Coord Quality Coding

UCHealth University of Colorado Health; Denver (CO); Remote; USD 96,909,000 - 145,362,000; Full time

Benefits offered by this job

Performance bonus

Tuition reimbursement

Market reviews

Comprehensive benefits

Job summary

UCHealth University of Colorado Health is seeking a Credentialed Health Information Specialist to ensure coding data integrity and accuracy across MS-DRG, APC, and RVU designations. This role focuses on quality reviews, staff education, and query resolution within a fully remote setting.

The candidate will conduct audits, respond to coding questions, and provide thorough rationale for code assignments while operating in a fast-paced environment and with limited supervision.

Qualifications

• Minimum 3 years of relevant experience.
• Coding certifications required (AHIMA or AAPC).
• Experience with MS-DRG, APC, RVU designations.

Responsibilities

• Reviews and ensures coding data integrity with MS-DRG, APC, RVU designations.
• Conducts internal quality reviews and audits per Coding Compliance Plan.
• Provides coding education to staff and leadership across UCHealth system.
• Responds to coding questions and reviews physician queries for appropriateness.
• Reviews coded claims data and explains rationale for code assignments.

Skills

Critical thinking

Decisive judgement

Minimal supervision

Education

High School diploma or GED

AHIMA/AAPC certifications

Job description

Description

• Location:UCHealth UCHlth Admin Lowry, US:CO:Denver
• Department:UCHlth Professional Coding
• Work Schedule: Full Time, 80.00 hours per pay period (2 weeks)
• Shift:Days
• Pay:$33.82 - $50.73 / hour. Pay is dependent on applicant's relevant experience

This position is 100% remote. Eligible out-of-state candidates may be considered.

Summary:

Ensures coding data integrity by reviewing diagnosis and procedure code assignments and validating MS-DRG, APC, or RVU designations.

Responsibilities:

• 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 issues/trends.
• Presents coding education to staff, leadership and others throughout the Health System. Provides training as necessary. Assists with developing and guiding SMEs responsibilities.
• Responds to coding questions submitted throughout the Health System. Reviews physician queries for appropriateness, and related correspondence.
• Reviews coded claims data in response to denials and customer service requests. Provides thorough rationale and explanation for proper code assignments.
• Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.

Requirements:

• Credentials:
  • Certified Hospital Outpatient Coder
  • Certified Coding Specialist
  • Certified Professional Coder
  • Certified Prof. Coder Apprentice
  • Reg Health Info Technician
• High School diploma GED.
• Coding-related certification from AHIMA or AAPC.
• 3 years of relevant experience.

PREFERRED:

• Experience auditing and providing HCC coding education directly to Physicians and/or coders is preferred.

Employees are our number one asset.

UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program. *

Recognition

• Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.
• Performance-based pay increase:The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
• Market reviews:All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.

Health and well-being

• Medical, dental and vision coverage.
• Access to 24/7 mental health and well-being support for employees and dependents.
• Discounted gym memberships and fitness resources.
• Free Care.com membership.
• Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
• Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
• Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.
• Employer-provided short-term disability and long-term disability with a buy-up coverage option.

Retirement and savings

• 403(b) plan with employer matching contribution.
• Additional 457(b) plan may be available.
• Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.

Education and career growth

• UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
  • Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
  • Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
• Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
• Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.

*Eligibility for some programs is based on an employee's scheduled work hours.

We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.

UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when the do not impose an undue hardship on the organization.

Who We Are (uchealth.org)