Job Description

Job Description

Job Details

• Performs internal quality assessment reviews on OUH coders to ensure compliance with national coding guidelines and OUH coding policies for complete, accurate and consistent coding.
• Coordinates and directs day-to-day coding educational activities.
• Facilitates and provides coding educational classes/presentations to staff as needed.
• Communicates outcomes to the coding team to improve accuracy, integrity, and quality of patient data.
• Assists Coding Leadership in root cause analysis of coding quality issues, performs account reviews, and prepares training documents for coding quality action plans.
• Responds to coding-related questions from HSC coding staff.
• Leads, coordinates, and performs all functions of quality reviews for inpatient and outpatient coding across OUMS.
• Provides Coding Integrity Specialist (CIS) and CQR education as needed.
• Initiates rebilling process per policy on special projects.
• Researches coding opportunities and escalates as needed.
• Assists in review, improvement of processes, education, troubleshooting, and recommends prioritization of issues.
• Monitors QA results to assist Coding Leadership in root cause analysis and educational opportunities.
• Assists with curriculum development and ensures coding staff adherence to coding guidelines and policy.
• Demonstrates expert level knowledge of medical coding practices and concepts.
• Participates in special reviews or projects.
• Maintains or exceeds 95% productivity and accuracy standards.
• Meets all educational requirements as stated in current Company policy.
• Reviews official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to keep coding knowledge current.
• Performs annual education needs assessment for strategic coding education program.
• Communicates coding topics and question trends to Coding Leadership for global education.
• Coaches and mentors coding staff in developing coding skills.
• Provides skilled coding support through scheduled coding meetings and as needed.
• Researches external sources for common coding trends and questions.
• Applies adult learning concepts when developing or delivering educational programs.
• Provides high level of customer service.
• Practices adherence to Company’s Code of Conduct, ethics philosophy, Mission and Values.
• Performs other duties as assigned.

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