Coding Auditor

Northwell Health; Village of Lake Success (NY); Presencial; USD 60.000 - 85.000; Jornada completa

Descripción de la vacante

Northwell is seeking a coders/auditors-level professional to conduct coding audits, develop and implement coding instruction classes, and prepare coding guidelines. The role involves education of coding staff and staying up-to-date with federal and state guidelines.

Strong communication with coders and CDI staff is essential. Qualifications include a Bachelor's degree and CPC or CCS certification, with 1–3 years of relevant experience.

Formación

• Bachelor's degree or equivalent
• CPC or CCS certification required
• 1–3 years of relevant experience required

Responsabilidades

• Demonstrates comprehensive knowledge of coding guidelines and principles; performs coding audits for optimization.
• Provides ad-hoc education to coding staff and validates coding changes.
• Communicates effectively with coders and CDI staff.
• Maintains knowledge of current Federal and State coding guidelines and system literature.
• Monitors and evaluates case mix index and related metrics.
• Implements coding changes and explains rationale to staff.
• Operates with general guidance; exercises independent judgment on actions.

Conocimientos

Coding audits

Education & training

Communication

Educación

Bachelor's degree

CPC or CCS certification

Descripción del empleo

Job Description

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

200869

Job Description

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.
• Certified Professional Coder (CPC) OR Certified Coding Specialist (CCS) required.
• 1-3 years of relevant experience required.

Preferred Qualification

• Experience with edits and denials preferred
• Experience with any of the following specialties: Neurology, Urology, ENT, Orthopedics, Autoimmune
• 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).