University of Colorado Medicine

Introduction:

CU Medicine is dedicated to providing business operations and administrative support to the University of Colorado School of Medicine’s nearly 3,000 providers and is affiliated with the leading medical institutions in the West.  Located adjacent to the Anschutz Medical Campus, one of the largest and most advanced academic medical campuses in the country, CU Medicine offers a variety of administrative, technical and healthcare support career opportunities and serves as a resource for patients and physicians.

Job Description:

We are seeking a motivated Medical Coding Auditor II to join our team.

The Auditor II will provide formal and informal coding and regulatory education to all CU Medicine coding/charge capture staff, billing staff, all attending physicians, residents and APP providers involved with the billing for professional services as directed by Federal and State requirements as well as the AMA.  The individual in this positions will also conduct internal audits to ensure anyone involved in the billing for professional services is in accordance with Federal and State regulations and payor policies and procedures.

Responsibilities of the Auditor II include but are not limited to:

• Perform detailed coder audits on a regular basis as defined by compliance requirements, determine if additional education is necessary and notify Training and Development of ongoing education needs.
• Work closely with the Education Program Manager to create, revise and update all online/web/PowerPoint education modules and materials as it relates to the coding and regulatory guidelines under the direction of Audit, Compliance & Education leadership.
• Conduct internal audits of medical documentation supporting claims billed to third parties to ensure billing is done in accordance with the appropriate third party regulations and/or standards.
  • Evaluate the appropriateness of the services and procedures billed based on the supporting documentation.
  • Evaluate the appropriateness of diagnoses billed for all services in accordance with coding guidelines.
  • Evaluate propriety of the level of service billed for evaluation and management services based on the supporting documentation.
  • Evaluate the appropriateness of the EHR functionality being used, completing second level reviews on high complexity services.
• Conduct educational documentation and coding training for clinicians, and residents to support compliance with third party documentation and billing standards.
• Prepare formalized reports from audit software of audit results and present the results to ACE leadership, clinical chairs, and physicians.
• Respond independently to questions from physicians and School of Medicine (SOM) department administrative staff regarding billing, coding and documentation.
• Develop educational programs for providers based on audit findings along with general education on coding and documentation rules and regulations.
• Perform follow-up reviews after initial training of physicians and determine if additional education is necessary.
  • Provide any additional training once identified by follow-up review.
• Communicate regularly with internal departments to ensure all necessary information is received on a timely basis.
• Communicate and problem solve with Managers and Supervisors on specific coding issues and/or training requests.
• Work on joint projects with other internal audit staff and internal CU Medicine departments to resolve billing and documentation issues.
• Perform any and all other assigned responsibilities.

Required Qualifications:

Requires a bachelor’s degree in healthcare administration (or related field) or equivalent/relevant work experience.  The ideal candidate will have 3yrs of auditing experience. Must possess an active CCS-P or CPC or RHIA/RHIT certification in conjunction with auditing credentials (i.e. CPMA).  Demonstrated knowledge of Medical Terminology and Anatomy & Physiology combined with high level expertise in third-party payer reimbursement, coding, and documentation requirements are essential to success.  Knowledge of Medicare and Medicaid regulations is required.  Must have advanced experience in Evaluation and Management coding.  Experience in a teaching/academic medical environment is a plus.  The ideal candidate will demonstrate superior communication skills including verbal, written and large audience presentations.  The ability to train/teach adults is essential to success.  High level proficiency in the use of various computer systems including Microsoft W Instructions for Resume Submission:

To apply for this position, please visit our website at www.cumedicine.us. Reference job #321. All applications MUST be submitted via our website.

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. We are an equal opportunity employer.

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.

Apply Online: https://usr55.dayforcehcm.com/CandidatePortal/en-US/cumed/Posting/View/1359

University of Colorado Medicine

Introduction:

CU Medicine is dedicated to providing business operations and administrative support to the University of Colorado School of Medicine’s nearly 3,000 providers and is affiliated with the leading medical institutions in the West.  Located adjacent to the Anschutz Medical Campus, one of the largest and most advanced academic medical campuses in the country, CU Medicine offers a variety of administrative, technical and healthcare support career opportunities and serves as a resource for patients and physicians.

Job Description:

We are seeking a highly skilled Senior Medical Coding & Documentation Auditor to join our team.

