Acts as a resource and role model for the team, which includes training, providing work direction, and giving input on performance. Codes routine to complex procedures and diagnoses using ICD, CPT, and HCPCS coding guidelines. Performs quality reviews, assists with provider education, and resolves billing compliance issues. Serves as a liaison and participates in department projects.
The Coding Auditor - DRG/APC Coordinator ensures accuracy and quality of coding assignments for all records requiring DRG and/or APC coding, and ensures optimal and timely reimbursement. Performs 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 reimbursement.
In this remote role, the Clinical Data Analyst is responsible for coding and abstracting diagnoses and procedures from inpatient and outpatient medical records for optimal and timely reimbursement and quality reporting. The analyst will assign ICD-10-CM/PCS codes and DRGs for inpatient medical records accounts, as well as ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts.
Be a part of a world-class academic health-care system at UChicago Medicine as an Emergency Department Coder in the Medical Records department. In this role, you will be responsible for coding and abstracting of diagnoses and charging for procedures from emergency department medical records for optimal and timely reimbursement and quality reporting.
As a Coding & OASIS Reviewer, your expertise in ICD-10 coding and OASIS review will help drive accuracy, compliance, and quality in post-acute care documentation. You will review OASIS and document recommended changes, review ICD-10 coding and sequencing, complete documentation of results, and ensure workflow processes are timely and accurate. The role requires consistently meeting chart equivalent targets and quality metrics.
The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database and utilizing their technical expertise in ICD-10 coding to analyze medical records, determine coding accuracy, and make recommendations that optimize hospital reimbursement.