Coding Auditor (Surgical Coding experience required)

Northwell Health; Village of Lake Success (NY); On-site; USD 70,000 - 110,000; Full time

Job summary

Northwell Health is seeking a Coding Audit Specialist in New York to conduct coding audits, develop training, and implement coding guidelines. The role requires knowledge of CPT, ICD-10-CM, and HCPCS, with 1–3 years of experience and CPC/ CCP certification.

The incumbent will interpret coding changes and educate staff accordingly. The position emphasizes independent decision making, adherence to current federal/state guidelines, and effective communication with physicians and healthcare

Qualifications

• Bachelor's Degree required, or equivalent combination of education and related experience.
• Current Coding credential: CPC or CCP (CER-CPC/ CER-CCP), required.
• 1-3 years of relevant experience required.

Responsibilities

• Demonstrates comprehensive knowledge of coding guidelines and principles; performs coding audits for optimization.
• Demonstrates effective validation skills; provides ad-hoc education to the coding 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 agencies.

Skills

Auditing

Communication with physicians

Education

Bachelor's Degree

CPC/ CCP Certification

Tools

CPT

ICD-10-CM

HCPCS

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:

• 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.
• 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.
• 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.
• Demonstrates ability to communicate professionally and effectively with physicians and other healthcare providers via calls and email.

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), required.
• 1-3 years of relevant experience required.

Preferred Qualifications:

• Experience in surgical coding with an emphasis on the following specialties: ENT, Neurosurgery, Orthopedics, Transplant, Plastic/Reconstructive Surgery.
• Coding experience should include all of the following: CPT, ICD-10-CM, HCPCS
  

*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).