Northwell Careers
THIS POSITION IS A REMOTE ROLE Job DescriptionConducts 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 ResponsibilityLeverages clinical expertise to identify and validate DRG code assignmentFull review of CDI suggested code changesDemonstrates 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 SkillsHospital coding and auditing experienceDRG (diagnosis-related groups) ValidationICD-10-CM coding and ICD-10-PCS codingJob QualificationGraduate 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-IMust have 1-3 years of IP DRG Validation experience in a production environment Additional Salary DetailThe 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).
About the Company:
Northwell CareersIndustry:
Health Care GeneralWebsite:
https:
//www.
northwell.
edu.
Estimated Salary: $20 to $28 per hour based on qualifications.
Job ResponsibilityLeverages clinical expertise to identify and validate DRG code assignmentFull review of CDI suggested code changesDemonstrates 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 SkillsHospital coding and auditing experienceDRG (diagnosis-related groups) ValidationICD-10-CM coding and ICD-10-PCS codingJob QualificationGraduate 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-IMust have 1-3 years of IP DRG Validation experience in a production environment Additional Salary DetailThe 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).
About the Company:
Northwell CareersIndustry:
Health Care GeneralWebsite:
https:
//www.
northwell.
edu.
Estimated Salary: $20 to $28 per hour based on qualifications.
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