OP/ED/OBS Coding Auditor

Ingalls Health System; Chicago (IL); Remote; USD 70,000 - 90,000; Full time

Job summary

UChicago Medicine is seeking a remote OP/ED/OBS Coding Auditor to join the HIM Coding/CDI team. You will review inpatient and outpatient records for coding accuracy and provide quality metrics to the Coding Manager.

You will educate medical staff on coding questions, stay current with CMS/IPPS/OPPS rules, and contribute to coder education and annual quality plans. This role supports remote work from anywhere outside the greater Chicagoland area.

Qualifications

• Bachelor's degree or equivalent experience in health information management.
• RHIT, RHIA, or CCS credentials required.
• 5+ years of acute care facility coding experience.
• Strong knowledge of ICD-10 and CPT coding.

Responsibilities

• Perform data quality reviews on inpatient and outpatient records to ensure proper coding and charging guidelines are followed.
• Provide coding quality information and reports with trend analysis to Coding Manager.
• Educate Medical Staff on ICD-10/CPT coding questions and guidelines as needed.
• Review and draft hospital coding guidelines and procedures with management.

Skills

Communication skills

Prioritization

Training skills

Education

Bachelor's degree or equivalent experience

RHIT/RHIA/CCS credentials

Tools

Solventum 360

Job description

OP/ED/OBS Coding Auditor

Be a part of a world-class academic health-care system at UChicago Medicine as a OP/ED/OBS Coding Auditor in the HIM Coding/CDI department. This is a remote, work from home opportunity, and you may be based outside of the greater Chicagoland area.

Essential Job Functions

• Performs data quality reviews on inpatient and outpatient records to ensure proper coding & charging guidelines have been followed and appropriate DRG or APC assignments have been made by HIM coders.
• Provides coding quality information and statistical reports with analysis of trends to Coding Manager.
• Communicates and educates Medical Staff as needed to discuss clinical questions with respect to the assignment of ICD-10/CPT codes for diagnoses and/or procedures.
• Reviews and drafts Hospitals specific coding guidelines and procedures as needed with management.
• Participate in team meetings with coding personnel to discuss coding problems, changes, or issues.
• Performs routine coding & abstracting as needed.
• Maintains accreditation with AHIMA and abides by the Standards of Ethical Coding as set forth by AHIMA.
• Remains current on all OIG, CMS, and IPPS/OPPS rules, regulations, and coding updates.
• Assists coding manager with the development of coder education and quality plan throughout the year.
• Responsible, with coding manager, for orientation of newly hired coders and acts as an educational resource for the coding staff.

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), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) credentials.
• Five (5) years or more of acute care facility coding experience.
• Must have skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities, and deadlines.
• Good communication skills; ability to impart knowledge of procedures and techniques to coding & medical staff.
• Must have a thorough working knowledge of Solventum 360.

Job Details

• Job Type/FTE: Full Time (1.0 FTE)
• Shift: Days - 8 hour shifts M - F
• Location: Remote
• Unit/Department: HIM Coding/CDI
• CBA Code: Non-Union