Coding Auditor

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

Job summary

DaMar Staffing in Great Neck, NY is seeking a qualified Health Information coder to conduct coding audits and develop instruction classes for coding staff.

The role focuses on optimizing diagnosis related groupings, preparing guidelines, and implementing coding changes with guidance. Bachelor’s degree and active CPC/CCS/CER credentials, plus 1–3 years of relevant experience, are required.

Qualifications

• Bachelor's Degree required, or equivalent combination of education and related experience.
• Current coding credential: CPC, CCS, or CER.

Responsibilities

• Demonstrates knowledge of coding guidelines and audits for optimization.
• Provides ad-hoc education to coding staff.
• Communicates effectively with coders and CDI staff.
• Maintains knowledge of federal and state coding guidelines.
• Monitors case mix index and performs reviews of reassignments.
• Implements coding changes and communicates to staff.

Skills

Coding audits

Communication

Education

Bachelor's Degree

CPC/CCS/CER certification

Job description

Req Number 185166

Job Description

Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.

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), OR CCS - Certified Coding Specialist 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).

The salary range for this position is $66300.00-$98500.00/year

It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.