Clinical Coding Specialist

1 week ago


Denver, Colorado, United States Conviva Full time
About the Role

We are seeking a skilled Clinical Coding Educator to join our team at Conviva Care Centers. As a key member of our clinical education team, you will play a vital role in improving provider documentation and adherence to PCO documentation standards.

Key Responsibilities
  • Partner with clinical education, operational coding, clinical excellence, and clinical leadership teams to identify and assess coding education needs for assigned markets.
  • Develop and deliver education sessions, including 1:1 provider meetings, small and large group sessions, to promote high-quality documentation and coding practices.
  • Collaborate with clinician educators to review charts and provide feedback to providers, ensuring accurate and compliant coding.
  • Actively seek feedback from providers and clinical leaders to inform educational strategy and approach.
  • Support the development of educational materials, including slide decks and documentation, to enhance provider coding and documentation knowledge.
Requirements
  • A minimum of one year experience as a CPC (Certified Professional Coder) certification through AHIMA or AAPC.
  • A minimum of two years coding training experience.
  • A minimum of two years experience in medical coding collaboration with healthcare providers.
  • Medical record review knowledge.
  • Medicare Risk Adjustment knowledge.
  • Extensive knowledge of coding guidelines (i.e. ICD-10).
  • Comprehensive knowledge of MS Word, Excel, and PowerPoint.
Preferred Qualifications
  • Bachelor's degree.
  • Certified Risk Coder (CRC).
  • Experience interacting with healthcare providers.
About Conviva

Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment, and more. As part of Humana's Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost.

About Humana

Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.



  • Denver, Colorado, United States Conviva Full time

    About the RoleWe are seeking a skilled Clinical Coding Educator to join our team at Conviva Care Centers. As a key member of our clinical education team, you will play a vital role in improving provider documentation and adherence to PCO documentation standards.Key ResponsibilitiesPartner with clinical education, operational coding, clinical excellence, and...


  • Denver, Colorado, United States UC Health Full time

    ### Job Summary We are seeking a skilled Medical Coder to join our Outpatient Coding team at UCHealth. As a Medical Coder, you will be responsible for assigning codes to medical diagnoses and procedures using appropriate coding classifications. This is a full-time, non-exempt/hourly position that offers a 100% work-from-home opportunity. ###...


  • Denver, Colorado, United States Spectrum Healthcare Resources Full time

    Medical Coder Job DescriptionSpectrum Healthcare Resources is seeking a skilled Medical Coder to join our team. As a Medical Coder, you will play a crucial role in ensuring the accuracy and quality of patient data.Key Responsibilities:Assign accurate diagnostic and procedural codes to patient recordsReview and verify data for accuracy and completenessEnsure...


  • Denver, Colorado, United States Alpine Physician Partners Full time

    Job SummaryAlpine Physician Partners is seeking a highly skilled Risk Adjustment Educator to join our team. As a Risk Adjustment Educator, you will play a critical role in educating and advising healthcare providers and practice staff on Medicare coding guidelines, focusing on revenue enhancement opportunities.Key ResponsibilitiesCollaborate with healthcare...


  • Denver, Colorado, United States Gulfstream Staffing, Inc. Full time

    Job Opportunity: Regional Coding EducatorGulfstream Staffing, Inc. has partnered with a leading dermatology organization to fill a full-time Regional Coding Educator position in Denver, CO.Job SummaryWe are seeking a skilled professional to design, deliver, and assess comprehensive coding education programs for accurate, compliant, and efficient coding...


  • Denver, Colorado, United States Orthopedic Centers of Colorado Full time

    Job OverviewPOSITION SUMMARY:As a vital member of the OCC Central Billing Office (CBO), you will collaborate with fellow Certified Medical Coders (CPC) to ensure accurate coding of patient visits and surgical interventions.KEY RESPONSIBILITIES:Accurate coding of orthopedic office visits and surgical procedures utilizing CPT, ICD-10, and HCPCS coding...


  • Denver, Colorado, United States Brookside Health Group Full time

    Job OverviewJoin the Brookside Health Group as a Healthcare Billing and Coding Specialist. This is a fantastic opportunity for individuals with experience in billing and coding who wish to be part of a dynamic team within a progressive organization that adopts an innovative approach to physical therapy.In this role, you will have the chance to advance your...


  • Denver, Colorado, United States Gulfstream Staffing, Inc. Full time

    {"title": "Regional Coding Educator Opportunity", "location": "Denver, CO", "job_type": "Full-time", "company": "Gulfstream Staffing, Inc.", "requirements": ["In-depth knowledge of ICD-10, CPT, and HCPCS coding standards specific to dermatology", "Strong communication and presentation skills", "Proficiency in using digital training platforms and webinar...


