Coding Quality Assurance Specialist

CU Medicine•AURORA, CO

1d•Remote

About The Position

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking a highly motivated Coding Quality Assurance Specialist to join our Coding Services team. This job can be performed 100% remotely, and out of state candidates will be considered. The primarily responsible is supporting and leading quality assurance for Coding Services staff through regular auditing of CPT/ICD10/etc selection of all coders, both abstraction and edits. The positions are expected to possess extensive knowledge regarding current rules and usage ICD 10 and CPT and apply those when auditing to their assigned specialties. The position is also expected to be able to assist in trending, coding analysis, coder feedback and providing education either individually or developing and presenting a group presentation.

Requirements

CPC or AHIMA coding certification required
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

Nice To Haves

CPMA a plus

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.
Using audits, they will 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.
Assist with 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.