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Audit and Coding Specialist Westminster, Colorado

$65k - $71k

Community Reach Center

About Community Reach Center Community Reach Center is a compassionate community dedicated to exceptional mental health outcomes. We empower individuals living with mental health conditions and prioritize the well‑being of our consumers and communities through evidence‑based practices. Benefits Competitive compensation 401K with matching Wellness Program Health Insurance Reimbursement Allocation Medical, dental, and vision insurance Internal opportunities & free training Shift differential pay when applicable Bilingual stipend pay 24/7 Employee Assistance Program Opportunity for cross‑licensure sponsorship if eligible Healthy work‑life balance Tuition reimbursement Loan forgiveness options (National Health Service Corps, Colorado Health Service Corps, Public Student Loan Forgiveness) Roles and Responsibilities The Audit and Coding Specialist is an integral member of the Quality Improvement division. They manage all aspects of assigned projects, review compliance standards, and support risk management activities. Designs and implements internal compliance audits, monitoring documentation accuracy in collaboration with Utilization Manager. Conducts audits as determined by the Manager or Director. Oversees preparation and participates in response to external audits, ensuring access to authorized PHI and coordinating corrective actions. Collaborates with Utilization Manager and QI Manager to implement, track, and monitor client outcomes for continuous improvement. Maintains knowledge of Colorado state laws, rules, and policies around mental health licensure and current clinical practices. Maintains knowledge of and certifications for Certified Professional Coder (CPC) or Certified Coding Specialist Physician Based (CCSP). Creates, communicates, and implements templates, systems, and processes to ensure documentation complies with internal policies, CMS, state & federal regulations, third‑party payors, and AMA guidelines. Core Competencies Flexibility and Adaptability: Demonstrates ability to adjust to changing priorities, learn new skills, and maintain a positive attitude. Reliability and Commitment: Consistently meets deadlines, communicates issues promptly, and demonstrates accountability. Communication: Conveys information clearly, concisely, and appropriately in professional settings. Learning and Self‑Development: Continuously improves knowledge and skills, seeks feedback, and builds relationships. Performance and KPI Alignment: Works toward key performance indicators, tracks progress, and collaborates on improvement plans. Code of Conduct and Employee Handbook Compliance: Upholds professionalism, confidentiality, respect, safety, and ethical decision‑making. Qualifications Bachelor’s degree or equivalent required. At least two years of healthcare auditing or utilization review experience. Certified Professional Coder or Certified Coding Specialist – Physician Based required. Certified Professional Medical Auditor (CPMA) and Certified Documentation Expert Outpatient (CDEO) certifications highly desired. Strong knowledge of Microsoft Office Suite, including PowerPoint. Strong communication, organization, time‑management, and clinical skills. Physical Requirements Regularly required to stand, sit, talk, hear, and use hands and fingers to operate a computer and keyboard. Specific vision abilities required due to computer work. Light to moderate lifting. Regular, predictable attendance required. Schedule Monday‑Friday, 8‑5 with possible work from home days. Quarterly travel for roadshow training and occasional travel for annual audits. Salary $65,000‑$71,000 per year. Equal Employment Opportunity Community Reach Center is an Equal Opportunity Employer. We strive to cultivate an environment where everyone feels supported and belongs. All applicants are assessed solely on their qualifications without regard to disability or need for accommodation. #J-18808-Ljbffr

Vacancy posted 3 days ago
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