding changes for compliance.

Benefits

  • Remote work flexibility within New York State.
Full Job Description
Job Description

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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