What are the responsibilities and job description for the Coding Quality Analyst position at UT Southwestern Medical Center?
WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
The Coding Quality Analyst reviews medical records to validate the completion of all coding audit workflows. Analyze audit findings coded health information records to evaluate the quality of coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as POA, discharge disposition, etc.. Ensure accurate assignment of all risk adjustment variables. The Coding/Quality Analyst will assist the Supervisor by tracking and trending front-end activities that influence coding audit workflows, identifying opportunities for workflow efficiencies and optimization to support quality initiatives and financial performance. This role will collaborate with the Coding, CDI and the DRG Denials Teams.
EXPERIENCE AND EDUCATION
Required
JOB DUTIES
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
The Coding Quality Analyst reviews medical records to validate the completion of all coding audit workflows. Analyze audit findings coded health information records to evaluate the quality of coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as POA, discharge disposition, etc.. Ensure accurate assignment of all risk adjustment variables. The Coding/Quality Analyst will assist the Supervisor by tracking and trending front-end activities that influence coding audit workflows, identifying opportunities for workflow efficiencies and optimization to support quality initiatives and financial performance. This role will collaborate with the Coding, CDI and the DRG Denials Teams.
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
- PPO medical plan, available day one at no cost for full-time employee-only coverage
- 100% coverage for preventive healthcare-no copay
- Paid Time Off, available day one
- Retirement Programs through the Teacher Retirement System of Texas (TRS)
- Paid Parental Leave Benefit
- Wellness programs
- Tuition Reimbursement
- Public Service Loan Forgiveness (PSLF) Qualified Employer
- Learn more about these and other UTSW employee benefits!
EXPERIENCE AND EDUCATION
Required
- Experience
3 years Acute Hospital-Based Coding experience
An equivalent combination of education and experience may be considered
Experience working in a remote environment.
- Licenses and Certifications
(RHIT) REGD HEALTH INFO TECHNOLO or
(RHIA) REGD HEALTH INFO ADMINIST or
(CCS) CERT CODING SPECIALIST AHIMA Certified Coding Specialist or
CIC) AAPC Certified Inpatient Coder
- Education
Associate's Degree or
Bachelor's Degree in Health Information Management, or a closely related field or
- Experience
5 years of related experience
Experience in an Academic Medical Center
JOB DUTIES
- Ensure Vizient risk adjustment variables have been assigned in final code set
- Make corrections as appropriate
- Ensure coding change recommendations and relative processes are completed in all systems, 3M, Epic, eValuator
- Ensure all valid coding audit recommendations are assigned in final code set
- Make corrections as appropriate
- Validate abstracted data, Present on Admission (POA), discharge disposition (DD), point of origin (PoO), Admit Type, and other abstracted data
- Make corrections as appropriate
- Track and report Coder non-compliance to the Manager
- Analyze and effectively identify audit findings, (eValuator, QRN, DRG Validation, and Accuity, for relevant educational opportunities and report to the Coding Manager
- Support all coding audit workflows
- Support process improvement to ensure effective/efficient workflows
- Identify front-end activities that influence workflows
- Promptness of task completion is essential to ensure timely movement through all audit levels to billing
- Support the Quality Standards set by UTSW and the HIM Coding & CDI Department.
- Maintain an expert level of knowledge of Coding guidelines and practices
- Other duties as assigned
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
Salary : $1,000 - $1,000,000