Diagnosis Related Group (DRG) Coordinator jobs in Illinois

Job Description

Be a part of a world-class academic healthcare system at UChicago Medicine as a DRG/APC Coordinator - Coding Auditor for the Health Information Management department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area. 

In this role, the DRG/APC Coordinator- Coding Auditor is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding; insures optimal and timely reimbursement.

Essential Job Functions:

• 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 Housestaff 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 Housestaff 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

Required Qualifications: 

• 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
• Three (3) years of inpatient facility coding experience
• 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

Position Details:

• Job Type/FTE: Full Time (1.0 FTE)
• Shift: Days – 8-hour shift
• Unit/Department: Health Information Management
• CBA Code: Non-Union

In this role, we anticipate that you will generally work approximately 40 hours per week.  We anticipate that you will generally be scheduled to work the first shift, from approximately 8am-4:30pm and will not be scheduled for on-call shifts. The days of the week that you are scheduled will not vary depending on the week and we anticipate that you will be scheduled to work on weekdays (Monday-Friday)

Must comply with UCMC’s COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide proof as part of the pre-employment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly, a pre-employment physical, drug screening, and background check are also required for all employees prior to hire.

Why Join Us

We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, The University of Chicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.

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Bring your career to the next level at a hospital that is thriving; from patient satisfaction to employee engagement, we are at the Forefront of Medicine. Take advantage of all we have to offer and #BringYourPassiontotheForefront.

University of Chicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: www.uchospitals.edu/jobs 

The University of Chicago Medical Center is an equal opportunity employer.  We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.