Coding Integrity Specialist II

Position Title:

Department:

Job Description:

New to OU Health? Ask your recruiter about our competitive wages and total rewards package.

Looking for a coding team to love at OU Health? This is it! While this role is specifically searching for an experienced Orthopedic coder, we also cover multiple specialties so there's opportunities to learn and grow. 100% remote. Flexible shifts once training is complete. Opportunity to work four 9 hour days, and one 4 hour day. So if you're work-from-home ready, work well independently, and have strong coding skills we just may be the right fit for you!

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment .

***The ideal candidate would have 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.***

General Description:

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.

Essential Responsibilities:

Responsibilities listed in this section are core to the coding positions in general. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.

• Using ICD-10-CM and/or HCPCS/CPT, primarily assigns, validates, and/or edits codes for the following patient types:
  • Orthopedic surgery (PRIMARY)
  • Same day surgery (SDC)
  • Observation (OBV)
  • Wound Care
  • Outpatient Cardiac Cath
• Assigns, validates, and/or edits procedure categories, 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 the following patient types:
  • Emergency department (ED)
  • Recurring (RCR)
  • Clinical (CLI) records, and/or
  • Provider Office Visit (POV)
• Performs other duties as assigned

Minimum Qualifications:

Education: High School Diploma or GED required. Associate's or Bachelor’s degree in HIM/HIT preferred.

Experience: 3-5 years of experience in acute care observation and/or same day surgery hospital outpatient coding required.

Licensure/Certifications/Registrations 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.

Knowledge, Skills and Abilities:

• 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.

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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.