Northwell

Responsibilities: — Validate Acute Inpatient coded charts to ensure diagnostic information is substantiated by Medical Record documentation. — Use clinical expertise to identify and validate DRG code assignments. — Fully review CDI suggested code changes. — Demonstrate comprehensive knowledge of coding guidelines and principles; perform coding audits for optimization. — Audit and review Medicare and non-Medicare charts to ensure compliance with Federal and State regulations. — Apply coding rules and regulations to the validation review process. — Review codes on Medicare and non-Medicare charts for compliance with rules and conventions. — Communicate DRG changes and rationale to coding and CDI staff. — Identify appropriate coding changes to provide valid documentation in compliance with regulations. — Operate under general guidance with varied work assignments requiring interpretation and independent decisions. — Review potential reassignments and ensure accurate and timely review. — Perform related duties as required. All responsibilities are essential functions under the Americans with Disabilities Act. Requirements: — Graduate from an accredited School of Nursing. — Bachelor’s Degree in Nursing or equivalent combination of education and related experience. — Current License to practice as a Registered Professional Nurse in New York State. — Specialized certifications HCS-D (Home Care Coding Specialist-Diagnosis) and COS-C (OASIS Specialist-Clinical) required. — Prior CHHA Nursing experience strongly preferred. Benefits: — Full-time remote position based in New York. — Salary range and/or hourly rate determined based on factors including location, specialty, experience, education, credentials, contracts, budget, and internal equity. Location: Remote position in New York, headquartered in Village of Garden City, New York, United States.