Audit and Coding Specialist

Audit And Coding Specialist

Westminster, Colorado

We're excited you're here!

Looking to join a compassionate community dedicated to providing exceptional mental health outcomes? Community Reach Center is that place. We prioritize empowering individuals living with mental health conditions, engaging with partners to make a lasting impact, and caring for our team on a personal level. Our mission is to enhance community health through evidence-based practices and convenient service locations, ensuring the well-being of our consumers and communities.

At Community Reach Center, we offer more than just a job we provide an experience that nurtures personal and professional growth. Join us and gain the skills to pursue your dreams while finding fulfillment within our team!

The Audit and Coding Specialist is an integral member of Community Reach Center's Quality Improvement Division. The Audit and Coding Specialist is responsible for managing all aspects of assigned projects, reviewing compliance standards to maintain quality assurance functions, and support risk management activities for the agency. Additionally, the Audit and Coding Specialist will have other duties and responsibilities as determined from time to time by the Utilization Manager.

Essential functions include designing and implementing internal compliance audits, regularly monitoring accuracy and adherence to documentation requirements in collaboration with Utilization Manager to support continuous quality improvement and compliance as identified in the Quality Management Plan (QMP). Conducts audits as determined by the Manager or Director. Oversees preparation and participates in response to external audits to ensure appropriate access to authorized protected health information (PHI) and coordinating with Program Managers and other Managers and Directors to address and monitor corrective action needs. Collaborates with Utilization Manager and QI Manager to implement, track, and monitor client outcomes to identify opportunities for continuous quality improvement.

Core competencies include flexibility and adaptability, reliability and commitment, communication, learning and self-development, performance and KPI alignment, and code of conduct and employee handbook compliance and policy and procedures (emotional intelligence).

Qualifications include a bachelor's degree or equivalent, two years minimum experience in healthcare auditing or utilization review, certified professional coder or certified coding specialist-physician based, certified professional medical auditor and certified documentation expert outpatient certifications highly desired, strong professional knowledge of Microsoft Office Suite of Products, including PowerPoint, communication, organization, time management and clinical skills. Bilingual Spanish preferred.

Physical requirements include standing, sitting; talking, hearing, and using hands and fingers to operate a computer and keyboard. Specific vision abilities required by this job include close vision requirements due to computer work. Light to moderate lifting is required, regular, predictable attendance is required.

Schedule: M-F 8-5 with possible work from home day. Quarterly travel through roadshow training of sites with mileage reimbursement opportunities. Occasional travel when supporting various annual audits.

Salary information: $65,000-$71,000/yr. Accepting applications on an ongoing basis.

Sowhat do you think? If you've come this far, we're eager to meet you. At Community Reach Center, our passion-driven culture demands unwavering commitment to serving our community. Your dedication to our consumers and community is paramount as we strive to make a real impact in the mental health space. We are hopeful this role will provide you with the experience to pursue your aspirations while finding fulfillment that keeps you committed to our team indefinitely.

At Community Reach Center, we value being an equal opportunity employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an equal opportunity employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health outcomes for our consumers & employees.

Community mental health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.