Coding Quality Reviewer

Children's Hospital Colorado; Aurora (IL); Remote; USD 80,000 - 100,000; Full time

Job summary

Children's Hospital Colorado seeks a Coding Quality Reviewer who will review clinical documentation, validate codes, and enhance the coding quality through audits and training. The role offers a full-time schedule with competitive pay and benefits, including an annual bonus program and a robust wellness initiative.

Benefits

Paid time off

Medical/Dental/Vision insurance

Life and disability insurance

403b employer match

Professional development tools

Qualifications

• Minimum 2 years of Health Information Management (HIM) experience.
• Certification required: CCS, CPC, RHIA, or RHIT.
• Professional experience may substitute for educational requirements.

Responsibilities

• Reviews clinical documentation and validates ICD and CPT codes.
• Performs audits of coding quality and provides feedback.
• Trains coders and clinical documentation improvement staff.

Skills

Health Information Management

Coding Audits

Education

Associates degree in related field

Job description

The Coding Quality Reviewer reviews clinical documentation and validates ICD and CPT codes.

Additional Information

Department Name :

Job Status : Full time, 40 hours per week.

Shift : Monday to Friday 8am to 4pm. Remote

Qualifications

• Education : Associates degree in related field.
• Experience : Minimum 2 years of Health Information Management (HIM) experience.
• Equivalency : Professional experience, beyond requirements, in a related field may substitute for an Associate's degree requirement on a year for year basis.
• Certification(s) : One of the following is required : Certified Coding Specialist (CCS); Certified Professional Coder (CPC); Registered Health Information Administrator (RHIA); Registered Health Information Technician (RHIT)

Responsibilities

POPULATION SPECIFIC CARE

No direct patient care.

ESSENTIAL FUNCTIONS

An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform.

1. Prepares queries and assists coders with correspondence to faculty on documentation clarification.

2. Performs audits of the coding quality and provides feedback and education to coders and clinical documentation improvement staff.

3. Provides one-on-one training. Performs various coding assignments in correlation to the education developed by the Coding Education and Compliance Specialist.

4. Demonstrates an understanding of technology supporting all aspects of coding, coding resources, and coding technology.

5. Demonstrates coding knowledge and skill by maintaining coding credentials or pursuing advanced credentials.

6. Develops and presents educational training to coders, physicians, staff, and clinical documentation integrity specialists.

7. Performs second level review of encounters to verify DRG assignment for accuracy of coding prior to billing.

Other Information

SCOPE & LEVEL

Guidelines : Trains in the field and assists higher level personnel to acquire learning through practical experience.

Complexity : Performs routine and / or basic tasks common to the field. Procedures, methods, and techniques to be used are well established with options to be considered well defined. Tools, work aids, and materials to be used are specified.

Decision Making : Duties assigned are primarily routine, repetitive, and restricted in intricacy with little or no discretion in how they are carried out.

Communications : Contacts with team members, clients or the public where factual information relative to the organization or its functions are received, relayed, or a service rendered according to established procedures or instructions.

Supervision Received : Under close supervision, the employee receives training to develop skills and abilities in a specific line of work or general occupational area. Work product is subject to close, continuous inspection.

Physical Requirements

Ability to Perform Essential Functions of the Job

PHYSICAL REQUIRMENTS

Vision - Near : clear vision at 20 inches or less

Weight Lifted / Force Exerted : up to 35 pounds / 16 kilos, up to 1 / 3 of time

Hearing : able to clearly hear details

Sit : 2 / 3 or more of time

Talk : able to communicate verbally

Mental / Emotional : able to work in close proximity to others and / or in a distracting environment

Mental / Emotional : able to cope with stress effectively

Hands : able to seize, hold, grasp, or otherwise work with hands

WORK ENVIRONMENT

Mental / Emotional : able to tolerate ambiguity

Mental / Emotional : able to prioritize effectively

Mental / Emotional : may be subject to many interruptions

Bloodborne Pathogen Category 2 : Occasional exposure to blood / body fluid

Salary Information

Pay is dependent on applicant's relevant experience.

Hourly Range : $28.33 to $42.50

Benefits Information

Here, you matter. As a Children's Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical / dental / vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development tools, including an education benefit to help you advance your career.

As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April.

Children's Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year.

EEO Statement

It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information. The position is expected to stay open until the posted close date. Please submit your application as soon as possible as the posting is subject to close at any time once a sufficient pool of qualified applicants is obtained.

Colorado Residents : In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of attendance at or graduation from an educational institution. You will not be penalized for redacting or removing this information.

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Quality Reviewer • Aurora, CO, United States