New

Coding Quality Reviewer

Children's Hospital Colorado
vision insurance, parental leave, paid time off, 403(b)
United States, Colorado, Aurora
Jun 24, 2025
Apply for Job Job ID 93087 Location Aurora Position Type Regular Regular/Temporary Regular Add to Favorite Jobs Email this Job Job Overview The Coding Quality Reviewer reviews clinical documentation and validates ICD and CPT codes. Additional Information Department Name: Job Status: Full time, 40 hours per week. Shift: Monday to Friday 8am to 4pm. Remote Qualifications Education: Associates degree in related field. Experience: Minimum 2 years of Health Information Management (HIM) experience. Equivalency: Professional experience, beyond requirements, in a related field may substitute for an Associate's degree requirement on a year for year basis. Certification(s): One of the following is required: Certified Coding Specialist (CCS); Certified Professional Coder (CPC); Registered Health Information Administrator (RHIA); Registered Health Information Technician (RHIT) Responsibilities POPULATION SPECIFIC CARE No direct patient care. ESSENTIAL FUNCTIONS An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform. 1. Prepares queries and assists coders with correspondence to faculty on documentation clarification. 2. Performs audits of the coding quality and provides feedback and education to coders and clinical documentation improvement staff. 3. Provides one-on-one training. Performs various coding assignments in correlation to the education developed by the Coding Education and Compliance Specialist. 4. Demonstrates an understanding of technology supporting all aspects of coding, coding resources, and coding technology. 5. Demonstrates coding knowledge and skill by maintaining coding credentials or pursuing advanced credentials. 6. Develops and presents educational training to coders, physicians, staff, and clinical documentation integrity specialists. 7. Performs second level review of encounters to verify DRG assignment for accuracy of coding prior to billing. Other Information SCOPE & LEVEL Guidelines: Trains in the field and assists higher level personnel to acquire learning through practical experience. Complexity: Performs routine and/or basic tasks common to the field. Procedures, methods, and techniques to be used are well established with options to be considered well defined. Tools, work aids, and materials to be used are specified. Decision Making: Duties assigned are primarily routine, repetitive, and restricted in intricacy with little or no discretion in how they are carried out. Communications: Contacts with team members, clients or the public where factual information relative to the organization or its functions are received, relayed, or a service rendered according to established procedures or instructions. Supervision Received: Under close supervision, the employee receives training to develop skills and abilities in a specific line of work or general occupational area. Work product is subject to close, continuous inspection. Physical Requirements Ability to Perform Essential Functions of the Job PHYSICAL REQUIRMENTS Vision - Near: clear vision at 20 inches or less Weight Lifted/Force Exerted: up to 35 pounds/16 kilos, up to 1/3 of time Hearing: able to clearly hear details Sit: 2/3 or more of time Talk: able to communicate verbally Mental/Emotional: able to work in close proximity to others and/or in a distracting environment Mental/Emotional: able to cope with stress effectively Hands: able to seize, hold, grasp, or otherwise work with hands WORK ENVIRONMENT Mental/Emotional: able to tolerate ambiguity Mental/Emotional: able to prioritize effectively Mental/Emotional: may be subject to many interruptions Office Work Environment: Regular/frequent exposure Bloodborne Pathogen Category 2: Occasional exposure to blood/body fluid Salary Information Pay is dependent on applicant's relevant experience. Hourly Range: $28.33 to $42.50 Benefits Information Here, you matter. As a Children's Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical/dental/vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development tools, including an education benefit to help you advance your career. As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April. Children's Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year. EEO Statement It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information. The position is expected to stay open until the posted close date. Please submit your application as soon as possible as the posting is subject to close at any time once a sufficient pool of qualified applicants is obtained. Colorado Residents: In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of attendance at or graduation from an educational institution. You will not be penalized for redacting or removing this information.