Clinical Documentation Coding Specialist IV

Overview _As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA_ This position provides mastery level inpatient facility coding and Clinical Documentation Improvement (CDI) support in Health Information Management department with little educational intervention required. Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. Responsibilities Perform thorough review of medical record for identification of relevant clinical diagnoses and procedures performed. Assign appropriate ICD-CM principal diagnosis code. Assign appropriate ICD-CM secondary diagnosis codes. Assign appropriate ICD-10 PCS code(s). Sequence principal and secondary diagnoses codes and primary procedure code for accurate MS-DRG and APR-DRG assignment. Assign Present on Admission (POA) indicator for each diagnosis code. Abstract required data elements, including but not limited to: Admit Type, Admit Source / Point of Origin, and Discharge Disposition. Identification of opportunities where additional provider documentation is required to thoroughly and accurately assign ICD-10 code. Understand and adhere to compliant provider query practices and procedures. Understand and adhere to Health Information Coding policies and Official Coding Guidelines, as published by CMS and Cooperating Parties. Knowledge / Skills / Abilities Mastery level knowledge of medical terminology, anatomy & physiology and pathophysiology. Mastery level knowledge of coding conventions & use of coding nomenclature. Proficient in all service lines of varying complexity. Solid understanding of health care quality related initiatives. Demonstrated proficiency with compliant CDI related activities and practices. Sustain acceptable productivity rate as defined by Coding Leadership. Ability to effectively communicate with clinical staff and other hospital department personnel. Knowledge of healthcare IT systems, preferably Epic and 3M 360 R2. Knowledge of Microsoft Office. Team player, ability to collaborate with colleagues and leadership. Ability to effectively mentor staff. Qualifications Qualifications Required Minimum five (5) years of experience coding inpatient facility (HB) at Level 1 Trauma facility. Licenses Required One of the following Current CCS Certification with the American Health Information Management Association (AHIMA). Current RHIT Certification with the American Health Information Management Association (AHIMA). Current RHIA Certification with the American Health Information Management Association (AHIMA). One of the following Current CDIP Certification with the American Health Information Management Association (AHIMA). Current CCDS Certification with The Association of Clinical Documentation Improvement Specialists (ACDIS). _ Additional license requirements as determined by the hiring department._ Qualifications (Preferred) Preferred Bachelor's or Associate's degree with RHIA or RHIT Experience coding at academic medical center Working Conditions and Physical Demands _Employee must be able to meet the following requirements with or without an accommodation._ This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions. Physical Requirements Listening, Sitting, Speaking Multi-lingual Candidates Welcomed _To inquire about this posting, email: careershsc.utah.edu_ EEO Statement _University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students from diverse backgrounds and possess a strong commitment to improving access to higher education for historically underrepresented students._ _Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities and protected veterans are encouraged to apply. Veterans' preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities._ _University of Utah Health Hospitals and Clinics, a part of The University of Utah, is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both._ _To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500. If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action (OEO/AA). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at:www.utah.edu/nondiscrimination/_ _Online reports may be submitted atoeo.utah.edu/_ _The University is a participating employer with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at (801) 581-6500 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS' post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals and Clinics Human Resources at (801) 581-6500 if you have questions regarding the post-retirement rules._ _This position may require the successful completion of a criminal background check and/or drug screen._ Requisition Number _72345_ Reg/Temp _Regular_ Employment Type _Full-Time_ Shift _Day_ Work Schedule _Monday-Friday 7:00am-3:30pm_ Clinical/Non-Clinical Status _Non-Clinical_ Location Name _Business Services Building_ Workplace Set Up _Remote_ _City_ _SALT LAKE CITY_ _State_ _UT_ Department _COR CST 17A HEALTH INFO CODING_ Category _Health Information Management_ Workplace Set Up _Remote_