Coding Quality Assurance Specialist

About the role

The Coding Quality Assurance Specialist supports and leads quality assurance for Coding Services staff through regular auditing of CPT/ICD10/etc selection of all coders, both abstraction and edits. The position requires extensive knowledge regarding current rules and usage ICD 10 and CPT and applies these when auditing to their assigned specialties.

Responsibilities

• Serve as a coding expert for assigned specialties.
• Maintain records of all audits in database for reference and trending.
• Provide auditing of new and existing coders in conjunction with the Coding Services (CS) Department standards.
• Monitor the quality of coding staff work as directed by Coding Services Management and identify areas of education.
• Work with leadership and Coding Education Specialist to prepare presentations in regard to education to the team for targeted specialty areas and coding groups, based on audit results and trends.
• Aid in researching coder questions and provide effective and accurate guidance, and provide supporting documentation for audits.
• Identify and research correct coding for new CPT codes, as well as present this information to the team.
• Identify provider education opportunities and coordinate with ACE, when trends in audits are identified that impact compliance or are the result of provider behavior.
• Perform edit analysis to identify educational opportunities and edit modification.
• Participate in optimizing work flows to support process improvement and identify additional/ongoing training needs.
• Identify trends and work in tandem with management to enhance revenue cycle performance.

Requirements

• CPC or AHIMA coding certification required.
• CPMA a plus.
• 2-4 years of working in a dedicated auditing position.
• Strong knowledge of CPT and ICD 10 coding standards.
• Skilled in navigating EMR systems and other auditing software.

Qualifications

• Ability to perform work remotely.
• Out of state candidates will be considered.

Skills

• Strong communication skills.
• Ability to analyze and interpret complex data.
• Attention to detail.

Benefits

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.

Pay

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.

Schedule

The position can be performed 100% remotely.