Description
Be a part of a world-class academic healthcare system at UChicago Medicine as a DRG/APC Coordinator - Coding Auditor for the Health Information Management department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area.
In this role, the DRG/APC Coordinator- Coding Auditor is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding; insures 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 Housestaff 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 Housestaff 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 3M 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 when appealing a PRO decision
- Maintains accreditation with AHIMA and abides by the Standards of Ethical Coding as set forth by the AHIMA
- Remains current on all 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 (CCS) credentials
- Four (4) years coding experience with a minimum of two (2) years PPS coding, DRG grouping, & APC payment experience
- Three (3) years of inpatient facility coding experience
- Working knowledge of 3M HDM Abstracting System and 3M 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 all patient records
- Data entry skills
Position Details:
- Job Type/FTE: Full Time (1.0 FTE)
- Shift: Days – 8-hour shift
- Unit/Department: Health Information Management
- CBA Code: Non-Union
In this role, we anticipate that you will generally work approximately 40 hours per week. We anticipate that you will generally be scheduled to work the first shift, from approximately 8am-4:30pm and will not be scheduled for on-call shifts. The days of the week that you are scheduled will not vary depending on the week and we anticipate that you will be scheduled to work on weekdays (Monday-Friday)
Must comply with UCMC's COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide proof 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 check are also required for all employees prior to hire.
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