Remote RN Coding Auditor (HCS-D/COS-C) - DRG & CDI Specialist

FlexStaff; New York (NY); Remote; USD 95,000 - 120,000; Full time

Job summary

FlexStaff is seeking an experienced Registered Nurse to perform revenue cycle audits and CDI validation. You will leverage clinical expertise to verify DRG assignments and review CDI changes for accuracy in documentation.

In this remote role, you will audit Medicare and other charts for compliance with Federal and State regulations, and communicate DRG changes to the coding staff. NY licensure is required.

Qualifications

• Graduate from an accredited School of Nursing.
• Bachelor's Degree in Nursing required, or equivalent.
• Current NY RN license and relevant certifications as needed.

Responsibilities

• Leverages clinical expertise to identify and validate DRG code assignment.
• Performs full review of CDI suggested code changes.
• Applies coding rules to the validation review process and ensures compliance.
• Audits Medicare and non-Medicare charts for regulatory alignment.
• Communicates DRG changes and rationale to CDI staff and coding teams.
• Identifies coding changes to ensure valid documentation under state and federal rules.

Skills

RN

HCS-D

COS-C

OASIS

Education

Bachelor's degree in Nursing

Job description

FlexStaff is seeking an experienced Registered Nurse to perform revenue cycle audits and CDI validation. You will leverage clinical expertise to verify DRG assignments and review CDI changes for accuracy in documentation.

In this remote role, you will audit Medicare and other charts for compliance with Federal and State regulations, and communicate DRG changes to the coding staff. NY licensure is required.