Registered Nurse Coding Auditor - Operating Room at Northwell Career Site

New York, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

16 May, 26

Salary

145000.0

Posted On

15 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Coding Auditing, Clinical Expertise, DRG Code Assignment, CDI Review, Coding Guidelines, Coding Principles, Compliance, Federal Regulations, State Regulations, Validation Review, Documentation Review, Independent Decision Making

Industry

Hospitals and Health Care

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. Job Responsibilities 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 Qualifications Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, required, or equivalent combination of education and related experience. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Experience as an OR nurse, 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).

Responsibilities

The primary responsibility involves validating Acute Inpatient coded charts to ensure diagnostic information aligns with medical record documentation, leveraging clinical expertise to identify and validate DRG code assignments. This includes performing comprehensive coding audits for optimization and ensuring compliance with Federal and State regulations.