Coding Integrity Specialist

OU Health•Oklahoma City, OK

About The Position

General Description: Reviews and evaluates hospital outpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and HCPCS/CPT codes. Performs coding and/or code validation across OUH. Applies all appropriate coding guidelines and criteria for code selections. Adheres to Company policies and procedures for the assignment of complete, accurate, timely, and consistent codes for diagnoses and procedures.

Requirements

High School diploma or GED required.
Zero (0) - Three (3) years of acute care outpatient coding experience required with 3 years healthcare experience strongly preferred.
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.
Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems.
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

Undergraduate Associate's or Bachelor's degree in HIM/HIT preferred.
RHIA, RHIT, CCS, CCA, or CPC preferred.

Responsibilities

Using, ICD-10-CM and/or HCPCS/CPT, primarily assigns, validates, and/or edits codes the following patient types: Emergency Room (ED) Recurring (RCR) Clinical (CLI) records
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 assure 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 current Company policy
Initiates, validates, and/or edits physician queries in compliance with Company policy when appropriate
Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”
Performs other duties as assigned