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

Northwell Health•Garden City, KS

16h•Remote

About The Position

This role involves validating acute inpatient coded charts to ensure diagnostic information is substantiated by the medical record documentation. The position requires an RN with an HCS-D (Home Care Coding Specialist-Diagnosis) and COS-C (OASIS Specialist-Clinical) certification. This is a remote position based in New York.

Requirements

Graduate from an accredited School of Nursing.
Bachelor’s Degree in Nursing, or equivalent combination of education and related experience.
Current License to practice as a Registered Professional Nurse in New York State.
HCS-D - Home Care Coding Specialist-Diagnosis certification.
COS-C Certificate for OASIS Specialist-Clinical.

Nice To Haves

Prior CHHA Nursing experience strongly preferred.

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.