Coding Auditor

Northwell • Village of New Hyde Park, NY

11h • $66,300 - $98,500

About The Position

The Coding Auditor conducts coding audits to optimize diagnosis related groupings, develops and implements coding instruction classes, prepares coding guidelines, and implements coding changes. The role requires comprehensive knowledge of coding guidelines, policies, procedures, and case mix indexing, as well as effective communication with coders and CDI staff. Work is performed under general guidance, with varied assignments that require interpretation and independent decisions.

Requirements

• Bachelor's degree, or an equivalent combination of education and related experience.
• Current Certified Professional Coder (CPC) or CCS coding credential.
• 1–3 years of relevant experience.

Nice To Haves

• Experience with edits and denials.

Responsibilities

• Conduct coding audits to optimize diagnosis related groupings.
• Develop and implement coding instruction classes and provide ad-hoc education to coding staff.
• Prepare coding guidelines and implement coding changes, communicating changes accurately and efficiently to staff.
• Apply coding guidelines, policies, and procedures, including current Federal and State coding guidelines and relevant agency literature.
• Monitor and evaluate case mix index.
• Review potential reassignments accurately and on time.
• Communicate effectively with coders and CDI staff.
• Understand department, division, and corporate strategy and operating objectives, including their impacts.
• Perform related duties as required.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level