[Hiring] DRG Coding Auditor @University of Utah Health

Role Description

This position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured for the level of service rendered. Provides ongoing education to coders, physicians, and other clinical staff. The incumbent serves in an advisory and educator role for coding and regulatory compliance.

Responsibilities

• Reviews inpatient medical records post-discharge and pre-bill, audits the accuracy and completeness of diagnoses, procedure coding, abstracted data and DRG assignment.
• Reviews non-CC/MCC records to determine if the record was coded correctly or if additional codes may be reported by obtaining documentation supported by clinical indicators and treatment.
• Develops and coordinates coding education and formal training programs.
• Improves documentation by participating in the CDI query audit process.
• Works effectively with the Coding Manager to improve Inpatient coding accuracy.

Qualifications

• Bachelor's degree or a minimum of six years experience of HIM Management.
• Four years of experience with coding ICD-10.
• Clinical Coding Specialist (CCS) certification.

Licenses Required

• One of the following:
• Current Certified Documentation Improvement Practitioner (CDIP) through the AHIMA or obtain within 6 months of hire.
• Current CCDS Certification with The Association of Clinical Documentation Improvement Specialists (ACDIS).
• Additional license requirements as determined by the hiring department.

Qualifications (Preferred)

• RHIA/RHIT

Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation. This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

• Color Determination
• Listening
• Manual Dexterity
• Near Vision
• Sitting
• Speaking
• Standing