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

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

Revenue Cycle AuditValidates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote positionJob Responsibility

Job Responsibility

1. Leverages clinical expertise to identify and validate DRG code assignment.
2. Full review of CDI suggested code changes
3. Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
4. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.
5. Applies coding rules and regulations to the validation review process.
6. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions.
7. Communicates DRG changes and rationale to the coding and CDI staff.
8. Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations.
9. Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
10. Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
11. 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.

Job Qualification

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

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).