Work From Home Coding Integrity Specialist II
Position Title:
Work From Home Coding Integrity Specialist IIDepartment:
OUHP Revenue IntegrityJob Description:
General Description:
Reviews and evaluates hospital outpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and Healthcare Common Procedure Coding System/Current Procedural Terminology (HCPCS/CPT) codes. Performs coding and/or code validation across OUMI. Applies all appropriate coding guidelines and criteria for code selections.
Essential Responsibilities:
Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.
- Using, ICD-10-CM and/or HCPCS/CPT, primarily assigns, validates, and/or edits codes the following patient types:
- Same day surgery (SDC)
- Observation (OBV)
- Wound Care
- Outpatient Cardiac Cath
- As needed, may also assign, validate, and/or edit codes for the following patient types:
- Emergency department (ED)
- Recurring (RCR)
- Clinical (CLI) records, and/or
- Provider Office Visit (POV)
- Assigns, validates, and/or edits procedure categories, modifiers (when applicable)
- Maintains or exceeds established productivity standards
- Maintains or exceeds established accuracy standards
- Initiates, validates, and/or edits physician queries in compliance with Company policy where appropriate
- Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
- Utilizes the complete medical record documentation in code assignment, validation, and/or editing of codes
- Follows all applicable coding guidance in assigning, sequencing, validation, and/or editing of codes
- Meets all educational requirements as stated in current Company policy
General Responsibilities:
- Performs other duties as assigned
Minimum Qualifications:
Education: None required. Associates or Bachelor s degree in HIM/HIT preferred.
Experience: One (1) year acute care observation and/or same day surgery hospital outpatient coding experience required. Or equivalent combination of education and experience
Licensure/Certifications/Registrations Required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) required
Knowledge, Skills and Abilities:
- Coding Technical Skills- ICD-10-CM, HCPCS/CPT-4, and APCs.
- Analytical Skills - effective evaluation, synthesis and use of information gathered.
- Organization - establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task.
- Communication - communicates clearly and concisely.
- Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
- PC Skills - demonstrates proficiency in Microsoft Office applications and others as required.
- Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
- Work Independently - is self-supporting; not needing to rely on others to complete a job.
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OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.