Coding Auditor

Northwell Health

About The Position

Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. 3.Able to communicate effectively with coders and CDI staff. 4.Demonstrates knowledge of coding policy and procedures. 5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. 6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. 7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. 8.Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff. 9.Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. 10.Work assignments are varied and require interpretation and independent decisions on course of action. 11.Understands department, division, corporate strategy and operating objectives, including impacts. 12.Normally receives general instructions on routine work, detailed instructions on new projects or assignments. 13.Majority of contact is within own function, area, or department and may be customer service oriented. 14.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

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

Conducts coding audits to optimize diagnosis related groupings.
Develops and implements coding instruction classes.
Prepares coding guidelines; implements coding changes.
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.