Req Number 103140

THIS POSITION IS A REMOTE ROLE

Job Description

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

Job Responsibility

• 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.

• 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.

• 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. 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.

Preferred Skills

• Hospital coding and auditing experience

• DRG (diagnosis-related groups) Validation

• ICD-10-CM coding and ICD-10-PCS coding

Job Qualification

• Graduate from an accredited School of Nursing.

• Bachelor's Degree preferred, 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. Current license by their home state.

• Must have a current coding credential: AHIMA CCS or AAPC CPC-I

• Must have 1-3 years of IP DRG Validation experience in a production environment

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

The salary range for this position is $90,000-$145,000/year

It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.