Coding Quality Auditor (Finance)
UC Health is hiring a Full Time Coding Quality Auditor
Performs ongoing coding audits, provides feedback to coding staff, compiles and reports results.
- Minimum Required: Associate's Degree in Health Information Technology.
- Preferred: Bachelor's Degree in Health Information Administration.
- Required: Certified as an RHIA, RHIT or CCS.
- Minimum Required: 3 years of recent inpatient or outpatient coding experience using ICD-10, CPT and familiarity with DRG's.
- Preferred: Previous experience in a coding auditor or coding educator role.
- Performs routine coding audits evaluating accuracy of assignment of codes, disposition, POA indicators and DRG's as indicated.
- Performs focus coding audits on specific topics, DRG's codes etc.
- Provides feedback to coders on an individual basis and communicates educational opportunities to CCS Educator.
- Tracks results of audits and reports findings as indicated.
- Considers feedback from the coders as appropriate.
Education:
- Works with the coding managers and Coding Educator to identify topics for educational and training purposes.
- Assists Coding Educator in development of training materials and identification of case examples.
- Attends educational sessions to ensure continuity among auditors and coders.
- Responds to coder questions and reviews cases as necessary to assist with correct code assignment.
Coding assistance:
- Assists with coding when necessary to help meet department goals.
Case Review:
- Reviews cases in question by outside agencies, payers, UCH Quality and other internal departments.
- Communicates findings/rationale for code and DRG assignment.
- Coordinates corrections with coding staff
- Tracks and reports on denial activities and final results.
Provides coding expertise:
- Serves as the primary resource for coding questions, information and feedback for CCS associates as well as other UC Health departments and personnel.
Accountability:
- Reviews educational materials thoroughly and takes responsibility for applying this information to their duties
- Seeks to clarify information and educational material when necessary.
- Listens actively.
- Maintains information and resources in an organized manner so that information can be referenced easily.
- Reviews emails timely and thoroughly and responds when indicated.
- Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance.
- Performs routine coding audits evaluating accuracy of assignment of codes, disposition, POA indicators and DRG's as indicated.
- Performs focus coding audits on specific topics, DRG's codes etc.
- Provides feedback to coders on an individual basis and communicates educational opportunities to CCS Educator.
- Tracks results of audits and reports findings as indicated.
- Considers feedback from the coders as appropriate.
Education:
- Works with the coding managers and Coding Educator to identify topics for educational and training purposes.
- Assists Coding Educator in development of training materials and identification of case examples.
- Attends educational sessions to ensure continuity among auditors and coders.
- Responds to coder questions and reviews cases as necessary to assist with correct code assignment.
Coding assistance:
- Assists with coding when necessary to help meet department goals.
Case Review:
- Reviews cases in question by outside agencies, payers, UCH Quality and other internal departments.
- Communicates findings/rationale for code and DRG assignment.
- Coordinates corrections with coding staff
- Tracks and reports on denial activities and final results.
Provides coding expertise:
- Serves as the primary resource for coding questions, information and feedback for CCS associates as well as other UC Health departments and personnel.
Accountability:
- Reviews educational materials thoroughly and takes responsibility for applying this information to their duties
- Seeks to clarify information and educational material when necessary.
- Listens actively.
- Maintains information and resources in an organized manner so that information can be referenced easily.
- Reviews emails timely and thoroughly and responds when indicated.
- Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance.
