Coding Auditor

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

Coding Specialist

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

Job Responsibility

• 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.
• Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
• 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.
• Work assignments are varied and require interpretation and independent decisions on course of action.
• Understands department, division, corporate strategy and operating objectives, including impacts.
• Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
• Majority of contact is within own function, area, or department and may be customer service oriented.
• 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: Cert Professional Coder – CPC or CCS required.
• 1-3 years of relevant experience required.
• Experience with edits and denials a plus.

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