Auditor, Compliance Coding-1

We are recruiting for a motivated Auditor, Compliance Coding-1 to join our team!

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Department

Enterprise Compliance Services

Job Summary
Under limited supervision, performs audits of providers and coding staff to ensure documentation and coding accuracy compliance. Provides feedback to providers and coders from audit results for documentation and coding quality improvement. Clearly communicates audit results to management and oversees the development and completion of corrective action plans by department leadership to ensure identified risks are addressed. Contributes to the development of the annual internal audit work plan for review and approval by the Finance, Audit and Compliance Committee of the Board of Directors. Provide professional information and advice, as appropriate.
Essential Functions:

• Audits the provider and coding staff to ensure documentation and coding accuracy compliance based on regulatory coding and billing requirements. (40%)
• Provides feedback to providers and coders for documentation and coding quality improvement including development of audit reports, presentations and educational materials. (20%)
• Analyzes, summarize and present audit results to management and executive leadership, both orally and in writing. (10%)
• Generate the corrective action plans, perform follow up monitoring until all significant issues and errors have been resolved, and maintain appropriate documentation. (10%)
• Conducts other projects, including ad hoc audits or investigations, as assigned. (10%)
• Provides consulting or advisory services and improves organizational operations to meet strategic imperatives, as needed. (10%)

Education:

• High School Diploma or GED Plus Coding Certification (CCP, CCS or other recognized coding certifications) Required

Work Experience:

• 4-6 years Medical coding experience assigning ICD-10-CM, CPT and HCPC codes for professional billing in multi-specialty areas required and Required and
• 1-3 years experience with electronic medical record documentation. Required

Licenses:

• CPC - Certified Professional Coder - AAPC - American Academy of Professional Coders Required or
• CCS - Certified Coding Specialist - AHIMA - American Health Information Management Association Required or
• CCS-Certified Coding Specialist - AAPC - American Academy of Professional Coders

Knowledge, Skills and Abilities:

• Possess and apply a thorough knowledge of coding, documentation, applicable guidelines and compliance as it applies to coding and billing within an academic setting.
• Ability to professionally interact with physicians.
• Ability to work with all personnel throughout Denver Health.
• Ability to work independently, possess critical thinking skills, audit providers and coders work and provide appropriate feedback.
• Ability to create training materials and presentations.
• Possess strong oral and written communication skills.
• Possess strong organizational skills and the ability to work independently and meet deadlines.
• Knowledgeable in researching documentation and coding related topics and issues.

Shift

Work Type

Regular

Salary

$61,300.00 - $95,000.00 / yr

Benefits

• Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans

• Free RTD EcoPass (public transportation)

• On-site employee fitness center and wellness classes

• Childcare discount programs & exclusive perks on large brands, travel, and more

• Tuition reimbursement & assistance

• Education & development opportunities including career pathways and coaching

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program 

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

• Respect

• Belonging

• Accountability

• Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.
As Colorado’s primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.

Applicants will be considered until the position is filled.