Coding Auditor

4 days ago


Lake Success, United States Northwell Health Full time

Coding Auditor Job Summary

We are seeking a skilled Coding Auditor to join our team at Northwell Health. As a Coding Auditor, you will be responsible for conducting coding audits to optimize diagnosis related groupings, developing and implementing coding instruction classes, and preparing coding guidelines.

Key Responsibilities:

  • Conducts coding audits to optimize diagnosis related groupings.
  • Develops and implements coding instruction classes.
  • Prepares coding guidelines and implements coding changes.
  • Demonstrates comprehensive knowledge of coding guidelines and principles.
  • Performs coding audits for optimization.
  • Demonstrates effective skills in validation and provides ad-hoc education to the coding staff.
  • Able to communicate effectively with coders and CDI staff.
  • 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 and demonstrates accurate and timely review of all reassignments.
  • Implements coding changes and demonstrates ability to relate coding changes accurately and efficiently to staff.

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. Either AHIMA CCS - Certified Coding Specialist or AAPC CPC-I - Certified Professional Coder - Inpatient, preferred.
  • 1-3 years of production coding experience in an Acute Inpatient Facility setting and production Auditing experience in an Acute Inpatient Facility, preferably in a Centralized Coding environment.
  • 1-3 years of hospital-based ASU/EDU coding, preferred.

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