2 jobs found in Lake Success

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

Northwell is seeking a Nurse CDI/Code Reviewer to validate acute inpatient charts and ensure that diagnostic information substantiates DRG assignments in the medical record. The role requires RN licensure in New York, a nursing degree, and strong knowledge of coding guidelines. Epic experience is a plus and auditors review Medicare/non-Medicare charts for compliance with federal and state rules. #J-18808-Ljbffr