We are recruiting for a Auditor, Compliance Coding to join our team!
We are here for life's journey. Where is your life journey taking you?
Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all:
Humanity in action, Triumph in hardship, Transformation in health.
Department
Enterprise Compliance ServicesJob 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
Days (United States of America)
Work Type
Regular
Salary
$63,500.00 - $95,400.00 / 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.
We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).
Take your career to the next level at Denver Health, where we offer a robust benefits package and endless opportunities for growth. Denver Health is a nationally-ranked, locally-trusted, premier healthcare institution located in the heart of Denver, Colorado.Twenty-five percent of all Denver residents, or approximately 150,000 individuals, receive their health care here. We are known as an integrated health care system that encompasses multidisciplinary academic specialties, a community health system, a level I adult trauma center, pediatric emergency and urgent care center home to Denver Public Health and many of the nation's leaders in medicine.Denver Health is an Equal Opportunity Employer At Denver Health we pride ourselves on our commitment to diversity. Equal opportunity is a fundamental principle of Denver Health. As an equal opportunity employer, Denver Health is committed to recruit, hire, promote and administer all human resource actions in a non-discriminatory manner. Denver Health is committed to providing equal opportunities in all business practices and to all persons regardless of age, race, color, national origin, genetic information, religion, sex, pregnancy, disab...ility, sexual orientation, gender identity, gender expression, marital status or veteran status (collectively “protected status”). Denver Health strives to maintain a work environment that is free from unlawful harassment and discrimination and will not tolerate any such conduct by employees or directed at employees within the scope of their employment. Read the full Human Resources Employee Principles and Practices policy.