Coding Quality Auditor

University of Colorado Medicine (CU Medicine) is the region's largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle, and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado.

We are seeking a highly motivated Coding Quality Auditor with an emphasis in E/M leveling to join our Coding Services team.

This job can be performed 100% remotely, and out of state candidates will be considered.

The primary responsibility is supporting and leading quality assurance for Coding Services staff through regular auditing of CPT/ICD10/etc selection of all coders, both abstraction and edits. Candidates are expected to possess extensive knowledge regarding current rules and usage of ICD-10 and CPT and apply those when auditing their assigned specialties. The position is also expected to assist in trending, coding analysis, coder feedback, and providing education either individually or by developing and presenting group presentations.

Key duties include serving as a coding expert for assigned specialties, maintaining audit records for reference and trending, auditing coders per department standards, monitoring coding quality, collaborating with leadership and Education Specialist to prepare targeted educational presentations, researching coder questions, providing guidance and audit documentation, identifying correct coding for new CPT codes, coordinating provider education opportunities with ACE, performing edit analysis for educational opportunities, supporting process improvement and identifying training needs, and working with management to enhance revenue cycle performance.

Applicants must have CPC or AHIMA coding certification; CPMA is a plus. A minimum of 2-4 years experience in a dedicated auditing position with strong knowledge of CPT and ICD-10 coding standards is required. Candidates should be skilled in navigating EMR systems and auditing software.