UChicago Medicine
Coding Auditor - DRG/APC Coordinator
UChicago Medicine, Chicago, Illinois, United States, 60290
Be a part of a world-class academic healthcare system at
UChicago Medicine
as a
Coding Auditor - DRG/APC Coordinator
for the
Health Information Management
department. This is a remote, work-from-home opportunity and you may be based outside of the greater Chicagoland area. In this role, the
Coding Auditor - DRG/APC Coordinator
is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding, and ensures optimal and timely reimbursement. Essential Job Functions
Performs data quality reviews on inpatient and outpatient records to ensure proper coding guidelines have been followed and appropriate DRG or APC assignments have been made for appropriate reimbursement Provides DRG/APC and coding quality information and statistical reports to the Coding Manager Communicates with the Medical Staff and House staff as needed to discuss clinical questions with respect to the assignment of ICD-10-CM and ICD-10-PCS codes for diagnoses and procedures Educates the Medical Staff and House staff regarding the importance of sufficient documentation to support the assignment of the appropriate DRG/APC Reviews hospitals' specific coding guidelines and procedures and suggests changes and updates to the Coding Manager Participates in team meetings with coding personnel to discuss coding problems, changes, or issues Performs routine coding and abstracting as directed Utilizes 3M encoder optimizing function to review data for accuracy Reviews PRO coding changes, reports findings to the Coding Manager, and provides appropriate documentation to the PRO when appealing a PRO decision Maintains accreditation with AHIMA and abides by the Standards of Ethical Coding as set forth by AHIMA Remains current on all PRO, OIG and IPPS/OPPS rules and regulations, coding updates, changes and issues Required Qualifications
A bachelor’s degree from an accredited institution or equivalent experience RHIT or RHIA certification, and CCS credentials Four (4) years of coding experience with a minimum of two (2) years PPS coding, DRG grouping, & APC payment experience Five (5) years of inpatient facility coding experience with at least two (2) years in an academic setting Working knowledge of 3M HDM Abstracting System and 3M Codefinder/DRG finder; working knowledge of JCAHO standards for chart completion Working knowledge of medico-legal rules and regulations governing confidentiality and release of medical information; ability to interpret and implement the standards and maintain patient record confidentiality Data entry skills Position Details
Job Type/FTE: Full Time Shift: Days Location: Remote Unit/Department: Health Information Management CBA Code: Non-Union To apply, please email your resume to Adam.Thayer@uchicagomedicine.org. Why Join Us
We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. We’re doing work that really matters. Join us and bring your passion. UChicago Medicine is growing; discover how you can be a part of this pursuit at UChicago Medicine Career Opportunities. We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics. Must comply with UChicago Medicine’s COVID-19 Vaccination requirement and Flu Vaccination requirement, with exemptions considered as allowed by law. A pre-employment physical, drug screening, and background check are required. Compensation & Benefits
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position. The pay range is based on a full-time equivalent and may be adjusted based on qualifications and organizational considerations. Benefits details are available here: Benefits - UChicago Medicine. Pay range:
$79,900.00/yr - $106,600.00/yr . Seniority level: Mid-Senior level Employment type: Full-time Job function: Accounting/Auditing and Finance Industries: Hospitals and Health Care
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UChicago Medicine
as a
Coding Auditor - DRG/APC Coordinator
for the
Health Information Management
department. This is a remote, work-from-home opportunity and you may be based outside of the greater Chicagoland area. In this role, the
Coding Auditor - DRG/APC Coordinator
is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding, and ensures optimal and timely reimbursement. Essential Job Functions
Performs data quality reviews on inpatient and outpatient records to ensure proper coding guidelines have been followed and appropriate DRG or APC assignments have been made for appropriate reimbursement Provides DRG/APC and coding quality information and statistical reports to the Coding Manager Communicates with the Medical Staff and House staff as needed to discuss clinical questions with respect to the assignment of ICD-10-CM and ICD-10-PCS codes for diagnoses and procedures Educates the Medical Staff and House staff regarding the importance of sufficient documentation to support the assignment of the appropriate DRG/APC Reviews hospitals' specific coding guidelines and procedures and suggests changes and updates to the Coding Manager Participates in team meetings with coding personnel to discuss coding problems, changes, or issues Performs routine coding and abstracting as directed Utilizes 3M encoder optimizing function to review data for accuracy Reviews PRO coding changes, reports findings to the Coding Manager, and provides appropriate documentation to the PRO when appealing a PRO decision Maintains accreditation with AHIMA and abides by the Standards of Ethical Coding as set forth by AHIMA Remains current on all PRO, OIG and IPPS/OPPS rules and regulations, coding updates, changes and issues Required Qualifications
A bachelor’s degree from an accredited institution or equivalent experience RHIT or RHIA certification, and CCS credentials Four (4) years of coding experience with a minimum of two (2) years PPS coding, DRG grouping, & APC payment experience Five (5) years of inpatient facility coding experience with at least two (2) years in an academic setting Working knowledge of 3M HDM Abstracting System and 3M Codefinder/DRG finder; working knowledge of JCAHO standards for chart completion Working knowledge of medico-legal rules and regulations governing confidentiality and release of medical information; ability to interpret and implement the standards and maintain patient record confidentiality Data entry skills Position Details
Job Type/FTE: Full Time Shift: Days Location: Remote Unit/Department: Health Information Management CBA Code: Non-Union To apply, please email your resume to Adam.Thayer@uchicagomedicine.org. Why Join Us
We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. We’re doing work that really matters. Join us and bring your passion. UChicago Medicine is growing; discover how you can be a part of this pursuit at UChicago Medicine Career Opportunities. We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics. Must comply with UChicago Medicine’s COVID-19 Vaccination requirement and Flu Vaccination requirement, with exemptions considered as allowed by law. A pre-employment physical, drug screening, and background check are required. Compensation & Benefits
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position. The pay range is based on a full-time equivalent and may be adjusted based on qualifications and organizational considerations. Benefits details are available here: Benefits - UChicago Medicine. Pay range:
$79,900.00/yr - $106,600.00/yr . Seniority level: Mid-Senior level Employment type: Full-time Job function: Accounting/Auditing and Finance Industries: Hospitals and Health Care
#J-18808-Ljbffr