Coding Auditor

DaMar Staffing; Village of New Hyde Park (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

DaMar Staffing seeks a Coding Compliance Specialist to conduct audits and optimize DRG classifications in our New Hyde Park, NY office. The role includes developing and delivering coding instruction, creating guidelines, and ensuring adherence to current federal and state guidelines.

The ideal candidate has a Bachelor's degree and a CPC/CCS/CCP credential, with 1-3 years of relevant experience. Strong communication with coders and CDI staff is essential, and the ability to work with limited

Qualifications

• Bachelor's degree required or equivalent
• Current coding credential CPC/CCS/CCP required
• 1-3 years of relevant experience required

Responsibilities

• Demonstrates comprehensive knowledge of coding guidelines; performs coding audits for optimization.
• Provides ad-hoc education to the coding staff.
• Ability 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; stays up-to-date on system literature from all agencies.
• Monitors and evaluates case mix index; demonstrates knowledge of case mix indexing.
• Reviews potential reassignments; reviews reassignments accurately and timely.
• Implements coding changes; relates coding changes to staff efficiently.
• Work assignments require interpretation and independent decisions on course of action.
• Understands department and corporate strategy and operating objectives.
• Receives general instructions on routine work; detailed instructions on new projects.
• Contacts mostly within own function; may be customer service oriented.
• Performs related duties as required under ADA.

Skills

Coding audits

Ad-hoc education

Communication with coders

Policy understanding

Education

Bachelor's degree

CPC/CCS credential

Job description

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. 1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
2. 2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.
3. 3.Able to communicate effectively with coders and CDI staff.
4. 4.Demonstrates knowledge of coding policy and procedures.
5. 5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies.
6. 6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing.
7. 7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
8. 8.Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.
9. 9.Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
10. 10.Work assignments are varied and require interpretation and independent decisions on course of action.
11. 11.Understands department, division, corporate strategy and operating objectives, including impacts.
12. 12.Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
13. 13.Majority of contact is within own function, area, or department and may be customer service oriented.
14. 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).