Coding Quality Review Specialist II

At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions and equal compensation rates to ensure that continual growth is possible. UKSC is a nurturing workplace for all healthcare professionals. We invite you to explore our current job openings and see if our opportunities could be the right fit for you.

Job Description

Job Summary Responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes. Ensures appropriate ICD-10 coding and sequencing for accurate reporting. Collaborates with clinical employees to clarify documentation and resolve data integrity issues. Supports quality improvement and compliance with regulatory standards.

Essential Functions • Assigns ICD-10 CM codes to diagnoses from OASIS, record documentation, and care plans. • Initiates and follows up with clients to obtain missing or incomplete information for accurate coding. • Reviews OASIS documentation and ICD-10 coding to ensure accuracy and completeness. • Consults with clinicians to clarify documentation discrepancies and recommends corrections per agency policy. • Ensures clinical documentation meets CMS, Joint Commission, federal, and state regulations. • Collaborates with Audit Specialist to clear charts for prompt and accurate billing. • Maintains professional and technical knowledge in OASIS and ICD-10 Home Health Coding. • Provides coding and OASIS education to clinicians onsite and virtually. • Assists in developing and maintaining competency evaluations for employees on OASIS. • Performs other duties as assigned.

Education

Requirement Bachelor’s degree in health information management, healthcare administration, or a related field Master’s degree in health information management, healthcare administration, or a related field is preferred Experience Requirement 2-3 years of experience in medical coding, quality review, or a relevant area An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted. Certifications & Licensures N/A Working Conditions A.

Lifting, pushing, and/or pulling objects up to 50lbs: 2. Occasional ( B. Lifting, pushing, and/or pulling objects over 50lbs: 1. Never C. Standing or walking with objects up to 10lbs: 3. Intermittent (10% - 50% of the time) D. Standing or walking with objects up to 25lbs: 2. Occasional ( E. Sitting at computer workstation for extended periods: 4. Regular (> 50% of the time) F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials: 1. Never G. Repetitive motion: 4. Regular (> 50% of the time) H. Working at heights above 4 feet: 1. Never I. Working in confined spaces: 1…

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