Coding Integrity Specialist

OU Health

2d•Remote

About The Position

New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment . 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.

Requirements

High School Diploma or GED required.
3-5 years of experience in acute care observation and/or same day surgery hospital outpatient coding required.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), NHA CBCS or equivalent coding certification from AHIMA or AAPC required.
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.

Nice To Haves

Associate's or Bachelor’s degree in HIM/HIT preferred.

Responsibilities

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
Performs other duties as assigned