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University Of Colorado Medicine Medical Coding Auditor in Aurora, Colorado

CU Medicine is dedicated to providing business operations and administrativesupport to the University of Colorado School of Medicine's nearly 3,000providers and is affiliated with the leading medical institutions in the West. Located adjacent to the Anschutz Medical Campus, one of the largest andmost advanced academic medical campuses in the country, CU Medicine offers avariety of administrative, technical and healthcare support careeropportunities and serves as a resource for patients and physicians.We are seeking a motivated Medical Coding Auditor to join our team and supportAnesthesiology, Radiology, and Spine departments.The Auditor will provide formal and informal coding and regulatory educationto all CU Medicine coding/charge capture staff, billing staff, allattending physicians, residents and APP providers involved with the billingfor professional services as directed by Federal and State requirements aswell as the AMA. The individual in this position will also conduct internalaudits to ensure anyone involved in the billing for professional services isin accordance with Federal and State regulations and payor policies andproceduResponsibilities of the Auditor include but are not limited to: Perform detailed coder audits on a regular basis as defined bycompliance requirements, determine if additional education is necessary andnotify Training and Development of ongoing education needs. Work closely with the Education Program Manager to create, revise andupdate all online/web/PowerPoint education modules and materials as itrelates to the coding and regulatory guidelines under the direction ofAudit, Compliance and Education leadership. Conduct internal audits of medical documentation supporting claimsbilled to third parties to ensure billing is done in accordance with theappropriate third party regulations and/or standards.o Evaluate the appropriateness of the services and procedures billed basedon the supporting documentation.o Evaluate the appropriateness of diagnoses billed for all services inaccordance with coding guidelines.o Evaluate propriety of the level of service billed for evaluation andmanagement services based on the supporting documentation.o 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 billingstandards. Prepare formalized reports from audit software of audit results andpresent the results to ACE leadership, clinical chairs, and physicians. Respond independently to questions from physicians and School ofMedicine (SOM) department administrative staff regarding billing, codingand documentation. Develop educational programs for providers based on audit findings alongwith general education on coding and documentation rules and regulations. Perform follow-up reviews after initial training of physicians anddetermine if additional education is necessary.o Provide any additional training once identified by follow-up review. Communicate regularly with internal departments to ensure all necessaryinformation is received on a timely basis. Communicate and problem solve with Managers and Supervisors on specificcoding issues and/or training requests. Work on joint projects with other internal audit staff and internal CUMedicine departments to resolve billing and documentation issues. Perform any and all other assigned responsibilities.One of the many reasons CU Medicine is a great place to work: We offer coding education during regular work hours with FREE CEUstowards CPC renewal!Requires a bachelor's degree in healthcare administration (or relatedfield) or equivalent/relevant work experience. The ideal candidate willhave 3yrs of auditing experience. Must possess an active CCS-P or CPC orRHIA/RHIT certification in conjunction with auditing credentials (i.e.CPMA). Demonstrated knowledge of M

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