What is he difference between a Certified RN-Coder and a
A Certified RN-Coder reviews prospectively to assure all coding going OUT from a facility or provider is CORRECT and DOCUMENTED. Remember from nursing school, if you didn't chart it, you didn't do it! Most CRN-Cs code what they know clinically, such as for the ED, the cardiac cath. lab, the ambulatory surgery, etc.
Certified RN-Auditors review a provider's medical documentation retrospectively, working either for hospitals or insurers, maybe government agencies, checking that the coded charges submitted were actually performed exactly how they were coded.
Otherwise, it's fraud.
depending on whether they are providers, facilities, insurers or government
agencies, will add to these basic job descriptions.