Coding Auditor at Northwell Career Site

Village of New Hyde Park, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Aug, 26

Salary

98500.0

Posted On

03 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Coding audits, Medical coding, Validation, Case mix index, Coding guidelines, Clinical documentation improvement, Staff education, Regulatory compliance, Data analysis, Communication, Policy development, Healthcare administration

Industry

Hospitals and Health Care

Description

Overview: Develops and implements coding instruction classes; demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Demonstrates effective skills in validation; provides educational in-service to the coding and medical staff. Able to communicate effectively with coders and medical staff; acts as liaison to consultants. Prepares coding guidelines; demonstrates knowledge of coding policy and procedures. Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. Maintains coding clinic up-dates. Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. Implements coding changes; demonstrates ability to accurately and efficiently relate coding changes to staff. Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. 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. Required: Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized certifications as needed. Job Responsibility 1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. 3.Able to communicate effectively with coders and CDI staff. 4.Demonstrates knowledge of coding policy and procedures. 5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. 6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. 7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. 8.Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff. 9.Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. 10.Work assignments are varied and require interpretation and independent decisions on course of action. 11.Understands department, division, corporate strategy and operating objectives, including impacts. 12.Normally receives general instructions on routine work, detailed instructions on new projects or assignments. 13.Majority of contact is within own function, area, or department and may be customer service oriented. 14.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 •Bachelor's Degree required, or equivalent combination of education and related experience. •Current Coding credential: CER - Cert Professional Coder. (CPC) OR CER - Certified Professional Coder (CCP), required. •1-3 years of relevant experience required. *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).

Responsibilities

The Coding Auditor performs coding audits to optimize diagnosis related groupings and ensures compliance with federal and state guidelines. They also develop and implement coding instruction classes while providing education to coding and medical staff.