Summary:

Responsible for coding data integrity by reviewing diagnosis and procedure code assignments, and validating MS-DRG, APC, or RVU designations. This is a remote position; eligible out-of-state candidates may be considered.

Responsibilities:

Conducts internal quality reviews, in accordance with the Coding Compliance Plan. Reviews government, commercial and other external audits. Performs internal audits as requested by other departments. Monitors and reports issues/trends.

Presents coding education to staff, leadership and others throughout the Health System. Provides training as necessary. Assists with developing and guiding SMEs responsibilities.

Responds to coding questions submitted throughout the Health System. Reviews physician queries for appropriateness, and related correspondence.

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Reviews coded claims data in response to denials and customer service requests. Provides thorough rationale and explanation for proper code assignments.

Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.

Requirements:

High School diploma GED.

Coding-related certification from AHIMA or AAPC.

3 years of relevant experience.

Preferred:

Medical Coding experience for Professional Billing.

Medical Coding auditing and educating experience.

We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.

UCHealth invests in its Workforce.

UCHealth offers a Three Year Incentive Bonus to recognize employee's contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of three years' employment.

UCHealth offers their employees a competitive and comprehensive total rewards package (benefit eligibility is based off of FTE status):

Medical, dental and vision coverage including coverage for eligible dependents

403(b) with employer matching contributions

Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence; start your employment at UCHealth with PTO in your bank

Employer-paid basic life and accidental death and dismemberment coverage with buy-up coverage options

Employer paid short term disability and long-term disability with buy-up coverage options

Wellness benefits

Full suite of voluntary benefits such as flexible spending accounts for health care and dependent care, health savings accounts (available with HD/HSA medical plan only), identity theft protection, pet insurance, and employee discount programs

Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may qualify for up to 5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year

Loan Repayment:

UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.