  • Denver, Colorado, United States Clinical Management Consultants Full time

    Diagnostic Imaging SpecialistClinical Management Consultants is seeking a skilled Diagnostic Imaging Specialist to join its expert imaging team.Perform diagnostic ultrasound examinations to assist in the evaluation and treatment of patients.Prepare and position patients, operate ultrasound equipment to capture high-quality images, and analyze results to...


  • Denver, Colorado, United States Orthopedic Centers of Colorado Full time

    Job OverviewPOSITION SUMMARY:As a vital member of the Orthopedic Centers of Colorado, you will collaborate with fellow Certified Medical Coders (CPC) to ensure precise coding of patient visits and surgical interventions.KEY RESPONSIBILITIES:Accurate coding of orthopedic office visits and surgical procedures utilizing CPT, ICD-10, and HCPCS coding...


  • Denver, Colorado, United States Orthopedic Centers of Colorado Full time

    Job OverviewPOSITION SUMMARY:As a vital member of the OCC Central Billing Office (CBO), you will collaborate with fellow Certified Medical Coders (CPC) to ensure precise coding of patient office visits and surgical interventions.KEY RESPONSIBILITIES:Accurate coding of orthopedic office visits and surgical procedures utilizing CPT, ICD-10, and HCPCS coding...


  • Denver, Colorado, United States Boston Scientific Full time

    Job SummaryBoston Scientific is seeking a highly skilled Clinical Specialist RVT to join our team. As a Clinical Specialist RVT, you will be responsible for promoting commercially approved company products through procedure coverage, proper patient selection, and procedure follow-up. You will also provide clinical education and support, and may support...


  • Denver, Colorado, United States WSi Healthcare Personnel Full time

    Position Overview:We are seeking a dedicated Biller & Coder/Accounts Receivable Specialist to join our dynamic team. This role is perfect for individuals eager to expand their expertise in a collaborative and supportive environment. Candidates should possess a minimum of one year of experience in medical billing, with a preference for those holding a...


  • Denver, Colorado, United States Humana Full time

    About the RoleWe are seeking an experienced Inpatient Medical Coding Auditor to join our team at Humana. As a key member of our coding team, you will play a critical role in ensuring the accuracy and integrity of our medical coding processes.Key ResponsibilitiesExtract clinical information from medical records and assign appropriate procedural terminology...


  • Denver, Colorado, United States Humana Full time

    About the RoleWe are seeking an experienced Medical Coding Auditor to join our team at Humana. As a Medical Coding Auditor, you will play a critical role in ensuring the accuracy and integrity of our medical coding processes.Key ResponsibilitiesExtract clinical information from medical records and assign appropriate procedural terminology and medical codes...


  • Denver, Colorado, United States Humana Full time

    About the RoleWe are seeking an experienced Inpatient Medical Coding Auditor to join our team at Humana. As a key member of our coding team, you will play a critical role in ensuring the accuracy and integrity of our medical coding processes.Key ResponsibilitiesExtract clinical information from medical records and assign appropriate procedural terminology...


  • Denver, Colorado, United States IMMUNOe Research - Colorado Full time

    Job Overview:Are you dedicated to enhancing patient care and ensuring a superior experience? IMMUNOe Research - Colorado is seeking a skilled and positive Clinical Support Specialist to become part of our dynamic ENT team. This role involves collaboration across multiple locations, requiring flexibility and a commitment to patient-centered care.Key...


  • Denver, Colorado, United States Humana Full time

    About the RoleWe are seeking an experienced Inpatient Medical Coding Auditor to join our team at Humana. As a key member of our coding team, you will play a critical role in ensuring the accuracy and integrity of our medical coding processes.Key ResponsibilitiesExtract clinical information from medical records and assign appropriate procedural terminology...


  • Denver, Colorado, United States Humana Full time

    About the RoleWe are seeking an experienced Inpatient Medical Coding Auditor to join our team at Humana. As a key member of our coding team, you will play a critical role in ensuring the accuracy and integrity of our medical coding processes.Key ResponsibilitiesExtract clinical information from medical records and assign appropriate procedural terminology...


  • Denver, Colorado, United States BD (Becton, Dickinson and Company) Full time

    Job OverviewThe Clinical Specialist serves as a key resource in executing the strategic clinical initiatives of the Medication Delivery Solutions (MDS) division. This position is responsible for implementing clinical programs that enhance the MDS product offerings through improved patient outcomes and operational efficiencies, potentially leading to reduced...