Home Care Coding Specialist-Diagnosis and OASIS Specialist-Clinical RN

2 days ago


Garden City, Michigan, United States Northwell Health Full time
Job Summary

We are seeking a highly skilled RN - BSN or MSN Home Care Coding Specialist-Diagnosis and OASIS Specialist-Clinical to join our team at Northwell Health.

Key Responsibilities
  • Validate Acute Inpatient coded charts to ensure diagnostic information leading to assignment can be substantiated by Medical Record documentation.
  • Leverage clinical expertise to identify and validate DRG code assignment.
  • Perform full review of CDI suggested code changes.
  • Demonstrate comprehensive knowledge of coding guidelines and principles; conduct coding audits for optimization.
  • Audit and review Medicare/non-Medicare charts to ensure proper standards are maintained in compliance with Federal and State regulations.
  • Apply coding rules and regulations to validation review process.
  • Review codes on Medicare/non-Medicare charts for compliance to rules and conventions.
  • Communicate DRG changes and rationale to coding and CDI staff.
  • Identify appropriate coding changes necessary to provide most valid documentation in compliance with Federal and State regulations.
  • Operate under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
  • Review potential reassignments; demonstrate accurate and timely review of all reassignments.
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.


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