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Northwell HealthNH

Registered Nurse Coding Auditor

Northwell Health is New York's largest healthcare provider, dedicated to improving health and providing comprehensive healthcare services.

Northwell Health

Employee count: 1001-5000

United States only

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Preferred Skills:

3-5 years of Inpatient Coding experience

Inpatient Coding certificate required CCS, CIC

Job Description

Validates 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

1.Leverages clinical expertise to identify and validate DRG code assignment.
2.Full review of CDI suggested code changes
3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
4.Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.
5.Applies coding rules and regulations to the validation review process.
6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions.
7.Communicates DRG changes and rationale to the coding and CDI staff.
8.Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations.
9.Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
10.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
11.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.

Job Qualification

1.Graduate from an accredited School of Nursing.
Bachelor’s Degree in Nursing, required, or equivalent combination of education and related experience.
2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.

  • 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).

About the job

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Job type

Full Time

Experience level

Education

Bachelor degree
Professional certificate

Experience

3 years minimum

Experience accepted in place of education

Location requirements

Hiring timezones

United States +/- 0 hours

About Northwell Health

Learn more about Northwell Health and their company culture.

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Northwell Health is New York's largest healthcare provider and private employer, committed to improving health across the communities it serves. With a diverse range of services, Northwell consists of 23 hospitals, more than 750 outpatient facilities, and a robust network of healthcare professionals. Their mission is to provide comprehensive and innovative health services that promote wellness and improve the quality of life for all individuals.

In recent years, Northwell Health has invested heavily in cutting-edge technology and patient care, focusing on healthcare innovations to meet the evolving needs of the population. They prioritize patient-centered care, ensuring that every patient receives personalized attention and treatment tailored to their specific health concerns. Northwell is dedicated not only to treating illness but also to empowering individuals to lead healthier lives through education and preventive care initiatives.

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Northwell Health

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