Coding Quality Assurance Specialist

University of Colorado Medicine; Aurora (CO); Remote; USD 60,000 - 80,000; Full time

Job summary

An innovative healthcare provider is looking for motivated Coding Quality Assurance Specialists to enhance coding accuracy and compliance. This role involves conducting audits of CPT and ICD10 codes, providing education to coding staff, and identifying areas for improvement. With a focus on quality assurance, you will collaborate with leadership to develop presentations and training based on audit findings. This position offers the flexibility of remote work, making it an excellent opportunity for skilled professionals in the coding field. Join a dedicated team committed to delivering high-quality healthcare services and make a significant impact in the industry.

Benefits

Generous leave

Health plans

Retirement contributions

Qualifications

• CPC or AHIMA certification required with 3-5 years of coding experience.
• Excellent communication and interpersonal skills are essential.

Responsibilities

• Lead quality assurance for Coding Services through regular audits.
• Provide education and feedback to coding staff based on audit results.

Skills

CPT/ICD10 coding

Interpersonal skills

Communication skills

Reporting and analytics

Teaching physician guidelines

Education

CPC or AHIMA coding certification

3-5 years IP or Surgical coding experience

Tools

Microsoft Office

EMR software

Practice Management software

Job description

Coding Quality Assurance Specialist

University of Colorado Medicine, 13199 E MONTVIEW BLVD, AURORA, Colorado, United States of America ● Virtual Req #862 Thursday, January 23, 2025

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 3 highly motivated Coding Quality Assurance Specialists to join our Coding Services department.

This job can be performed 100% remotely. Preference may be given to individuals residing in Colorado, but out of state applicants will also be considered.

The primary responsibility of the Coding Quality Assurance Specialist is supporting and leading quality assurance for Coding Services staff through regular auditing of CPT/ICD10/etc. of all coders, both abstraction and edits. This position requires extensive knowledge regarding current rules and usage of ICD10 and CPT codes and application of these when auditing assigned specialties. Expected to be able to assist in trending, coding analysis, coder feedback, and providing education individually and/or developing and presenting a group presentation.

Essential duties:

1. Serve as a coding expert for assigned specialties.
2. Maintain records of all audits in database for reference and trending.
3. Work closely with ACE on audit results.
4. Provide auditing of new and existing coders in conjunction with the Coding Services (CS) Department standards.
5. Using audits, monitor the quality of coding staff work as directed by Coding Services Management and identify areas of education.
6. Work with leadership and Coding Education specialist to prepare presentations regarding education to the team for targeted specialty areas and coding groups, based on audit results and trends.
7. Assist with researching coder questions and provide effective and accurate guidance.
8. Identify and research correct coding for new CPT codes.
9. Identify provider education opportunities and coordinate with ACE when trends in audits are identified that impact compliance or are the result of provider behavior.
10. Perform edit analysis to identify educational opportunities and edit modification.
11. Education presentations/functions.

Knowledge, Skills, and Experience:

1. CPC or AHIMA coding certification required.
2. 3-5 years IP or Surgical coding experience with demonstrated expertise in procedural and diagnosis coding and teaching physician guidelines preferred.
3. Excellent interpersonal and communication skills.
4. Specialty certifications are preferred but not required.
5. Strong computer and Microsoft Office software skills.
6. EMR and Practice Management software experience.
7. Proficient in reporting and analytics.

All applications MUST be submitted via our website.

CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment. We are an equal opportunity employer.

The listed pay range (or hiring rate) represents CU Medicine’s good faith and reasonable estimate of the range of possible compensation at the time of posting and is based on evaluation of competitive market data.

A variety of factors, including but not limited to, internal equity, experience, and education will be considered when determining the final offer.

CU Medicine provides generous leave, health plans, and retirement contributions which take your total compensation beyond the number on your paycheck. Find information about our benefits here.

CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus, and adjacent business locations.

CU Medicine will post all jobs for a minimum of 7 days or until 250+ applicants have been received (whichever comes first).

Other details:

• Pay Type: Hourly
• Min Hiring Rate: $28.00
• Max Hiring Rate: $35.00

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