Clinical Coding Auditor RN

2 weeks ago


Westbury, New York, United States Northwell Health Full time
Job Summary

We are seeking a skilled Registered Nurse Coding Auditor to join our team at Northwell Health. As a key member of our Home Health Coding team, you will be responsible for ensuring the accuracy and compliance of coding practices in our home health settings.

Key Responsibilities
  • Audit and review Medicare and non-Medicare charts to ensure compliance with federal and state regulations.
  • Apply coding rules and regulations to the validation review process.
  • Review codes on Medicare and non-Medicare charts for compliance with rules and conventions.
  • Instruct professional staff on code changes and provide guidance on documentation in the Medical Record.
  • Assist clinical staff and nursing supervisors in providing accurate documentation in the Medical Record.
  • Identify and report coding changes necessary to ensure compliance with federal and state regulations.
  • Review Outcome Assessment Information Set (OASIS) and visit documentation for errors and inconsistencies related to clinical documentation.
  • Discuss findings with supervisors and provide recommendations for corrections.
Requirements
  • Graduate from an accredited School of Nursing with a Bachelor's Degree in Nursing, preferred.
  • Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.


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