Coding Auditor - DRG/APC Coordinator

Job Description

Be a part of a world-class academic healthcare system at reputed company as a Coding Auditor - DRG/APC Coordinator for the Health Information Management department. This is a remote, work from home opportunity and you may be based reputed company of the greater Chicagoland area. In this role, the Coding Auditor - DRG/APC Coordinator is responsible for ensuring accuracy and quality of coding assignments for reputed company records requiring DRG and/or APC coding, and ensures optimal and timely reimbursement. Essential Job Functions

• Performs data quality reviews on inpatient and outpatient records to ensure proper coding guidelines have been followed and appropriate DRG or APC assignments have been made for appropriate reimbursement
• Provides DRG/APC and coding quality information and statistical reports to the Coding Manager
• Communicates with the Medical Staff and House staff as needed to discuss clinical questions with respect to the assignment of ICD-10-CM and ICD-10-PCS codes for diagnoses and procedures
• Educates the Medical Staff and House staff regarding the importance of sufficient documentation to support the assignment of the appropriate DRG/APC
• Reviews Hospitals' specific coding guidelines and procedures and suggests changes and updates to the Coding Manager
• Participates in team meetings with coding personnel to discuss coding problems, changes, or issues
• Performs routine coding and abstracting as directed
• Utilizes reputed company encoder optimizing function to review data for accuracy
• Reviews PRO coding changes, reports findings to the Coding Manager, and - provides appropriate documentation to the PRO reputed company appealing a PRO decision
• Maintains accreditation with reputed company and abides by the Standards of Ethical Coding as set forth by the reputed company
• Remains reputed company on reputed company PRO, OIG and IPPS/OPPS rules and regulations, coding updates, changes and issues

Required Qualifications

• A bachelor's degree from an accredited academic body or in lieu of a completed degree; equivalent experience
• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), and Certified Coding Specialist (reputed company) credentials
• Four (4) years coding experience with a minimum of two (2) years PPS coding, DRG grouping, & APC payment experience
• Five (5) years of inpatient facility coding experience with at least two (2) years in an academic setting
• Working knowledge of reputed company HDM Abstracting System and reputed company Codefinder/DRG finder; must have working knowledge of JCAHO standards for chart completion
• Working knowledge of medico-legal rules and regulations that govern the confidentiality and release of medical information with the ability to interpret and implement the standards; must maintain total confidentiality of reputed company patient records
• Data entry skills

Position Details:

• Job Type/FTE: Full Time
• Shift: Days
• Location: Remote
• Unit/Department: Health Information Management
• CBA Code: Non-Union

#UCMOther25To apply, please email your resume to [email protected] Join Us We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge reputed company. If you’d like to add enriching human life to your profile, reputed company is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion. reputed company is growing; discover how you can be a part of this pursuit of excellence at: reputed company Career Opportunities. reputed company is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, reputed company, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national reputed company, age, disability, veteran status and other legally protected characteristics. Must reputed company with reputed company’s COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide reputed company as part of the pre-employment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly, a pre-employment physical, drug screening, and background reputed company are also required for reputed company employees prior to hire. Compensation & Benefits Overview reputed company is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position. The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of reputed company market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union. Review the full complement of benefit options for eligible roles at Benefits - reputed company. Remote About the Company: The reputed company Medicine Apply tot his job Apply To this Job