Job Information

Northwell Health Coding Auditor in Lake Success, New York

Req Number 9480

Job Description

Job Description

Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.

Job Responsibility

  • Develops and implements coding instruction classes; demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.

  • Demonstrates effective skills in validation; provides educational in-service to the coding and medical staff.

  • Able to communicate effectively with coders and medical staff; acts as liaison to consultants.

  • Prepares coding guidelines; demonstrates knowledge of coding policy and procedures.

  • Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies.

  • Maintains coding clinic up-dates.

  • Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing.

  • Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.

  • Implements coding changes; demonstrates ability to accurately and efficiently relate coding changes to staff.

  • Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.

  • 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

  • Bachelor's Degree required, or equivalent combination of education and related experience.

  • Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized certifications as needed.

  • 1-3 years of relevant experience, required.