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Coding and Compliance Auditor Job in Denver, Colorado

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Job Title: Coding and Compliance Auditor

Required Certifications:CPC
Required Experience:3 to 4 years
Location:8950 E Lowry Blvd Denver 80230, CO, US
Date Posted:12/10/2018
Job Description Coding and Compliance Auditor. Full Time with Benefits. Come work for healthcare leader InnovAge. The Coding and Compliance Auditor is responsible for auditing electronic health records to review documentation and determine whether it substantiates the codes assigned (ICD-9-10CM/ MS-DRG/HCC). This role will be responsible for assisting in developing and supporting an education program to support providers on coding accuracy and documentation improvement; and drive revenue analysis while incorporating findings into a meaningful training program for all providers and staff. REQUIRED Education High School diploma or equivalent Licensure, Certification, Registration or Designation Requires state issued driver’s license, personal transportation, good driving record and auto insurance as required by law Work Experience and Qualifications Minimum of three years of experience in assigning ICD-9-10CM diagnosis and codes procedure codes, (AMA CPT, and CMS HCPCS codes); extensive experience in a Physician practice; data analysis or equivalent combination of education and experience. Proficient understanding of the medical Severity Diagnosis-Related Groups (MS-DRG), National Correct Coding initiative Edits (NCCI), ICD-9-CM & ICD-10CM Official Guidelines for Coding and Reporting, and coding clinic. In-depth knowledge of laws and regulations pertaining to Health Information Management (e.g., TJC, HIPPA, CMS, OSHAPD, DHS, and Uniform Health Care Information ACT) required. Knowledge with Anatomy, Physiology and Medical Terminology. Licensure, Certification, Registration or Designation Certified Professional Coder (CPC) This position is located at our Lowry, CO headquarters.



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