Coding Integrity Specialist - Education/Auditing

About the Role

The successful candidate will have a strong understanding of ICD-10-CM and HCPCS/CPT codes, as well as excellent communication and analytical skills. This role is ideal for those who are self-motivated, detail-oriented, and able to work independently in a remote setting.

What You Will Do

• Review and evaluate hospital outpatient medical record documentation to assign, sequence, edit, and/or validate ICD-10-CM and HCPCS/CPT codes
• Perform coding and/or code validation across OU Health
• Apply all appropriate coding guidelines and criteria for code selections
• Assign, validate, and/or edit codes for various patient types, including same day surgery, observation, wound care, and outpatient cardiac cath
• Maintain or exceed established productivity and accuracy standards
• Initiate, validate, and/or edit physician queries in compliance with company policy
• Review official data quality standards, coding guidelines, company policies, and clinical/medical resources to stay current on coding knowledge and skills
• Utilize complete medical record documentation in code assignment, validation, and/or editing of codes
• Follow all applicable coding guidance in assigning, sequencing, validating, and/or editing of codes

What We Are Looking For

• High School Diploma or GED required
• Associate's or Bachelor’s degree in HIM/HIT preferred
• 3-5 years of experience in acute care observation and/or same day surgery hospital outpatient coding required
• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or NHA CBCS certification required
• Strong understanding of ICD-10-CM and HCPCS/CPT codes
• Excellent communication and analytical skills
• Ability to work independently in a remote setting

Nice to Have

• Experience with Microsoft Office applications
• Familiarity with electronic health records (EHRs)
• Certification in a specialized area of coding, such as risk adjustment or clinical documentation improvement

Benefits and Perks

• Competitive wages and total rewards package
• Opportunity to work remotely and make a meaningful impact on the healthcare industry
• Professional development opportunities, including training and certification programs
• Comprehensive benefits package, including health, dental, and vision insurance
• 401(k) retirement plan with company match
• Generous paid time off and holiday schedule

• Be prepared to provide specific examples of your coding experience and expertise in your application and during the interview process.
• Familiarize yourself with OU Health's coding guidelines and regulations, as well as industry standards and best practices.
• Develop a strong understanding of ICD-10-CM and HCPCS/CPT codes, and be prepared to demonstrate your knowledge during the interview process.
• Highlight your ability to work independently and communicate effectively with physicians and other team members in a remote setting.
• Consider obtaining specialized certifications, such as risk adjustment or clinical documentation improvement, to increase your competitiveness for this role.
• Be prepared to discuss your experience with electronic health records (EHRs) and other coding software, and how you have utilized these tools to improve coding efficiency and accuracy.