Medical Coder Cedar Point HealthMedical CoderMontrose, ColoradoInteracts with CPH staff, including physicians and support staff, coders and billing staff regarding any billing and documentation policies, procedures and conflicting/ambiguous or non-specific documentation of concern. The Medical Coder will perform charge entry with consideration of all healthcare data elements, ensuring validity of coding and charge additions or deletions, per CPH policies and procedures.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)CO$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Coder Inpatient University of Colorado HealthCoder InpatientDenver, CO$25.80–$38.70 / hourFull 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. 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.
Coder II - MUST Reside in Colorado Denver Health and Hospital AuthorityCoder II - MUST Reside in ColoradoDenver, ColoradoOur benefits are built to support your life, your family, and your future — with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate and not interrupting at inappropriate times.
Coder III - MUST Reside in COLORADO Denver Health and Hospital AuthorityCoder III - MUST Reside in COLORADODenver, ColoradoOur benefits are built to support your life, your family, and your future — with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center.
NewRevenue Cycle Coder Lead-Inpatient Coding CommonSpirit HealthRevenue Cycle Coder Lead-Inpatient CodingEnglewood, COAs one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs.
NewCoder - Onsite Ernest HealthCoder - OnsiteJohnstown, Colorado$24.41–$29.17 / hourFull timePosted Total Compensation: The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. Northern Colorado Rehabilitation Hospital is a state-of-the-art inpatient facility providing specialized care for patients recovering from stroke, brain and spinal cord injuries, orthopedic conditions, and other complex medical issues.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)CO$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Coder Outpatient University of Colorado HealthCoder OutpatientDenver, CORemote$24.11–$36.17 / hourEmployees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness. Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure.
Inpatient Coder II CommonSpirit HealthInpatient Coder IICentennial, COA minimum of 4 years coding experience preferably in an inpatient acute care setting or a minimum of 2 years' experience and successful completion of the organizations internal coding program. Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credentials (COC, CIC, CPC-H, CPC), required or must be certified within One Year of hire.
Hospital Surgery/Observation Coder CommonSpirit HealthHospital Surgery/Observation CoderCentennial, COAlong with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: Alabama- Arizona- Arkansas- Colorado- Florida- Georgia- Idaho- Indiana - Iowa- Kansas - Kentucky- Louisiana. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Coding Outpatient Lead University of Colorado HealthCoding Outpatient LeadDenver, CORemote$25.80–$38.70 / hourEmployees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness. Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure.
Clinical Support Auditor (IKC) DaVita IncClinical Support Auditor (IKC)Denver, CORemote$78,000–$119,000 / yearA detail-oriented, clinically trained Registered Nurse that can provide expertise, education, coaching, and guidance on clinical practice and documentation to improve our clinical outcomes and increase the quality of provider documentation for diagnosis evaluation and quality metrics. Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using a concurrent query process following ACDIS/AHIMA Guidelines for Compliant Query Writing.
Nurse Practitioner Educator DaVita IncNurse Practitioner EducatorDenver, CORemote$98,000–$155,000 / yearWe are seeking a detail-oriented, clinically trained Advanced Practice Provider (APP) that can provide expertise, education, coaching, and guidance on clinical practice and documentation to improve our clinical outcomes and increase the quality of provider documentation for diagnosis evaluation and quality metrics. Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using a concurrent query process following ACDIS/AHIMA Guidelines for Compliant Query Writing.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorCO$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Clinician Coding Liaison - Vascular Advocate Aurora Health IncClinician Coding Liaison - VascularAurora, CORemote$35.50–$53.25 / hourProviding care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.
Supervisor Coding Professional Fee CommonSpirit HealthSupervisor Coding Professional FeeCentennial, COWith our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Supervises professional fee coders for assigned departments (Primary Care or Specialty Care) for employed providers as well as designated PSA and other practices.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)CO$82,232–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
DRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadDenver, CO$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
NewCharge Master Analyst Sutter HealthCharge Master AnalystCO$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Audit and Coding Specialist Community Reach CenterAudit and Coding SpecialistWestminster, CO$65,000–$71,000 / yearCreates, communicates and implements templates, systems and processes to ensure clinical documentation at the Center is in accordance with internal policies and procedures, Centers for Medicare and Medicaid Services (CMS), State and Federal regulations, third-party payors, and American Medical Association (AMA) guidelines. Essential Functions: Designs and implements internal compliance audits, regularly monitoring accuracy and adherence to documentation requirements in collaboration with Utilization Manager to support continuous quality improvement and compliance as identified in the Quality Management Plan (QMP).
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistCO$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Coding Operations Manager American Family Care IncCoding Operations ManagerDenver, CORemote$90,000–$115,000 / yearHeadquartered in Birmingham, Alabama, AFC has grown into the nation's leading provider of accessible healthcare, with more than 400 company-owned and franchised centers across the United States, caring for over 3.5 million patients annually. Today, with more than 400 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nations leading provider of urgent care, accessible primary care, and occupational medicine.
Supervisor Coding, ED University of Colorado HealthSupervisor Coding, EDDenver, CORemote$29.54–$44.31 / hourEmployees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness. Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Denver, CORemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTDenver, CORemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusDenver, CORemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
NewProfee Audit Specialist - FT DatavantProfee Audit Specialist - FTDenver, CORemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewProFee Audit Specialist- FT DatavantProFee Audit Specialist- FTDenver, CORemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
RN Educator, Clinical Documentation Integrity - Must Reside in Colorado Denver Health and Hospital AuthorityRN Educator, Clinical Documentation Integrity - Must Reside in ColoradoDenver, ColoradoUnder general supervision, the CDI Educator facilitates improvement in the overall quality, completeness, and accuracy of the medical record documentation through the education and training of the Clinical Documentation Integrity team and through extensive audit investigation, clinical criteria research, and data analysis. As requested by the CDI Manager, the educator performs concurrent and retrospective reviews, quality reviews, audits for internal compliance and performance, and supports clinical review for new technologies and projects.
NewRevenue Cycle Specialist CardioOneRevenue Cycle SpecialistDenver, CO$20–$24 / hourThis role offers an exciting opportunity to dive into the heart of healthcare finance, where you'll play a crucial part in our practice's success while developing valuable skills for your future career growth. Comfort with electronic medical records systems (Athena Collector knowledge is preferred, Hybrid Chart familiarity is the cherry on top).Strong attention to detail and accuracy in data entry.
Sr. Manager Field Reimbursement - West Integra LifeSciencesSr. Manager Field Reimbursement - WestDenver, CO$109,000–$150,000 / yearExperience and strong subject matter expertise in financial systems and management practices of healthcare providers (physicians, medical directors, HCPs) in a variety of settings (hospitals, hospital outpatient clinics, ASC's, ACO's, wound care clinics, and physician offices). + Execute regional payer strategies , including expanding and optimizing commercial coverage for priority technologies, engaging payer decision-makers, and aligning access initiatives with enterprise market access objectives to accelerate adoption and revenue growth.
NewRemote Professional Fee Audit Specialist DatavantRemote Professional Fee Audit SpecialistDenver, CORemoteDatavant is looking for a Profee Auditing Specialist to perform meticulous coding audits and provide exceptional coder education. Datavant provides a comprehensive benefits package, including medical, dental, and a stipend for professional dues.#J-18808-Ljbffr.
Investigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)CO$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)CO$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.