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.
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