Outpatient Coding Auditor

Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better. Purpose: Provides clinician practice coding, billing, and documentation auditing for professional coding at Nuvance Health. Conducts routine quality assurance (QA) audits on Professional Coding team and compiles reports on their accuracy for leadership.Makes recommendations based on audit findings for educational programs for both coding personnel and clinical staff.Requires advanced expertise in medical terminology, anatomy, physiology, documentation, coding guidelines, state, and federal regulations. This includes evaluation and management services (E&M leveling) and surgical specialties. Essential Responsibilities 1.Conducts high volume internal audits of physician practice medical records for documentation and coding accuracy. 2.Conducts education sessions for Nuvance coders and physician practices based on the audit findings and as needed to reinforce pro