Senior Medical Coder

Colorado State University, Health Network

Introduction:

The CSU Health Network is recruiting for a Senior Medical Coder.

The Senior Medical Coder reviews medical data, coding accuracy, under and over coding, and policies and procedures to ensure that the Health Network is running an efficient and liability-free operation that complies with healthcare regulations. This position develops and conducts ongoing individual training for re-education and group training for new codes and coding error trends. This position will also research coding requirements for new procedures and services. This position works in the medical record when performing daily coding review.

The Senior Medical Coder works closely with management providing feedback and trends and as an advisor to the medical coding team and clinical providers, and with external auditing resources and insurances.

This position works a full-time hybrid schedule 2.5 days in office and 2.5 days remote, Monday-Friday.

For full consideration, complete applications must be received by 11:59 pm Mountain Time on Tuesday, September 26, 2023.

For full position description and instructions on how to apply, see https://jobs.colostate.edu/postings/132931.

CSU is an EO/EA/AA employer and conducts background checks on all final candidates.

This position is eligible for a signing bonus of up to $2,000. Please note there may be ineligible criteria for current or previous CSU employees.

Job Description:

The Senior Medical Coder reviews medical data, coding accuracy, under and over coding, and policies and procedures to ensure that the Health Network is running an efficient and liability-free operation that complies with healthcare regulations. This position develops and conducts ongoing individual training for re-education and group training for new codes and coding error trends. This position will also research coding requirements for new procedures and services. This position works in the medical record when performing daily coding review.

The Senior Medical Coder works closely with management providing feedback and trends and as an advisor to the medical coding team and clinical providers, and with external auditing resources and insurances.

This position works a full-time hybrid schedule 2.5 days in office and 2.5 days remote, Monday-Friday.

This position is eligible for a signing bonus of up to $2,000. Please note there may be ineligible criteria for current or previous CSU employees.

Required Job Qualifications

Education
  • High School Diploma (or GED)
  • Medical Coding Certification through AAPC or AHIMA
Experience
  • Two years of certified coding experience performing audits in medical and psychiatric and interpreting and applying billing and coding Federal and State regulations
  • Four years of experience working as a certified medical coder in an outpatient or family practice medical environment, which may have included psychiatry, mental and behavioral health; orthopedics; optometry; women and gender; immunizations; laboratory; and/or physical therapy

Preferred Qualifications:

Education
  • Bachelor’s degree in health information management or health services administration
Experience
  • Experience working with insurance coding and billing using ICD10-CM/ICD-9-CM, CPT-4, HCPCS, and DSM-5
  • Experience preparing cohesive written reports documenting audit objectives, scope and procedures in addition to findings and recommendations, comparisons, impact, risks, and/or projections
  • Experience creating training curricula and facilitating training for medical providers and clinical and business staff
  • Experience applying insurance contracts
  • Experience auditing professional fee services, including medical and/ or psychiatry
  • Experience resulting in proficiency working with insurance contesting denials due to coding issues
  • CDI experience
  • Proficiency in using Microsoft Office Suite, including Excel and related billing/coding /audit software
  • Experience as a super user for the electronic health record (EHR)
Knowledge, Skills, Abilities, and Other Characteristics
  • Knowledge of how insurances reimburse based on diagnosis and billing codes
  • Strong decision making and problem-solving skills
  • Ability to adjust to changing priorities and workload volume
  • Ability to analyze policies, programs, and initiatives to make recommendations for quality improvement
  • Ability to complete continuous education to keep abreast of new developments in coding updates/ technology/ research/ regulatory data
  • Ability to maintain confidentiality of physician, patient, patient account and personnel data in accordance with HIPAA; CSU Health Network policies; Colorado State University; state and federal regulations
  • Strong listening, verbal, presentation, and interpersonal relations communication skills
  • Excellent written and documentation skills
  • Organizational skills with the ability to meet deadlines
  • Knowledge and experience working with diverse populations, including diverse religious/spiritual beliefs; racial, ethnic, and cultural backgrounds; and diverse sexual orientations and gender identities
  • Strong attention to detail

Education Qualifications:

  • High School Diploma (or GED)
  • Medical Coding Certification through AAPC or AHIMA

Compensation/Benefits:

Employee Benefits

Colorado State University is not just a workplace; it’s a thriving community that’s transforming lives and improving the human condition through world-class teaching, research, and service. With a robust benefits package, collaborative atmosphere, commitment to diversity, equity and inclusion, and focus on work-life balance, CSU is where you can thrive, grow, and make a lasting impact.

Instructions for Resume Submission:

Applicants needing assistance to submit application materials may contact Tammy Roehrich at Tammy.Roehrich@colostate.edu.

Complete applications must include:

  • A cover letter addressing Required Job Qualifications, Preferred Job Qualifications and Essential Job Duties
  • Resume
For full consideration, complete applications must be received by 11:59 pm Mountain Time on Sunday, September 19, 2023. The posting will remain open until filled.

References will not be contacted without prior notification of candidates.

Application materials will be held in confidence by the Search Committee through semi-finalist interviews. Confidentiality of application materials detaches at the point where a candidate accepts participation in a finalist interview. At that time, redacted application materials are shared with campus stakeholders when invited to participate and give feedback to the Search Committee.

Apply Online: https://jobs.colostate.edu/postings/132931