University Hospitals
University Hospitals
University Hospitals एक स्वास्थ्य सेवा संगठन है जो प्राथमिक देखभाल, विशेषज्ञ देखभाल, त्वरित देखभाल और अन्य चिकित्सा सेवाएँ प्रदान करता है। इसका कार्य रोगी-केंद्रित उपचार को चिकित्सा शिक्षा और अनुसंधान के साथ जोड़ता है, जिसमें स्वास्थ्य सेवाओं के परिणामों को बेहतर बनाने पर ध्यान केंद्रित करने वाली क्लिनिकल टीमें, शिक्षक और शोधकर्ता एक साथ काम करते हैं। University Hospitals में स्वास्थ्य सेवा प्रदान करने, चिकित्सा सेवाओं, शिक्षा, अनुसंधान और एक बड़े स्वास्थ्य सेवा संगठन के संचालन में सहायक कार्यों सहित विभिन्न क्षेत्रों में करियर के अवसर उपलब्ध हैं।

Coding Compliance Specialist II

Audit physician and facility coding, investigate documentation and billing risks, and help University Hospitals improve compliance. This full-time hybrid role is based in Shaker Heights, Ohio.

विवरण

  • Conduct coding and documentation audits across assigned specialties and Health System locations.
  • Analyze internal reports to spot coding and documentation risks.
  • Plan and carry out compliance reviews, including chart audits.
  • Check that medical codes accurately reflect documented patient services.
  • Recommend corrective or remedial action based on audit findings.
  • Monitor coding and documentation for compliance with applicable laws, regulations, and contracts.
  • Develop compliance tools and resources for internal teams and employee publication.
  • Contribute to team work and University Hospitals initiatives as needed.
  • Work with employees, providers, medical staff, and managers to review findings and determine corrective actions.
  • Support the annual risk assessment and identify audits for the yearly work plan.
  • Improve processes within the Compliance & Ethics Department.
  • Lead assigned process improvement projects.
  • Prepare clear, accurate records, audit findings, and recommendations.
  • Develop and deliver coding and documentation education to prevent and address risk.
  • Complete other assigned duties and follow organizational policies and standards.

आवश्यकताएँ

  • Associate degree.
  • At least 3 years of related experience in physician coding and/or auditing.
  • Less than 1 year of related experience in provider education.
  • Strong attention to detail, organization, analytical thinking, and problem-solving ability.
  • Client service, communication, presentation, and relationship-building skills.
  • Ability to work independently and collaboratively in a fast-paced environment.
  • Strong written and verbal communication skills.
  • Ability to use PCs, Microsoft Office 365, and general office equipment.
  • One of the following credentials: Certified Professional Coder (CPC), CPC-H, Certified Coding Specialist (CCS), or CCS-P.
  • Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) credential.
  • CEMC certification must be obtained within 6 months.
  • Ability to securely handle Protected Health Information (PHI) in accordance with requirements.
  • Willingness to travel 10% of the time.

लाभ

  • Hybrid work arrangement.
  • Full-time schedule.
  • Regular employee status.
  • Day shift.
  • Annual training.
  • Training on the UH Code of Conduct, policies, and procedures.
  • Professional development through coding and documentation education activities.

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