Coding Audit & Education Specialist

Northwell Career Site; Village of Lake Success (NY); On-site; USD 65,000 - 90,000; Full time

Job summary

Northwell Career Site is seeking a Coding Auditor with CPC/CCP credentials to optimize DRG groupings. The role includes auditing coding practices, developing instructional programs, and preparing coding guidelines, with emphasis on federal and state guidelines.

The position requires 1–3 years of relevant experience, a Bachelor’s degree or equivalent, and the ability to communicate clearly with coders and CDI staff.

Qualifications

• Bachelor's degree or equivalent combination of education and related experience.
• Current coding credential: CER - CPC or CER - CCP is required.
• 1–3 years of relevant experience.

Responsibilities

• Demonstrates comprehensive knowledge of coding guidelines and principles; performs coding audits for optimization.
• Demonstrates effective validation skills; provides ad-hoc education to the coding staff.
• Able to communicate effectively with coders and CDI staff.
• Maintains knowledge of all current Federal and State coding guidelines; stays 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.

Education

Bachelor's Degree

CER CPC or CCP

Job description

Northwell Career Site is seeking a Coding Auditor with CPC/CCP credentials to optimize DRG groupings. The role includes auditing coding practices, developing instructional programs, and preparing coding guidelines, with emphasis on federal and state guidelines.

The position requires 1–3 years of relevant experience, a Bachelor’s degree or equivalent, and the ability to communicate clearly with coders and CDI staff.