Registered Nurse Coding Auditor

Northwell Health • Glen Cove, NY

5d

About The Position

Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.

Requirements

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

Nice To Haves

• Rehab nursing experience, preferred.
• ICD-10 medical coding experience, highly 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.

What This Job Offers

• Job Type: Full-time
• Number of Employees: 5,001-10,000 employees