(RN) Registered Nurse Coding Auditor - HCS-D, COS-C
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
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?
Original listing
Posted on Northwell Health’s careers page.
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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?
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