(RN) Registered Nurse Coding Auditor - HCS-D, COS-C

DaMar Staffing; United States; On-site; USD 75,000 - 120,000; Full time

Job summary

DaMar Staffing is seeking a Registered Nurse with expertise in inpatient coding to validate DRG assignments and ensure documentation supports coding decisions.

The successful candidate will review Medicare and non-Medicare charts, apply coding rules, and communicate DRG changes to CDI staff. NYS RN licensure and CHHA experience are highly preferred. This is a full-time, on-site opportunity in New York.

Qualifications

• Graduate from an accredited School of Nursing.
• Bachelor's Degree in Nursing required or equivalent.
• Current New York State RN license.
• Specialized certifications as needed.
• Prior CHHA Nursing experience strongly preferred.

Responsibilities

• Validates Acute Inpatient coded charts to ensure diagnostic information is substantiated by documentation.
• Leverages clinical expertise to identify and validate DRG code assignments.
• Conducts full review of CDI suggested code changes.
• Performs coding audits for optimization in accordance with regulations.
• Audits Medicare/non-Medicare charts to ensure compliance with Federal and State regulations.
• Applies coding rules and regulations to the validation review process.
• Communicates DRG changes and rationale to the coding and CDI staff.
• Identifies appropriate coding changes to provide the most valid documentation.
• Works under general guidance with independent decisions on course of action.
• Reviews potential reassignments and documents timely decisions.

Skills

Clinical expertise

DRG coding

Auditing

Regulatory compliance

Medical record review

Education

Bachelor's Degree in Nursing

Job description

Job Title

Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.

Job Responsibilities

Leverages clinical expertise to identify and validate DRG code assignment.

Full review of CDI suggested code changes.

Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.

Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.

Applies coding rules and regulations to the validation review process.

Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions.

Communicates DRG changes and rationale to the coding and CDI staff.

Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations.

Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.

Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.

Performs related duties as required.

Job Qualification

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.

*Prior CHHA Nursing experience strongly preferred.