Orthopedic Coding Integrity Specialist

OU Health•WFH State of Oklahoma, OK

1d•Remote

About The Position

This is a 100% remote position for an experienced Orthopedic coder. The role offers flexible shifts after training, with the possibility of working four 9-hour days and one 4-hour day. Candidates must be work-from-home ready, work well independently, and possess strong coding skills. The position is part of a coding team at OU Health, which covers multiple specialties, offering opportunities for learning and growth. Remote eligibility requires candidates to reside and work full-time in AR, KS, MO, OK, or TX.

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.
Multiple years of direct orthopedic surgery and/or teaching hospital or trauma center coding experience.
Coding knowledge in other specialties is a big plus.
Epic and Encoder Pro experience preferred.
COSC Certification from AAPC would be the ultimate secondary certification to move your application to the top of the list.

Responsibilities

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 OU Health.
Applies all appropriate coding guidelines and criteria for code selections.
Assigns, validates, and/or edits codes for Orthopedic surgery (PRIMARY), Same day surgery (SDC), Observation (OBV), Wound Care, and Outpatient Cardiac Cath patient types.
Assigns, validates, and/or edits procedure categories and 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 ensure 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 the current Company policy.
Only as needed, may also assign, validate, and/or edit codes for Emergency department (ED), Recurring (RCR), Clinical (CLI) records, and/or Provider Office Visit (POV) patient types.
Performs other duties as assigned.