Coding Auditor (Remote)

Northwell Health; Village of Lake Success (NY); Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a dedicated Coding Auditor to enhance the accuracy of coding practices. In this pivotal role, you will conduct coding audits, develop instructional classes, and prepare guidelines to ensure compliance with Federal and State regulations. Your expertise will not only optimize diagnosis-related groupings but also provide essential education to the coding team. This position offers the opportunity to work in a collaborative environment that values your insights and contributions. If you are passionate about coding and eager to make a difference in healthcare, this role is perfect for you.

Qualifications

• Bachelor's Degree or equivalent combination of education and experience.
• 1-3 years of coding and auditing experience in an Acute Inpatient Facility.

Responsibilities

• Conducts coding audits to optimize diagnosis related groupings.
• Provides validation and education to the coding staff.
• Implements coding changes and communicates effectively with staff.

Skills

Coding Guidelines Knowledge

Auditing Skills

Communication Skills

Decision-Making Skills

Education

Bachelor's Degree

Certified Professional Coder (CPC)

AHIMA CCS

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 Responsibilities

• Demonstrates comprehensive knowledge of coding guidelines and principles; performs coding audits for optimization.
• Provides validation and ad-hoc education to the coding staff.
• Communicates effectively with coders and CDI staff.
• Maintains knowledge of current Federal and State coding guidelines and system literature from all agencies.
• Monitors and evaluates case mix index; demonstrates understanding of case mix indexing.
• Reviews potential reassignments accurately and timely.
• Implements coding changes, relating them accurately and efficiently to staff.
• Operates under general guidance; work requires interpretation and independent decision-making.
• Aligns work with department, division, and corporate strategies and objectives.
• Receives general instructions on routine work and detailed instructions on new projects.
• Most contacts are within the department or function and may involve customer service.
• Performs related duties as required; all responsibilities are considered essential under the Americans with Disabilities Act.

Job Qualifications

• Bachelor's Degree or equivalent combination of education and experience.
• Current Coding credential: CER - Certified Professional Coder (CPC) or CCP; AHIMA CCS or AAPC CPC-I preferred.
• 1-3 years of production coding and auditing experience in an Acute Inpatient Facility, preferably in a Centralized Coding environment.

*Additional Salary Details

The salary range or hourly rate listed is a good faith estimate and may be adjusted based on factors such as location, experience, education, credentials, and internal policies.