Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Outpatient Coding ICD 503 Data Quality Assessment Medical Record Management Procedure Codes Performance Management Medical Coding Physician Data Query Customer Experience Improvement Organizational Structure

Other Skills

•
Procedure Development
•
Communication
•
Analytical Skills
•
Multitasking
•
Quality Driven
•
Detail Oriented
•
Prioritization

Roles & Responsibilities

Education: High School Diploma or GED; Associate's or Bachelor's degree in HIM/HIT preferred.
Experience: 3-5 years of acute care observation and/or same-day surgery hospital outpatient coding.
Certifications: RHIA, RHIT, CCS, CPC, COC, NHA CBCS or equivalent coding certification from AHIMA or AAPC.
Knowledge/Skills: ICD-10-CM, HCPCS/CPT-4, APCs; strong analytical, organizational, and communication abilities; proficient in Microsoft Office.

Requirements:

Reviews outpatient records to assign, validate, and edit ICD-10-CM and HCPCS/CPT codes for patient types including same-day surgery, observation, wound care, and outpatient cardiac catheterization; may code for ED, recurring, clinical, and POV as needed.
Initiates and validates physician queries in compliance with policy and uses complete medical record documentation to support code assignment.
Maintains or exceeds productivity and accuracy standards and stays current with data quality standards, coding guidelines, company policies, and clinical resources.
Performs other duties as assigned.

OU Health

About OU Health

OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center and Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center. Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure. OU Health’s mission is to lead healthcare in patient care, education and research. To learn more, visit ouhealth.com.

Company type: XLarge

Founded: 2018

Company size: 10001

Website LinkedIn See all jobs →

Job description

Position Title:

CODING INTEGRITY SPECIALIST II

Department:

Revenue Integrity

Job Description:

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 OUH. Applies all appropriate coding guidelines and criteria for code selections.

Essential Responsibilities:

Responsibilities listed in this section are core to the position. 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 the following patient types:
- Same day surgery (SDC)
- Observation (OBV)
- Wound Care
- Outpatient Cardiac Cath

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)

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 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

General Responsibilities:

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.