Northwell Health

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 guidance and work...

Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed This is a HYBRID position- MUST be in the office located in Chappaqua, NY 3 days a week. Are you a seasoned compliance professional with a passion for anesthesia and healthcare auditing? Do you thrive in fast‑paced environments where your expertise can make a real impact? FlexStaff is seeking a dynamic, detail‑oriented Lead Compliance Auditor to join our client's team and lead the charge in safeguarding healthcare integrity and regulatory excellence! Position Summary As a Lead Compliance Auditor, you will leverage your extensive anesthesia auditing experience to oversee comprehensive compliance reviews, develop training programs, and collaborate with senior leadership to enhance our compliance framework. Your expertise will ensure the organization remains at the forefront of regulatory adherence, risk mitigation, and quality improvement. Ready to make a difference in healthcare compliance with your...

A prominent healthcare organization is seeking a Lead Compliance Auditor specializing in anesthesia to ensure regulatory adherence and quality improvement. This role involves leading audits, developing training programs, and collaborating with senior leadership. Ideal candidates will have over 10 years of experience in healthcare compliance auditing, exceptional communication skills, and a deep understanding of anesthesia coding and billing standards. This hybrid position requires office presence in Chappaqua, NY, three days a week. #J-18808-Ljbffr

A major healthcare provider in Glen Cove is looking for a professional to validate Acute Inpatient coding charts, ensuring compliance with medical documentation. Responsibilities include reviewing coding changes, performing audits, and communicating with staff on DRG assignments. The ideal candidate should have a Bachelor's Degree in Nursing, a current NY State nursing license, and preferably some experience in ICD-10 coding. This position is critical to maintaining regulatory compliance in patient documentation. #J-18808-Ljbffr

This position follows a hybrid model with 1-2 onsite days. Job Description Conducts concurrent and occasionally onsite medical chart reviews for pediatric and neonatal ICU patients. Collaborates with medical directors and staff to enhance the quality of physician documentation, ensuring a precise representation of the patients' severity of illness, anticipated risk of mortality, and the complexity of care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for all pediatric patient encounters. Strives to optimize coding practices, minimize denials, and maintain the highest standards of data integrity. Job Responsibility 1.Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses, procedures, and appropriate levels of service, adhering to established coding guidelines ( ICD-10-CM, CPT, HCPCS). 2.Applies advanced knowledge of pediatric anatomy, physiology, and medical...

Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor- Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and eager to make a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position offers the perfect blend of in-office collaboration and remote work, all while contributing to an organization committed to excellence in patient care and regulatory adherence. In this pivotal role, you'll leverage your healthcare environment experience-whether as a Certified Professional Coder or similar professional-to audit and monitor clinical records, ensuring accuracy, completeness, and compliance. Your expertise with medical terminology, coding, and documentation will support our mission to uphold...

Job DescriptionTraining program to learn all coding and abstracting duties to assure accurate completion of coding for all assigned patient records.Job Responsibility1.Analyzes the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment.2.Helps in selecting the principal diagnosis as documented in the medical record.Codes and reports diagnoses and procedures in accordance with the established guidelines.3.Reports a discharge disposition for all records as required and in accordance with the rules and regulations.4.Analyzes medical records for completeness of documentation and review the process on clarification for any incomplete / ambiguous or conflicting documentation.Understanding of the process for education of physicians and other clinicians by advocating proper documentation practices.5.Participates in required hospital education programs,...

A leading healthcare provider in New York is seeking an experienced coding specialist to enhance documentation accuracy for pediatric patients. This role requires a minimum of 3-5 years of technical experience, along with CPC certification. The position follows a hybrid model with 1-2 onsite days per week, focusing on compliance and training. Candidates should have skills in pediatric coding and a commitment to ongoing education in coding practices. #J-18808-Ljbffr

This position follows a hybrid model with 1-2 onsite days. Job Description Conducts concurrent and occasionally onsite medical chart reviews for pediatric and neonatal ICU patients. Collaborates with medical directors and staff to enhance the quality of physician documentation, ensuring a precise representation of the patients' severity of illness, anticipated risk of mortality, and the complexity of care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for all pediatric patient encounters. Strives to optimize coding practices, minimize denials, and maintain the highest standards of data integrity. Job Responsibilities Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses, procedures, and appropriate levels of service, adhering to established coding guidelines ( ICD-10-CM, CPT, HCPCS). Applies advanced knowledge of pediatric anatomy, physiology, and medical terminology to...