The Senior Auditor is responsible for conducting internal audits of the medical documentation, coding, and billing in a provider setting in accordance with Federal and State regulations and payer policies and procedures.  These audits determine whether billed services provided to patients, are consistent with medical record documentation and in accordance with the appropriate third party billing regulations and/or standards. The individual in this position will communicate findings to the Medical Staff and other appropriate personnel, and will provide education on identified issues.

The Senior Auditor will provide oversight, training, guidance and/or assistance to other auditing staff in the daily routine tasks of their position, under the direction of the Audit, Compliance & Education (ACE) Leadership.  The individual in this position will assist in assuring consistent quality performance between and among the provider audit team.  This position will be responsible for new hire training and is expected to make recommendations to improve workflow, process and productivity.  In addition, this position will conduct confidential internal/external compliance reviews, communicate findings with ACE Leadership and perform follow up education as required.

Responsibilities include but are not limited to:

• Conduct internal audits of medical documentation supporting claims billed to third parties to ensure billing is done in accordance with the appropriate third party regulations and/or standards.
  • Evaluate the appropriateness of the services and procedures billed based on the supporting documentation.
  • Evaluate the appropriateness of diagnoses billed for all services in accordance with coding guidelines.
  • Evaluate propriety of the level of service billed for evaluation and management services based on the supporting documentation.
• Conduct training and provide educational sessions for clinicians, and residents to support compliance with third party documentation and billing standards and to present new information including yearly updates and changes in requirements.
  • Provide follow-up reviews after initial training of physicians and determine if additional education is necessary.
• Prepare written reports of the results of the audits and present to management, clinical chairs, physicians, and department billing staff.
• Respond to questions from physicians and School of Medicine (SOM) department administrative staff regarding billing, coding and documentation.
• Provide new hire Auditor training and assist in ongoing training of auditing staff to ensure uniformity and quality of work.
• Prepare and/or revise compliance documentation and billing manuals for routine and special training programs.
• Attend committee meetings as assigned by Department Leadership.

• Participate and oversee joint projects with other internal audit staff and internal CU Medicine departments to resolve billing and documentation issues.
• Perform other duties and complete special projects as assigned by Director.

Required Qualifications:

Requires a bachelor’s degree in healthcare administration (or related field) or 5 yrs. relevant work experience.  Must possess an active CCS-P or CPC or RHIA/RHIT certification in conjunction with auditing credentials (i.e. CPMA).  Demonstrated knowledge of Medical Terminology and Anatomy & Physiology combined with high level expertise in third-party payer reimbursement, coding, and documentation requirements are essential to success.  Knowledge of Medicare and Medicaid regulations is required.  Must have experience in Evaluation and Management coding.  Experience in a teaching/academic medical environment is a plus.  The ideal candidate will demonstrate superior communication skills including verbal, written and large audience presentations.  High level proficiency in the use of various computer systems including Microsoft Word, Excel, PowerPoint, and other database software skills are required.

Instructions for Resume Submission:

To apply for this position, please visit our website at www.cumedicine.us. Reference job #320. All applications MUST be submitted via our website.

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. We are an equal opportunity employer.

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.

Apply Online: https://usr55.dayforcehcm.com/CandidatePortal/en-US/cumed/Posting/View/1353

Just Associates, Inc.

Introduction:

Just Associates, Inc. is a recognized leader in Health Information Data Integrity solutions.

We provide healthcare organizations with customized solutions that improve health data quality and result in enhanced revenue cycle efficiency, increased patient and clinician satisfaction, and improved patient care.

We provide expert services in every aspect of health data quality: from initial assessments, data analysis and full scale MPI clean-ups that identify and eliminate duplicate MPI records and their causes; to patient access consulting; ongoing, outsourced MPI management; and software solutions that help prevent the creation of new duplicate medical records and optimize workflow processes.

Our core competencies include health information management, project management, data technology management and data migration. Our services and products help our clients maximize the benefits of their health information technology investment.

Just Associates delivers the comprehensive Data Integrity solutions that our clients demand. Our clients represent both urban and rural healthcare markets and range from small community hospitals to large integrated health systems and Health Information Exchange Organizations (HIO). We also consult with health information technology vendors in need of our data integrity expertise.

Summary:

The Staff Supervisor hires, trains, mentors and develops Patient Identity Expert (PIE) and Quality Assurance (QA) staff. Partners closely with Project Supervisors in a matrix management environment to successfully lead a (PRN) team of 15-30 direct reports through patient record clean-up projects for external clients in the healthcare industry.

