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Coding Quality Reviewer
Coding Quality Reviewer-March 2024
Aurora
Mar 28, 2026
About Coding Quality Reviewer

  Job ID81469

  LocationAurora, Colorado

  Full/Part TimeFull-Time

  Regular/TemporaryRegular

  Why Work at Children's....

  Here, it's different. Come join us.Children's Hospital Colorado has defined and delivered pediatric healthcareexcellence for more than 100 years.Here, the nation's brightest nurses, physicians, scientists,researchers, therapists, and care providers are creating the future ofchild health. With an optimist's outlook, a trailblazing spirit, and acelebrated history, we're making new strides every day.We've been Magnet-designated four times by the American Nurses CredentialingCenter and are consistently recognized among the nation's top 10 pediatrichospitals by U.S. News & World Report.As a national leader in pediatric care, we serve children and families fromall over the nation. Our System of Care includes four pediatric hospitals,11 specialty care centers, 1,300+ outreach clinics and more than10,000 healthcare professionals representing the full spectrum of pediatriccare specialties.Here, we know it takes all of us, every role, to deliver the bestpossible care to each child and family we treat.That's why we build our teams toward a foundation of equity in access,advancement, and opportunity. We know teams of individuals with differentidentities and backgrounds can nurture creativity and innovation. We know wecan see, treat, and heal children better when our team reflects thediversity of our patient population. We strive to attract and retain diversetalent because we know a truly inclusive and equitable workforce will help usone day realize our most basic calling: to heal every child who comesthrough oA career at Children's Colorado will challenge you, inspire you, andmotivate you to make a difference in the life of a child. Here, it'sdifferent.

  Job Overview

  The Coding Quality Reviewer reviews clinical documentation and validates ICDand CPT codes.

  Additional Information

  Department: Health Information ManagementHours per week: 40, eligible for benefitsShift: Fully remote position, M-F

  Qualifications

  Education: Associates degree in related field.Experience:Minimum 2 years of Health Information Management (HIM) experience.Equivalency: Professional experience, beyond requirements, in a relatedfield may substitute for an Associate's degree requirement on a year foryear bCertification(s): One of the following is required: Certified CodingSpecialist (CCS); Certified Professional Coder (CPC); RegisteredHealth Information Administrator (RHIA); Registered Health InformationTechniciLicensure(s): None.

  Responsibilities

  POPULATION SPECIFIC CARENo direct patient care.ESSENTIAL FUNCTIONSAn employee in this position may be called upon to do any or all of thefollowing essential functions. These examples do not include all of thefunctions which the employee may be expected to perform.1. Prepares queries and assists coders with correspondence to faculty ondocumentation clarification.2. Performs audits of the coding quality and provides feedback and educationto coders and clinical documentation improvement staff.3. Provides one-on-one training. Performs various coding assignments incorrelation to the education developed by the Coding Education and ComplianceSpecialist.4. Demonstrates an understanding of technology supporting all aspects ofcoding, coding resources, and coding technology.5. Demonstrates coding knowledge and skill by maintaining coding credentialsor 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 foraccuracy of coding prior to billing.

  Other Information

  Guidelines: Trains in the field and assists higher level personnel toacquire learning through practical experience.Complexity: Performs outine and/or basic tasks common to the field.Procedures, methods, and techniques to be used are well established withoptions to be considered well defined. Tools, work aids, and materials tobe used are specified.Decision Making: Duties assigned are primarily routine, repetitive, andrestricted in intricacy with little or no discretion in how they are carriedouCommunications: Contacts with team members, clients or the public wherefactual information relative to the organization or its functions are

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