We are recruiting for a Auditor, Compliance Coding to join our team!
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DepartmentEnterprise Compliance Services
Job Summary
Under limited supervision, performs audits of providers and coding staff toensure documentation and coding accuracy compliance. Provides feedback toproviders and coders from audit results for documentation and coding qualityimprovement. Clearly communicates audit results to management and oversees thedevelopment and completion of corrective action plans by department leadershipto ensure identified risks are addressed. Contributes to the development ofthe annual internal audit work plan for review and approval by the Finance,Audit and Compliance Committee of the Board of Directors. Provide professionalinformation and advice, as appropriate.
Essential Functions:
Audits the provider and coding staff to ensure documentation and codingaccuracy compliance based on regulatory coding and billing requirements.(40%)Provides feedback to providers and coders for documentation and coding qualityimprovement including development of audit reports, presentations andeducational materials. (20%)Analyzes, summarize and present audit results to management and executiveleadership, both orally and in writing. (10%)Generate the corrective action plans, perform follow up monitoring until allsignificant issues and errors have been resolved, and maintain appropriatedocumentation. (10%)Conducts other projects, including ad hoc audits or investigations, asassigned. (10%)Provides consulting or advisory services and improves organizationaloperations to meet strategic imperatives, as needed. (10%)Education:
High School Diploma or GED Plus Coding Certification (CCP, CCS or otherrecognized coding certifications) RequiredWork Experience:
4-6 years Medical coding experience assigning ICD-10-CM, CPT and HCPC codesfor professional billing in multi-specialty areas required and Required and1-3 years experience with electronic medical record documentation. RequiredLicenses:
CPC - Certified Professional Coder - AAPC - American Academy of ProfessionalCoders Required orCCS - Certified Coding Specialist - AHIMA - American Health InformationManagement Association Required orCCS-Certified Coding Specialist - AAPC - American Academy of ProfessionalCodersKnowledge, Skills and Abilities:
Possess and apply a thorough knowledge of coding, documentation,applicable guidelines and compliance as it applies to coding and billingwithin 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, auditproviders 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 andmeet deadlines.Knowledgeable in researching documentation and coding related topics andissues.
ShiftDays (United States of America)
Work TypeRegular
Salary$63,500.00 - $95,400.00 / yr
Benefits
Outstanding benefits including up to 27 paid days off per year, immediateretirement 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 govern nce
Public Service Loan... For full info follow application link.