Inpatient Coding Quality Review / Educator (WFH)

Position Title :

Inpatient Coding Quality Review / Educator (WFH)

Department : HIM Coders

Job Description :

This position may be performed remotely from the following locations within the United States of America :  Arkansas,  Kansas, Missouri, Oklahoma, and Texas.

Please only apply if you live and work full-time in one of the states listed above or plan to relocate to one of these states before starting your employment with OU Health.  State locations and specifics are subject to change as our hiring requirements shift.

General Description :

Performs internal quality assessment reviews on OUH coders to ensure compliance with national coding guidelines and the OUH coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes / presentations to staff, as required / when needed. Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing account reviews, and preparing training documents to assist with coding quality action plans.

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.

• Responds to coding-related questions from HSC coding staff
• Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and outpatient coding across OUMS
• Provides Coding Integrity Specialist (CIS) and CQR education as needed
• Initiates the rebilling process as required per policy on special projects
• Researches coding opportunities and escalate as needed
• Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues.
• Provides and creates education as needed

Monitors QA results to assist Coding Leadership in root cause analysis and educational opportunities

Performs an annual education needs assessment as input to the strategic coding education program and provides this assessment to the Coding Leadership team

General Responsibilities :

Minimum Qualifications :

Education : High school diploma or GED required. Associate's or Bachelor's degree in HIM / HIT preferred.

Experience :   Minimum of five (5) years acute care inpatient / outpatient coding experience required. Three (3) years coding auditing / monitoring experience strongly preferred.

License(s) / Certification(s) / Registration(s) Required : RHIA, RHIT, CCS, or CPC required.

Knowledge, Skills and Abilities :

toward the completion of goals

Communication - communicates clearly and concisely, verbally and in writing.

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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.