Northwell Health · 22 hours ago
Advisor, Outpatient Coding Audit
Lake Success, NY
Full-time
Onsite
Senior Level, Lead/Staff
$75K/yr - $126K/yr
10+ years expNorthwell Health is a prominent healthcare provider, and they are seeking an Advisor for Outpatient Coding Audit. The role involves conducting comprehensive coding audits, providing education, and ensuring compliance with regulatory standards to optimize coding practices.
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Responsibilities
Perform detailed quality audits of coding/auditing practices to validate accuracy and compliance and optimal DRG/APC assignments
Provide education and training to audit staff, ensuring adherence to coding standards and best practices
Communicate effectively with audit teams, Clinical Documentation Improvement (CDI) staff, and other stakeholders to resolve coding and documentation issues
Maintain current knowledge of federal and state coding guidelines, payer policy, and industry updates; translate changes into operational guidance
Review and validate reassignment requests, ensuring timely and accurate resolution
Implement coding changes, updates and methodology improvements; communicate updates clearly and efficiently to audit teams and partners
Offer strategic advice and guidance to audit teams; contribute to management-level decision-making
Analyze and report coding/auditing trends, statistics, and performance metrics; prepare and present actionable recommendations to leadership
Conduct escalation reviews and collaborate with cross-functional teams to ensure proper coding assignments and to address systemic issues
Lead process improvement initiatives to reduce denials, improve accuracy, and strengthen documentation and coding workflows
Performs related duties as required. 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
Qualification
Required
Bachelor's Degree, or equivalent combination of education and related experience
Certified Coding Specialist (CCS) or Certified Coding Specialist Physician (CCSP) or Certified Outpatient Coder (COC) or RHIA or RHIT certification, required
10+ years of relevant experience and 2+ years of leadership/management experience, required
Company
Northwell Health
Northwell Health is New York State’s largest health care provider and private employer, with 28 hospitals, about 1,000+ outpatient facilities and more than 16,000 affiliated physicians.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$58.3MKey Investors
National Institute of Mental HealthNational Human Genome Research InstituteBreakthrough Discoveries
2025-12-02Grant· $4M
2025-10-23Grant· $3.2M
2025-06-16Grant· $2.3M
Leadership Team
Michael Dowling
President and CEO
Nick Stefanizzi
Chief Executive Officer at Northwell Direct
Recent News
Morningstar.com
2025-12-15
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