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(RN) Registered Nurse Coding Auditor - HCS-D, COS-C

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Northwell Health

Garden City, New York

Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.

Eligibility
Coding Audit

Posted Aug 10

Shift and hours
8-⁠hour days
Unit and setting
Home Health
License
RN license 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
Term
Permanent

Do you qualify?

License
Registered Professional Nurse 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Check your license
Certification
HCS-D - Home Care Coding Specialist-Diagnosis Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical.
Certification
COS-C Certificate for OASIS Specialist-Clinical
Education
Graduate from an accredited School of Nursing 1.Graduate from an accredited School of Nursing.
Education
Bachelor's Degree in Nursing or equivalent combination of education and related experience Bachelor’s Degree in Nursing, required, or equivalent combination of education and related experience.

Preferred

Experience
Prior CHHA Nursing experience *Prior CHHA Nursing experience strongly preferred.

What it pays

Pay reviews
Base compensation is determined by factors including location, specialty, service line, experience, education, credentials, contracts, budget, and internal equity

The role and schedule

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

The workplace

Northwell Health logo
Northwell Health
Health system employer

Your fit

Questions to ask

  • Can you walk me through base pay range and differentials?
  • What should I expect for weekly hours, weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
Build questions for this role

Original listing

Posted on Northwell Health’s careers page.

Read full text

Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.

Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York.

Job Responsibility

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

  • 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.

*Prior CHHA Nursing experience strongly preferred.

*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).

What's around it?

In Garden City, NY

Garden City, NYFrom Census ACS 2024.

Living costs about 8% above the US average

Median rent
$3,265/mo
Household income
$244,152/yr, all local households, not nurse pay

See Garden City, NY

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