NewCertified Professional Coder OnPoint Medical GroupCertified Professional CoderHighlands Ranch, CO$25–$32 / hourOnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Preferred skills such as knowledge of payer-specific requirements and additional certifications enhance the coder's ability to navigate complex billing environments and improve overall revenue cycle performance.
Medical Coder HCA Healthcare IncMedical CoderEnglewood, CO$26.39–$39.61 / hourIn recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses "There is so much good to do in the world and so many different ways to do it." Apply share Share Email X Facebook LinkedIn bookmark_border Save Job bookmark Unsave Job // Save Jobs functionality detectsavedjob('1-INFOR-4726740','save-job','unsave-job');
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.
RN, DRG Coder / Clinical Auditor Pivotal Placement ServicesRN, DRG Coder / Clinical AuditorDenver, CO$90,000–$104,841 / yearHeadquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals—from staff to leadership—with both clinical and non-clinical employers. Our comprehensive and customer-focused workforce solutions include Direct Placement and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationwide.
NewRevenue Cycle Coder Stride Community Health CenterRevenue Cycle CoderDenver, CO$22–$33.57 / hourAs one of Colorado's largest Federally qualified healthcare centers (FQHC), we offer comprehensive services-including primary care, dental, pharmacy, behavioral health, health education and outreach services across 13 clinics in the Denver Metro area. Health and Safety Commitment: To ensure the safety of our patients, staff, and communities, all new hires at STRIDE must receive an annual flu shot or provide an exemption, as well as undergo tuberculosis screening and testing.
Physician Ortho Surgery Coder GuidehousePhysician Ortho Surgery CoderAurora, ColoradoCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event.
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.
NewRevenue Cycle Coder JobtailorRevenue Cycle CoderDenver, COResponsibilitiesResponsible for understanding the billing requirements for all payersEnters and approves data into the Management Information system according to appropriate guidelinesAnalyzes provider documentation for appropriate Evaluation & Management coding levelsProvides expertise to billing staff in addressing appeals for denialsCompletes audits of provider encounters to ensure complianceServes as coding reviewer to support charge postingAccept charges, review, analyze, and code diagnostic and procedural informationConducts periodic Quality Assurance Processes for Revenue Cycle CodersDevelop training materials for ongoing use by provider staff and Patient Accounts staffPerform other duties as assignedRequirementsHigh School Diploma or GEDCPC-A, RHIA, RHIT, CCA and/or CCS certification requiredCPC and/or CRC preferredAbility to interact positively and build rapport with patients, coworkers and/or external contactsAbility to work independently and organize workKnowledge of medical electronic billing procedures and codingCustomer service skillsBasic math skillsBasic excel spreadsheet skillsSkill in using a variety of computer software including but not limited to the internet and MS Office productsAbility to handle sensitive information ethically and responsiblyAbility to protect patient confidentialityBilingual Spanish is preferredMust be experienced in working in a fast-paced environment#J-18808-Ljbffr.
Physician Ortho Surgery Coder Guidehouse IncPhysician Ortho Surgery CoderAurora, CO$38,000–$64,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event.
NewCoding 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.
NewClinical 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 in need of 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.
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.
HB Coding Denials Integrity Specialist Advocate Aurora Health IncHB Coding Denials Integrity SpecialistAurora, CORemote$33.05–$49.60 / hourWorks collaboratively with coding leadership per their direction in reviewing records with focused diagnosis and procedure codes, including specific APCs, DRGs and OIG work plan targets to assure compliance in all areas of coding, which may give visibility into documentation that is driving codes. Expert knowledge and experience in ICD-10-CM/PCS and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis related groups).
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.
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.
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.
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.
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.
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.
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.
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.