UChicago Medicine · 1 day ago
Coding Auditor - DRG/APC Coordinator
United States
Full-time
Remote
Mid, Senior Level
$80K/yr - $107K/yr
4+ years expUChicago Medicine is a world-class academic healthcare system seeking a Coding Auditor - DRG/APC Coordinator for their Health Information Management department. The role involves ensuring the accuracy and quality of coding assignments for records requiring DRG and/or APC coding to ensure optimal reimbursement.
Health CareHospitalMedicalMedical Device
Responsibilities
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
Provides DRG/APC and coding quality information and statistical reports to the Coding Manager
Communicates 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 procedures
Educates the Medical Staff and House staff regarding the importance of sufficient documentation to support the assignment of the appropriate DRG/APC
Reviews Hospitals' specific coding guidelines and procedures and suggests changes and updates to the Coding Manager
Participates in team meetings with coding personnel to discuss coding problems, changes, or issues
Performs routine coding and abstracting as directed
Utilizes 3M encoder optimizing function to review data for accuracy
Reviews PRO coding changes, reports findings to the Coding Manager, and provides appropriate documentation to the PRO when appealing a PRO decision
Maintains accreditation with AHIMA and abides by the Standards of Ethical Coding as set forth by the AHIMA
Remains current on all PRO, OIG and IPPS/OPPS rules and regulations, coding updates, changes and issues
Qualification
Required
A 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 experience
Five (5) years of inpatient facility coding experience with at least two (2) years in an academic setting
Working knowledge of 3M HDM Abstracting System and 3M Codefinder /DRG finder; must have working knowledge of JCAHO standards for chart completion
Working 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 records
Data entry skills
Company
UChicago Medicine
The University of Chicago Medicine has been at the forefront of medicine since 1927, when we cared for our first patients.
5001-10000 employees
H1B Sponsorship
UChicago Medicine has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (38)
2024 (31)
2023 (28)
2022 (17)
2021 (23)
2020 (17)
Funding
Current Stage
Late StageTotal Funding
$112.4MKey Investors
National Institutes of Health
2019-04-10Grant· $9M
2018-10-14Grant· $3.4M
2017-05-24Grant· $100M
Leadership Team
Ivan Samstein
Executive Vice President and Chief Financial Officer, University of Chicago Medicine
Jason Keeler
Executive Vice President and COO
Recent News
Chicago Business Journal
2025-03-10
Medical Xpress - latest medical and health news stories
2025-02-01
Investing.com
2024-12-17
Company data provided by crunchbase