Coding Auditor
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Before you apply
LocationLake Success, Nassau, United States
Typefull-time
SeniorityMid
Experience1–3 yrs
Company size10,000+ people
First seenNov 3, 2026 · 2d ago
Verified live2d ago
At a glanceSummarised by Seekless from the posting.
Bachelor's Degree required, or equivalent combination of education and related experience
Certified Professional Coder (CPC) required
Certified Coding Specialist (CCS) required
1-3 years of relevant experience required
Experience with edits and denials preferred
Experience with any of the following specialties: Neurology, Urology, ENT, Orthopedics, Autoimmune preferred
Job Description
Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.
Job Responsibility
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Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
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Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.
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Able to communicate effectively with coders and CDI staff.
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Demonstrates knowledge of coding policy and procedures.
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Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies.
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Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing.
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Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
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Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.
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Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
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Work assignments are varied and require interpretation and independent decisions on course of action.
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Understands department, division, corporate strategy and operating objectives, including impacts.
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Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
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Majority of contact is within own function, area, or department and may be customer service oriented.
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Performs related duties as required.
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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
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Bachelor’s Degree required, or equivalent combination of education and related experience.
•
Certified Professional Coder (CPC) OR Certified Coding Specialist (CCS) required.
•
1-3 years of relevant experience required.
Preferred Qualification
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Experience with edits and denials preferred
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Experience with any of the following specialties: Neurology, Urology, ENT, Orthopedics, Autoimmune
*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).