Job Description Be a part of a world-class academic healthcare system at UChicago Medicine as a Coding Auditor - DRG/APC Coordinator for the Health Information Management department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland this role, the Coding Auditor - DRG/APC Coordinator is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding, and ensures optimal and timely reimbursement. Essential Job FunctionsPerforms data quality reviews on inpatient and outpatient records to ensure proper coding guidelines have been followed and appropriate DRG or APC assignments have been made for appropriate reimbursementProvides DRG/APC and coding quality information and statistical reports to the Coding ManagerCommunicates with the Medical Staff and House staff as needed to discuss clinical questions with respect to the assignment of ICD-10-CM and ICD-10-PCS codes for diagnoses and proceduresEducates the Medical Staff and House staff regarding the importance of sufficient documentation to support the assignment of the appropriate DRG/APCReviews Hospitals' specific coding guidelines and procedures and suggests changes and updates to the Coding ManagerParticipates in team meetings with coding personnel to discuss coding problems, changes, or issuesPerforms routine coding and abstracting as directedUtilizes 3M encoder optimizing function to review data for accuracyReviews PRO coding changes, reports findings to the Coding Manager, and - provides appropriate documentation to the PRO when appealing a PRO decisionMaintains accreditation with AHIMA and abides by the Standards of Ethical Coding as set forth by the AHIMARemains current on all PRO, OIG and IPPS/OPPS rules and regulations, coding updates, changes and issuesRequired QualificationsA bachelor's degree from an accredited academic body or in lieu of a completed degree; equivalent experience Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), and Certified Coding Specialist (CCS) credentials Four (4) years coding experience with a minimum of two (2) years PPS coding, DRG grouping, & APC payment experienceFive (5) years of inpatient facility coding experience with at least two (2) years in an academic settingWorking knowledge of 3M HDM Abstracting System and 3M Codefinder/DRG finder; must have working knowledge of JCAHO standards for chart completionWorking knowledge of medico-legal rules and regulations that govern the confidentiality and release of medical information with the ability to interpret and implement the standards; must maintain total confidentiality of all patient recordsData entry skills Position Details:Job Type/FTE: Full TimeShift: Days Location: Remote Unit/Department: Health Information ManagementCBA Code: Non-Union#UCMOther25To apply, please email your resume to
Job Title
Coding Auditor - DRG/APC Coordinator