Ensures coding data integrity by reviewing diagnosis and procedure code assignments and validating MS-DRG, APC, or RVU designations.
- Conducts internal quality reviews in accordance with the Coding Compliance Plan.
- Reviews government, commercial, and other external audits.
- Performs internal audits as requested by other departments.
- Monitors and reports coding issues and trends.
- Presents coding education to staff, leadership, and others throughout the health system.
- Provides training as needed and assists in guiding SME responsibilities.
- Responds to coding questions across the health system.
- Reviews physician queries for appropriateness and related correspondence.
- Reviews coded claims data in response to denials and customer service requests.
- Provides clear rationale and explanation for proper code assignments.
Requirements & Qualifications
- Certified Hospital Outpatient Coder, Certified Coding Specialist, Certified Professional Coder, Certified Professional Coder Apprentice, or Registered Health Information Technician credential.
- High school diploma or GED.
- Coding-related certification from AHIMA or AAPC.
- 3 years of relevant experience.
- Preferred experience with Epic and MD Audit.
- Strong critical thinking skills and decisive judgment.
- Ability to work with minimal supervision in a fast-paced environment.
Benefits & Perks
- 100% remote work with eligible out-of-state candidates considered.
- Medical, dental, and vision coverage.
- 24/7 mental health and well-being support.
- Paid time off, paid family and medical leave, and leaves of absence.
- Retirement savings with 403(b) employer match and possible 457(b) plan.
- Flexible spending accounts and health savings account options.
- Tuition assistance and reimbursement opportunities.
- Access to LinkedIn Learning and internal professional development.
- Performance bonus and annual merit pay increases.
- Basic life, AD&D, and disability coverage options.
- Voluntary benefits including legal, identity theft, pet, auto, and home insurance.
Location
Denver, Colorado, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
3 weeks ago