DRG Coding Auditor

University of Utah Health • Salt Lake City, UT

15d

About The Position

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured for the level of service rendered. Provides ongoing education to coders, physicians, and other clinical staff. The incumbent serves in an advisory and educator role for coding and regulatory compliance. Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.

Requirements

• Bachelor's degree or a minimum of six years experience of HIM Management.
• Four years of experience with coding ICD-10.
• Clinical Coding Specialist (CCS) certification.
• Certified Documentation Improvement Practitioner (CDIP) certification or receive within six months of hire.
• Current Certified Documentation Improvement Practitioner (CDIP) through the AHIMA or obtain within 6 months of hire
• Additional license requirements as determined by the hiring department.
• Possesses knowledge of DRG and grouping methodologies, in particular what diagnoses and procedures impact DRG assignment.
• Possess strong knowledge of the diagnosis and procedure codes.
• Excellent interpersonal skills to develop relationships necessary to facilitate and educate.
• Excellent prioritization and organizational skills.

Nice To Haves

• RHIA/RHIT

Responsibilities

• Reviews inpatient medical records post-discharge and pre-bill, audits the accuracy and completeness of diagnoses, procedure coding, abstracted data and DRG assignment.
• Reviews non-CC/MCC records to determine if the record was coded correctly or if additional codes may be reported by obtaining documentation supported by clinical indicators and treatment.
• Develops and coordinates coding education and formal training programs.
• Improves documentation by participating in the CDI query audit process.
• Works effectively with the Coding Manager to improve Inpatient coding accuracy.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees