Medical Coding Auditor

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. This role is expected to possess extensive knowledge regarding current rules and usage ICD 10 and CPT and apply those 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.
• Strong skills in E/M leveling.
• Basic knowledge and skills in reporting and analytics.
• 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

All applications MUST be submitted via our website. In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information.

CU Medicine is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing non-discrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities.

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.

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

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.