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Medical Documentation Reviewer
University of Colorado Medicine

Location: Aurora, Colorado
Work Setting: Other
Job Function:
Auditor, Coder, Coding – Auditor
Job Type:
Full-Time

Introduction

CU Medicine is dedicated to providing business operations and administrative support to the University of Colorado School of Medicine’s nearly 3,000 providers and is affiliated with the leading medical institutions in the West.  Located adjacent to the Anschutz Medical Campus, one of the largest and most advanced academic medical campuses in the country, CU Medicine offers a variety of administrative, technical and healthcare support career opportunities and serves as a resource for patients and physicians.

 

We are seeking 2 motivated Documentation Reviewers to join our Audit, Compliance & Education team.

 

The Documentation Reviewer will conduct internal documentation reviews of all CU Medicine attending physicians, residents, Advanced Practice Providers (AAP), and learners involved with the documentation and billing for professional services in accordance with Federal and State regulations, AMA, and payer policies and procedures.

 

This position is designed for an experienced medical coder looking to transition into an entry level audit position.  The Documentation Reviewer will receive guidance, and initial/ongoing training by the Education Program Manager and experienced auditing staff.

Job Description

The Documentation Reviewer will:

  • Perform provider documentation reviews on a regular basis as defined by compliance requirements.
  • Determine if/when additional education is necessary and convey identified education needs to the Education Subject Matter Expert (SME)
  • Conduct internal reviews of medical documentation supporting claims billed to Federal State, and third parties to ensure billing is done in accordance with regulations and/or standards while also evaluating the appropriateness of the services.
  • Prepare written reports of audit results and present findings to management.
  • Perform follow-up reviews as determined by management.
  • Participate in the revision of materials used by Education SMEs.
  • Communicate and problem solve with Managers and Education SMEs on specific documentation issues.
  • Support joint projects with other internal audit staff to resolve billing and documentation issues.
  • Perform other duties as assigned.

Required Qualifications

This position requires 2-3 years of coding and documentation experience with active CPC, CCS-P, or RHIT certification.  Demonstrated knowledge of CPT & ICD-10 coding combined with a strong understanding of physician billing requirements are essential to success.  Knowledge of Medicare and Medicaid regulations is required.  Must have experience in Evaluation and Management coding.  Experience in a teaching/academic medical environment is a plus.  The ideal candidate will demonstrate superior verbal and written communication.  High level proficiency in the use of various computer systems including Microsoft Word, Excel, PowerPoint, and other database software skills are required.  Must be a self-starter and detail oriented.

 

TO APPLY FOR THIS POSITION, please visit our website at www.cumedicine.us. Reference job #406. All applications MUST be submitted via our website.

 

CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment. We are an equal opportunity employer.

 

CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus and adjacent business locations.

Instructions for Resume Submission

TO APPLY FOR THIS POSITION, please visit our website at www.cumedicine.us. Reference job #406. All applications MUST be submitted via our website.

 

CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment. We are an equal opportunity employer.

Apply Online: https://usr57.dayforcehcm.com/CandidatePortal/en-US/cumed/Posting/View/1722

Posted: January 31, 2020 at 11:07 AM
Post ID: 47418

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