Facilitates the development of staff to meet/exceed the quality and production requirements for their individual level through strong communications and training of patient identity validity decision making criteria.

Essential Duties and Responsibilities: 

• Oversee the day to day activities of PIE/QA staff. Performs all necessary supervisory functions to effectively and efficiently manage the team assigned.
• Interfaces with Project Supervisor /Corporate Trainer/HR and other staff supervisors to interview and hire the best possible candidates for the PIE position.
• Interfaces with Project Supervisor/Corporate Trainer/HR and other staff supervisors to train and onboard new hires.
• Reviews ongoing performance results of PIE/QA staff, supporting, coaching and mentoring staff to maintain satisfactory performance. Takes corrective measures for performance concerns with authorization, and escalates as needed.
• Encourages and fosters essential responsibilities and performance expectations of staff for advancement or promotion opportunities.
• Fosters a cooperative and harmonious working climate conductive to maximize employee morale and productivity.
• Takes corrective measures for behavioral concerns with authorization, and escalates as needed.
• Communicates areas of accountability and performance expected of team assigned.
• Reviews and approves staff weekly time cards, promptly communicates any corrections needed
• Monitors daily time entry of staff. Ensures time is submitted on or before required time and reviews and approves time Monday mornings.
• Communicates and educates staff on JA policies and procedures.

Knowledge, Skills and Abilities:

• Ability to establish relationships and build trust throughout the organization.
• Proven ability to work remotely successfully and efficiently.
• Superior active listening skills.
• Strong organizational skills and ability to manage time effectively.
• Excellent verbal and written communication skills.
• Experience coaching, providing verbal and written feedback on a consistent basis
• Past working experience interviewing, hiring, onboarding and training new staff
• Ability to motivate, develop and direct people as they work.
• Proven track record of problem solving skills. Ability to identify problems and review related information to develop and evaluate options and implement solutions.
• Ability to manage conflict and facilitate successful outcomes.
• Strong ability to multi-task and work in an environment with changing priorities.
• Strong knowledge of Microsoft Office Suite, OneNote, Skype for Business, GoToMeeting, Outlook. Proficiency in Excel required
• Understanding of state and federal labor laws as related to a non-exempt workforce
• Experience leading through coaching and performance management situations in partnership with Human Resources.
• Knowledge of HIPAA laws and requirements a plus

Required Qualifications:

• A bachelor’s degree is preferred OR the equivalent of three (3) or more years of hands on supervisory experience leading teams of 10 or more people.
• 3+ years past working experience in a leadership role managing a team
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint)
• Must reside in the Denver, CO area as this role will be required to travel into the Just Associates Denver office (JAM) for meetings and training events as required.

Competencies Required:

To perform the job successfully, an individual should demonstrate the following competencies:

• Problem Solving – Identifies and resolves problems in a timely manner; Develops alternative solutions.
• Project Management – Coordinates projects; Communicates changes and progress.
• Customer Service – Manages difficult or changing situations; Responds promptly to employee/vendor/partner needs; Responds to requests for service and assistance.
• Team Work – Balances team and individual responsibilities; Contributes to building a positive team spirit; Able to build morale and group commitments to support goals and objectives.
• Written Communication – Writes clearly and informatively; Presents numerical data effectively.
• Diversity – Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Promotes a harassment-free environment; Builds a diverse workforce.
• Ethics – Treats people with respect; Inspires the trust of others; Works with integrity and ethics; Upholds client’s organizational values.
• Adaptability – Adapts to changes in the work environment; Manages competing demands between priorities and clients; Changes approach or methods to best fit the situation; Able to deal with frequent changes, delays, or unexpected events.
• Dependability – Takes responsibility for own actions; Keeps commitments.
• Quality – Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.

Job Environment and Conditions:

• Virtual role with the ability to travel to the JA training facility for orientation, meetings and training functions as needed/required.

Physical Demands:

• While performing the duties of this job, the employee is regularly required to talk and hear.
• Must be able to remain in a stationary position for at least 75% of the time or more.
• Specific vision abilities required by this job include close vision, and ability to adjust focus.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education Qualifications:

• A bachelor’s degree is preferred OR the equivalent of three (3) or more years of hands on supervisory experience leading teams of 10 or more people.

