Coding Quality Auditor at UC HEALTH LLC in Cincinnati, Ohio

Job Description:

UC Health is hiring a Full Time Coding Quality Auditor

Performs ongoing coding audits, provides feedback to coding staff, compiles and reports results.

• Minimum Required: Associate's Degree in Health Information Technology.
• Preferred: Bachelor's Degree in Health Information Administration.
• Required: Certified as an RHIA, RHIT or CCS.
• Minimum Required: 3 years of recent inpatient or outpatient coding experience using ICD-10, CPT and familiarity with DRG's.
• Preferred: Previous experience in a coding auditor or coding educator role.

• Performs routine coding audits evaluating accuracy of assignment of codes, disposition, POA indicators and DRG's as indicated.
• Performs focus coding audits on specific topics, DRG's codes etc.
• Provides feedback to coders on an individual basis and communicates educational opportunities to CCS Educator.
• Tracks results of audits and reports findings as indicated.
• Considers feedback from the coders as appropriate.

Education:

• Works with the coding managers and Coding Educator to identify topics for educational and training purposes.
• Assists Coding Educator in development of training materials and identification of case examples.
• Attends educational sessions to ensure continuity among auditors and coders.
• Responds to coder questions and reviews cases as necessary to assist with correct code assignment.

• Assists with coding when necessary to help meet department goals.

• Reviews cases in question by outside agencies, payers, UCH Quality and other internal departments.
• Communicates findings/rationale for code and DRG assignment.
• Coordinates corrections with coding staff
• Tracks and reports on denial activities and final results.

• Serves as the primary resource for coding questions, information and feedback for CCS associates as well as other UC Health departments and personnel.

• Reviews educational materials thoroughly and takes responsibility for applying this information to their duties
• Seeks to clarify information and educational material when necessary.
• Listens actively.
• Maintains information and resources in an organized manner so that information can be referenced easily.
• Reviews emails timely and thoroughly and responds when indicated.
• Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance.

• Performs routine coding audits evaluating accuracy of assignment of codes, disposition, POA indicators and DRG's as indicated.
• Performs focus coding audits on specific topics, DRG's codes etc.
• Provides feedback to coders on an individual basis and communicates educational opportunities to CCS Educator.
• Tracks results of audits and reports findings as indicated.
• Considers feedback from the coders as appropriate.

Education:

• Works with the coding managers and Coding Educator to identify topics for educational and training purposes.
• Assists Coding Educator in development of training materials and identification of case examples.
• Attends educational sessions to ensure continuity among auditors and coders.
• Responds to coder questions and reviews cases as necessary to assist with correct code assignment.

• Assists with coding when necessary to help meet department goals.

• Reviews cases in question by outside agencies, payers, UCH Quality and other internal departments.
• Communicates findings/rationale for code and DRG assignment.
• Coordinates corrections with coding staff
• Tracks and reports on denial activities and final results.

• Serves as the primary resource for coding questions, information and feedback for CCS associates as well as other UC Health departments and personnel.

• Reviews educational materials thoroughly and takes responsibility for applying this information to their duties
• Seeks to clarify information and educational material when necessary.
• Listens actively.
• Maintains information and resources in an organized manner so that information can be referenced easily.
• Reviews emails timely and thoroughly and responds when indicated.
• Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance.