Coding Integrity Specialist II

3 weeks ago

St Paul, United States CareerBuilder Full time

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locations

Virtual

time type

Full time

posted on

Posted 8 Days Ago

job requisition id

R0037160

Position Title:

Coding Integrity Specialist II

Department:

OUHP Revenue Integrity

Job Description:

This position may be performed remotely from the following locations within the United States of America: Arkansas, Colorado, Florida, Georgia, Indiana, Kansas, Louisiana, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, and Wisconsin.
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 OUH. 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:

High School Diploma or GED

required. Associates

or Bachelors degree in HIM/HIT preferred.
Experience:

One (1) year acute care observation and/or same day surgery hospital outpatient coding experience required. Three (3) years healthcare experience preferred. An equivalent amount of education or experience may be substituted for minimum experience requirement
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.
Current OU Health Employees - Please click

HERE

to login.

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.
About Us

OU Health is the states only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahomas largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the states only freestanding childrens hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahomas flagship hospital, which serves as the states only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community. Beckers Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Healths oncology program at OU Health Stephenson Cancer Center was named Oklahomas top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure. OU Healths mission is to lead healthcare in patient care, education and research.

Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals. We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non-clinical opportunities to further your career and we invite you to explore our available positions.

Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training. Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.

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