Compensation/Benefits:

• Salary negotiable with experience.
• Full benefits including medical, dental, vision, and other voluntary benefits available for full-time staff after 30 days.

Instructions for Resume Submission:

Please visit our career portal on our website (www.justassociates.com) and apply online.

SummitStone Health Partners

Position Summary:

This position reports to and assists the Director of Compliance and QI with the administration of the SummitStone Compliance Program. Will review and evaluate compliance and privacy issues/concerns within the organization and be responsible for tracking and reporting of issues/concerns. Responsible for overseeing all ongoing activities related to the development, implementation, maintenance of, and adherence to SummitStone’s policies and procedures covering privacy of, and access to, patient health information in compliance with federal and state laws and the agency’s privacy practices. In addition, position will supervise Medical Records staff and serve as the custodian of client records for the agency.

Job Description:

Position Title: Compliance Privacy Supervisor
Full Time Position: 40 Hours per Week
FLSA Status: Salaried/Exempt
Salary Range: Wage will vary depending on experience and position requirements. Our ranges are competitive with other non-profit agencies.

Essential Duties:

• Manages all HIPAA breach notifications and coordinates and assists SummitStone Marketing department with breach notifications to the media.
• Participates in New Employee Orientation by presenting standards of conduct and HIPAA information to new staff.
• Assists with preparation for and administration of the agency’s internal Compliance Committee.
• Monitors, reviews, and performs investigations in consultation with the Compliance Director, on reported compliance and privacy issues/concerns.
• Performs data entry to and maintenance of the compliance hotline and privacy complaints databases.
• Responsible for initiating and maintaining ongoing subpoena process for agency, including decision-making on Release of Information appropriateness.
• Assists with annual compliance training and risk assessment process.
• Assists with clinician licensing, credentialing and contracting processes.
• Determines applicability and execution of Business Associates Agreements (BAA) within the agency’s contracting process.
• Chairs the Policy, Procedures, and Forms Committee and is responsible for production and distribution of agency policy, procedure, and form documents – both electronic and paper.
• Assists with internal, external and payer audits.
• Primary responder to compliance hotline calls and emails.
• Point-person for client record retention standards and coordination of storage for client paper and electronic records.
• Supervises full- and part-time staff in the agency’s medical records department.
• Sits on various agency committees and may lead committee meetings.
• Works with Director of Compliance, Director of IT/IS and other senior leaders to ensure client rights to inspect, amend, and restrict access to protected health information.

Job Requirements:

• Strong and effective verbal and written communications skills.
• Ability to present and train staff.
• Time management and work prioritization skills.
• Ability to plan, organize and work in a multi-disciplinary setting.
• Establish and maintain cooperative inter- and intra-organizational work relationships.
• Ability to read, develop and interpret policy, rules, regulations, and other legal documents.
• Judgment and problem-solving competency – able to draw correct conclusions from situations and make necessary recommendations.
• Understanding of the major compliance laws such as the False Claims Act, Stark Laws, Anti-kickback Statutes, HIPAA, Patient Protection & Affordable Care Act of 2010 and HITECH.

Physical Demands:

• Occasionally lift and/or move up to 25lbs.
• Frequently required to walk, sit, stand or kneel and occasionally required to climb or balance and stoop.
• Must have ability to sit for longer periods of time at a computer.
• Must be able to travel between agency and partner organization locations.
• Noise level at work environment is usually moderate.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Working Conditions:

• This position is exempt and not eligible for overtime.
• This positions workload is based on a 40-hour work-week.
• This position may include additional hours beyond 40 hours per week.

Minimum Qualifications:

• Associates or bachelor’s degree with health information management experience.
• At least one year of healthcare experience.
• Familiarity with federal and state compliance and privacy regulations and laws.
• Demonstrated organization, facilitation, communication, and presentation skills.
• Able to maintain professional boundaries with protected information.

Preferred Qualifications:

• Master’s degree in healthcare business or related field; RHIT, RHIA, CPCO and/or other healthcare compliance certification.
• Two to five years-experience with privacy and compliance law, record access, release of information, and hotline monitoring and tracking.
• At least two years of experience interacting with legal counsel, physicians and other clinicians.
• Bilingual/Bicultural
• Minimum one-year in a supervisory role.

