RN Coding Auditor at Northwell - DRG & CDI Career in Columbus
Career & Market Insight
This is a specialized clinical coding auditor role targeting Registered Nurses with niche certifications — HCS-D (Home Care Coding Specialist-Diagnosis) and COS-C (OASIS Specialist-Clinical). These are highly sought-after credentials in home health and post-acute care, and professionals holding both are relatively rare, giving candidates significant negotiating leverage.
Career development highlights:
- Deep expertise in DRG validation and CDI (Clinical Documentation Improvement) — skills that are increasingly valuable as healthcare reimbursement models grow more complex.
- Exposure to Medicare/non-Medicare compliance under Federal and State regulations builds a strong foundation for roles in healthcare compliance, revenue cycle management, or coding leadership.
- Independent decision-making is explicitly required, signaling this is a mid-to-senior level individual contributor position with meaningful autonomy.
Market context: RN Coding Auditors with HCS-D/COS-C certifications typically earn between $80,000–$110,000+ annually in the NY metro market. No salary is disclosed here, which is a minor red flag — be sure to clarify compensation early in the process.
Green flags: Northwell Health is one of New York's largest health systems, offering institutional stability, structured career paths, and robust benefits typical of large hospital networks. The remote nature of the role is a genuine quality-of-life advantage for clinical professionals transitioning away from bedside nursing.
Red flag: Prior CHHA (Certified Home Health Agency) experience is "strongly preferred" — without it, your application may be deprioritized despite meeting the core RN and certification requirements.
Headquarters: Village of Garden City, New York, United States
URL: https://eppr.fa.us2.oraclecloud.com:443/hcmUI/CandidateExperience/
Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.
Seeking RN candidates with a HCS-D (Home Care Coding Specialist-Diagnosis) and COS-C Certificate for OASIS Specialist-Clinical.
Remote position in New York.
Job Responsibilities
- 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; work assignments are varied and require interpretation and independent decisions on course of action.
- Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
- 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.
Job Qualifications
- Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing required, or equivalent combination of education and related experience.
- Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
*Prior CHHA Nursing experience strongly preferred.
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).
To apply: https://weworkremotely.com/remote-jobs/northwell-rn-registered-nurse-coding-auditor-hcs-d-cos-c