Coding Audit & Compliance Specialist

Northwell; New York (NY); On-site; USD 65,000 - 95,000; Full time

Job summary

Northwell Health seeks a coding auditor to optimize DRG groupings, develop instructional classes, and implement coding guidelines within a compliant healthcare setting.

The role requires CPC or CCS certification and 1–3 years of relevant experience, plus a Bachelor's degree or equivalent. You will train coders, collaborate with CDI staff, and stay current with federal and state coding rules.

Qualifications

• Bachelor's Degree or equivalent combination of education and related experience.

Responsibilities

• Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
• Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.
• Able to communicate effectively with coders and CDI staff.
• 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.
• Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing.
• Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.
• Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.

Skills

Coding audits

Staff教育

Education

Bachelor's Degree

CPC

CCS

Job description

Northwell Health seeks a coding auditor to optimize DRG groupings, develop instructional classes, and implement coding guidelines within a compliant healthcare setting.

The role requires CPC or CCS certification and 1–3 years of relevant experience, plus a Bachelor's degree or equivalent. You will train coders, collaborate with CDI staff, and stay current with federal and state coding rules.