Coding Auditor

Northwell • Village of New Hyde Park, NY

8h

About The Position

Overview:

Develops and implements coding instruction classes; demonstrates comprehensive
knowledge of coding guidelines and principals; performs coding audits for
optimization.

Demonstrates effective skills in validation; provides educational in-service to
the coding and medical staff.

Able to communicate effectively with coders and medical staff; acts as liaison
to consultants.

Prepares coding guidelines; demonstrates knowledge of coding policy and
procedures.

Maintains knowledge of all current Federal and State coding guidelines; remains
up-to-date on system literature from all agencies.

Maintains coding clinic up-dates. Monitors and evaluates case mix index;
demonstrates comprehensive knowledge of case mix indexing.

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

Implements coding changes; demonstrates ability to accurately and efficiently
relate coding changes to staff.

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

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.

Requirements

• Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized certifications as needed.
• Bachelor's Degree required, or equivalent combination of education and related experience.
• Current Coding credential: CER - Cert Professional Coder. (CPC) OR CER - Certified Professional Coder (CCP), required.
• 1-3 years of relevant experience required.

Responsibilities

• Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
• Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.
• Able to communicate effectively with coders and CDI staff.
• Demonstrates knowledge of coding policy and procedures.
• Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies.
• Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing.
• Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
• Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.
• Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
• Work assignments are varied and require interpretation and independent decisions on course of action.
• Understands department, division, corporate strategy and operating objectives, including impacts.
• Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
• Majority of contact is within own function, area, or department and may be customer service oriented.
• 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.

What This Job Offers

• Job Type: Full-time