Education Qualifications:

• Associates or bachelor’s degree with health information management experience.
• Master’s degree in healthcare business or related field; RHIT, RHIA, CPCO and/or other healthcare compliance certification preferred.

Compensation/Benefits:

Wage will vary depending on experience and position requirements. Salary range is competitive with other non-profit agencies.

 

Apply Online: https://summitstone.e3applicants.com/careers/Compliance-Privacy-Supervisor-1375

Children’s Hospital Colorado

Introduction:

Children’s Hospital Colorado has defined and delivered pediatric healthcare excellence for more than 100 years. Founded in 1908, Children’s Colorado is a leading pediatric network entirely devoted to the health and well being of children. Continually recognized as one of the nation’s outstanding hospitals by U.S. News & World Report, Children’s Colorado is known both for its nationally and internationally recognized medical, research and education programs as well as the full spectrum of everyday care for kids throughout Colorado and surrounding states. With more than 1,000 healthcare professionals representing the full spectrum of pediatric specialties, Children’s Colorado Network of Care includes its main campus, 16 Children’s Care Centers and more than 400 outreach clinics.

A career at Children’s Colorado will challenge you, inspire you, and motivate you to make a difference in the life of a child.

Job Description:

Children’s Hospital Colorado is preparing to open our newest hospital in Colorado Springs, CO and we need your help to staff up.

The Medical Coder Senior performs full-level expert coding in the hospital’s health information management department.  The senior coder assigns ICD CM and PCS codes utilizing the hospital’s encoding and medical reference software.

• Performs full-level medical coding.  Encompassing but not limited to inpatient coding and all entry and associate level coding.
• Analyses, researches and corrects complex data integrity issues including inpatient related cases.  Abstracts and collects pertinent patient information housed in the hospital’s database.
• Contributes to coding compliance and departmental objectives by providing leadership, mentoring and coding expertise.
• Assists and mentors associate and entry level coders in identifying and correcting data integrity issues within the electronic medical records system and subsequently facilitates corrections.
• Utilizes coding software and coding reference books to perform day-to-day functions and assist associate and entry level coders in honing and developing medical coding skills.
• Maintains accuracy for all coding and productivity standards.  Adheres to standard ethical coding guidelines established by professional health information management associations.

Required Qualifications:

Five years of medical hospital coding and charging experience.

One of the following is required: Certified Coding Specialist (CCS); Certified Professional Coder (CPC); Registered Health Information Administrator (RHIA); Registered Health Information Technician (RHIT).

Education Qualifications:

High School Diploma or Equivalent

Instructions for Resume Submission:

For immediate consideration, please submit your application to Job ID # 61249 through the careers section of our website at www.childrenscolorado.org/careers

Apply Online: http://www.childrenscolorado.org/careers

Children’s Hospital Colorado

Introduction:

Children’s Hospital Colorado has defined and delivered pediatric healthcare excellence for more than 100 years. Founded in 1908, Children’s Colorado is a leading pediatric network entirely devoted to the health and well being of children. Continually recognized as one of the nation’s outstanding hospitals by U.S. News & World Report, Children’s Colorado is known both for its nationally and internationally recognized medical, research and education programs as well as the full spectrum of everyday care for kids throughout Colorado and surrounding states. With more than 1,000 healthcare professionals representing the full spectrum of pediatric specialties, Children’s Colorado Network of Care includes its main campus, 16 Children’s Care Centers and more than 400 outreach clinics.

A career at Children’s Colorado will challenge you, inspire you, and motivate you to make a difference in the life of a child.

Job Description:

Children’s Hospital Colorado is preparing to open our newest hospital in Colorado Springs, CO and we need your help to staff up.

The Coding Supervisor – Inpatient provides daily operational management of ambulatory day surgery, observation and IP coders. Internal/External audit coordination, mortality case review, and HAC management. They will also provide supervision to a team of administrative support.  The supervisor is responsible for coaching, mentoring, modeling best practices, scheduling, managing Paid Time Off (PTO) and day-to-day performance for direct reports. The supervisor is responsible for monthly audits/scorecards and communicating as appropriate.

