Clinical Coding Audit & Education Specialist

DaMar Staffing; Village of Great Neck (NY); On-site; USD 66,000 - 99,000; Full time

Job summary

DaMar Staffing is seeking a Coding Specialist to conduct coding audits aimed at optimizing diagnosis-related groupings (DRGs) and to develop and implement coding guidelines. The role includes delivering coding instruction classes and guiding staff on coding changes to improve accuracy and compliance.

The successful candidate will stay current with Federal and State coding guidelines, perform validation, and provide education to the coding team.

Qualifications

• Bachelor's degree or equivalent required.
• CPC or CCS credential required.
• 1-3 years of relevant experience preferred.
• Experience with edits and denials a plus.

Responsibilities

• Demonstrates knowledge of coding guidelines and performs audits for optimization.
• Provides ad-hoc education to coding staff and communicates with coders and CDI staff.
• Maintains knowledge of current Federal and State coding guidelines and related literature.
• Monitors and evaluates case mix index and assists with reassignments as needed.
• Implements coding changes and interprets actions for staff with independence.

Skills

Coding audits

Communication with staff

Policy knowledge

Education

Bachelor's Degree or equivalent

CPC or CCS credential

Job description

DaMar Staffing is seeking a Coding Specialist to conduct coding audits aimed at optimizing diagnosis-related groupings (DRGs) and to develop and implement coding guidelines. The role includes delivering coding instruction classes and guiding staff on coding changes to improve accuracy and compliance.

The successful candidate will stay current with Federal and State coding guidelines, perform validation, and provide education to the coding team.