Job Description

Job Description

Certification Details

• RHIA
• RHIT
• CCS
• CPC

Job Details

• Performs internal quality assessment reviews on OUH coders to ensure compliance with national coding guidelines and OUH coding policies for accurate and consistent coding.
• Coordinates and directs day-to-day coding educational activities.
• Facilitates and provides coding educational classes/presentations to staff as needed.
• Communicates outcomes to improve accuracy, integrity, and quality of patient data and physician documentation.
• Assists Coding Leadership in root cause analysis of coding quality issues, performs account reviews, and prepares training documents for coding quality action plans.
• Responds to coding-related questions from HSC coding staff.
• Leads and performs quality reviews for inpatient and outpatient coding across OUMS.
• Provides Coding Integrity Specialist (CIS) and CQR education as needed.
• Initiates rebilling process per policy on special projects.
• Researches coding opportunities and escalates as needed.
• Assists in process improvement, education, troubleshooting, and prioritization of issues.
• Monitors QA results to assist Coding Leadership in root cause analysis and educational opportunities.
• Assists with curriculum development and ensures coding staff adherence to guidelines and policy.
• Demonstrates expert knowledge of medical coding practices and concepts.
• Participates in special reviews or projects.
• Maintains or exceeds 95% productivity and accuracy standards.
• Meets all educational requirements as stated in company policy.
• Reviews data quality standards, coding guidelines, policies, and clinical resources to keep coding knowledge current.
• Performs annual education needs assessment for strategic coding education program.
• Communicates coding topics and question trends to Coding Leadership for global education.
• Coaches and mentors coding staff.
• Provides skilled coding support through meetings and as needed.
• Researches external sources for coding trends and questions.
• Works on special projects as assigned.
• Applies adult learning concepts in educational programs.
• Provides high level of customer service.
• Adheres to company’s Code of Conduct, ethics philosophy, mission, and values.
• Performs other duties as assigned.

Job Requirements

• High School graduate or GED equivalent required; undergraduate degree in HIM/HIT preferred.
• Minimum of 5 years acute care inpatient/outpatient coding experience required.
• Minimum of 3 years coding auditing/monitoring experience strongly preferred.
• Proven work experience in coding education strongly preferred.
• License(s)/Certification(s)/Registration(s) Required: RHIA, RHIT, CCS, or CPC.

Schedule Information

• Contract length: 13 weeks.

Additional Details

• Knowledge and skills include extensive regulatory coding (ICD-10-CM, ICD-10-PCS, CPT-4, Modifiers, MS-DRGs, POA assignment, APR-DRGs, APCs) and reimbursement knowledge.
• Effective decision making and adaptability to changes in work responsibilities or environment.
• Initiative and proactive problem resolution.
• Team participation and high work standards.
• Clear and concise communication skills, both verbal and written.
• Customer orientation and interpersonal skills.
• Data analysis and healthcare information knowledge.
• Ability to work independently and in a team environment.
• Proficiency in Microsoft Office and other required applications.
• Knowledge and understanding of organizational policies, procedures, systems, and query handbook.

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