• Recruits, screens and selects applicants for administrative support roles.
• Educates all staff on job processes.
• Ensures proper training of staff by utilizing the resources available within the team.
• Assigns and manages day-to-day work flow for staff.
• Manages, mentors, and supports staff on a daily basis.
• Develops clear goals and objectives for performance management and effectively communicates accountability.
• Creates a culture and atmosphere that will lead to a high level of employee engagement.
• Implements and evaluates strategies to improve employee performance including performance improvement plans and making final determination on terminations of employment.
• Provides and utilizes productivity reports for the department to assess performance of entire team.
• Reviews customer service score cards and work quality with staff (phone call monitoring, customer surveys, and etc.).
• Participates in labor cost and financial component decisions related to day-to-day operations.
• Performs Kronos and other relevant time keeping administration.
• Manages day-to-day administrative operations, including staffing.
• Acts as a working supervisor and remains available to provide coverage for administrative/support staff.
• Establishes and maintains partnerships across the hospital with operational, clinical, faculty/provider leadership.
• Establishes team communication norms and staff rounding.
• Other duties as assigned.

Required Qualifications:

Two years previous relevant experience in a Health Information Management or Revenue Cycle setting.

Bachelors’ degree in Administration, Health Care Administration, Management, Finance, or related field will substitute for the required experience on a year-for-year basis.

Preferred Qualifications:

• RHIT / RHIA, CCA Preferred
• 5-7 years of hospital inpatient coding experience is preferred.

Education Qualifications:

High School diploma or equivalent.

Instructions for Resume Submission:

For immediate consideration, please submit your application to Job ID # 58720 through the careers section of our website at www.childrenscolorado.org/careers.

Children’s Hospital Colorado

Introduction:

Children’s Hospital Colorado has defined and delivered pediatric healthcare excellence for more than 100 years. Founded in 1908, Children’s Colorado is a leading pediatric network entirely devoted to the health and well being of children. Continually recognized as one of the nation’s outstanding hospitals by U.S. News & World Report, Children’s Colorado is known both for its nationally and internationally recognized medical, research and education programs as well as the full spectrum of everyday care for kids throughout Colorado and surrounding states. With more than 1,000 healthcare professionals representing the full spectrum of pediatric specialties, Children’s Colorado Network of Care includes its main campus, 16 Children’s Care Centers and more than 400 outreach clinics.

A career at Children’s Colorado will challenge you, inspire you, and motivate you to make a difference in the life of a child.

Job Description:

Manages daily operations of HIM Coding department. Supervises coding staff including interviewing, training, evaluating and counseling. Assigns work and/or implements action plans to ensure unbilled dollars are consistent in an effort to avoid losses due to exceeding timely filing. Develops and maintains relevant coding procedures and guidelines. Routinely monitors coding compliance/ quality and implements improvements as needed. Establishes productivity standards and ensures levels are met. Designs and develops coding training sessions for staff and other CHCO departments. Maintains current knowledge of coding conventions, updates and regulations. Provides reports for operations, case-finding, and research.

The manager of coding is responsible for assuring accounts are coded and finalized timely to assure bills may be processed.  This position has two supervisors and 40 coders responsible for the IP, Ambulatory Surgery, ED/UC, Clinics, and Lab/Rad accounts directed to the HIM work queues.

• Analyzes coding data to identify and target areas in coding that display a significant variance from internal and external data populations and subsequently performs audits to isolate root causes for variance and implements plan to improve or reduce variances.
• Develops and implements strategic coding education plan and ensures staff complete all required training.
• Effectively and Efficiently provides direction for daily workflows and priorities to staff to ensure that all areas of coding are current and meeting organizational and departmental targets.
• Ensures that procedures and guidelines are current, accurate and have the requisite level of detail to support all areas of coding.
• Performs data quality reviews on coding to validate the ICD-10-CM codes DRG grouping appropriateness, missed secondary diagnoses and procedures, and ensures Coding Compliance Plans and Initiatives are met. Subsequently documents, records, and reports detailed and summary findings in a professional and formal manner. Also provides routine feedback to staff as required within the Coding Compliance.
• Trains and develops staff to ensure that workflows and methods are efficient and allow for the highest levels of accuracy and efficiency.

Required Qualifications:

General Work Experience – Must be AHIMA credentialed with a CCS or RHIA or have two minimum credentials of RHIT and CCA.

Preferred Qualifications:

Prefer a Bachelor’s Degree in Health Information Management.

Education Qualifications:

High School Diploma or equivalent.

Instructions for Resume Submission:

For immediate consideration, please submit your application to Job ID # 61917 through the careers section of our website at www.childrenscolorado.org/careers.