Inpatient Coding Auditor - RN DRG & CDI Expert

Northwell Health Physician Partners; Village of Great Neck (NY); On-site; USD 90,000 - 145,000; Full time

Job summary

Northwell Health Physician Partners is seeking an Inpatient Coding Specialist to validate Acute Inpatient charts and substantiate diagnostic information with the medical record.

The role focuses on identifying DRG code assignments, performing CDI reviews, and auditing Medicare and non-Medicare charts for compliance with Federal and State regulations. Strong knowledge of coding rules and independent decision-making are essential.

Qualifications

• Graduate from an accredited School of Nursing.
• Bachelor's Degree in Nursing, required, or equivalent combination of education and related experience.
• Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.

Responsibilities

• Identify and validate DRG code assignment.
• Full review of CDI suggested code changes.
• Audit coding practices to ensure compliance with Federal and State regulations.
• Apply coding rules and regulations to the validation review process.
• Communicate DRG changes and rationale to the coding and CDI staff.
• Review potential reassignments and ensure timely, accurate reviews.
• Perform related duties as required.

Education

Bachelor's Degree in Nursing

Graduate from an accredited School of Nursing

RN license in New York State

Job description

Northwell Health Physician Partners is seeking an Inpatient Coding Specialist to validate Acute Inpatient charts and substantiate diagnostic information with the medical record.

The role focuses on identifying DRG code assignments, performing CDI reviews, and auditing Medicare and non-Medicare charts for compliance with Federal and State regulations. Strong knowledge of coding rules and independent decision-making are essential.