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Northwell(RN) Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time
Northwell is hiring a full-time, remote Registered Nurse Coding Auditor based in New York. This role involves validating acute inpatient coded charts and ensuring that diagnostic…
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About This Role
Northwell is hiring a full-time, remote Registered Nurse Coding Auditor based in New York. This role involves validating acute inpatient coded charts and ensuring that diagnostic information is supported by medical record documentation. The position is suitable for a registered professional nurse who possesses specialized coding certifications and clinical expertise. Responsibilities include evaluating DRG code assignments, reviewing CDI-suggested code changes, performing optimization audits, and checking Medicare and non-Medicare charts for…
Job Description
Northwell is hiring a full-time, remote Registered Nurse Coding Auditor based in New York. This role involves validating acute inpatient coded charts and ensuring that diagnostic information is supported by medical record documentation.
The position is suitable for a registered professional nurse who possesses specialized coding certifications and clinical expertise. Responsibilities include evaluating DRG code assignments, reviewing CDI-suggested code changes, performing optimization audits, and checking Medicare and non-Medicare charts for adherence to state and federal regulations. The auditor communicates DRG adjustments and rationales to coding and CDI staff, examines potential reassignments accurately and promptly, and applies established coding rules throughout the validation workflow.
Northwell operates out of its headquarters in the Village of Garden City, New York. Candidates must be prepared to handle varied work assignments under general guidance, requiring independent judgment and interpretation to determine appropriate courses of action.
Responsibilities
- Leverage clinical expertise to identify and validate DRG code assignments
- Conduct full reviews of CDI-suggested code changes
- Perform coding audits for optimization using comprehensive knowledge of guidelines and principles
- Audit and review Medicare and non-Medicare charts to maintain compliance with state and federal regulations
- Apply coding rules and regulations to the validation review process
- Communicate DRG changes and underlying rationale to coding and CDI personnel
- Identify necessary coding modifications to ensure valid documentation under government regulations
- Review potential reassignments in an accurate and timely manner
Requirements
- Graduate from an accredited School of Nursing
- Bachelor's Degree in Nursing or an equivalent combination of education and related experience
- Current license to practice as a Registered Professional Nurse in New York State
- Specialized certifications including HCS-D and COS-C
Qualifications
- Prior CHHA nursing experience is strongly preferred
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, this role is a remote position located in New York.
What certifications are required for this role?
Candidates must hold an HCS-D (Home Care Coding Specialist-Diagnosis) and a COS-C (Certificate for OASIS Specialist-Clinical).
What are the education and licensing requirements?
Applicants need a Bachelor's Degree in Nursing or an equivalent combination of education and experience from an accredited School of Nursing, along with a current Registered Professional Nurse license in New York State.
What is the salary for this position?
The salary is not specified in the job posting.
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