Audit and Coding Specialist

The Audit and Coding Specialist designs and implements internal compliance audits, regularly monitors accuracy and adherence to documentation requirements in collaboration with the Utilization Manager to support continuous quality improvement and compliance as identified in the Quality Management Plan (QMP). Responsibilities include conducting audits as determined by leadership, overseeing preparation for and response to external audits to ensure access to authorized PHI, and coordinating with Program Managers and Directors to address corrective actions. The role collaborates with the Utilization Manager and QI Manager to implement, track, and monitor client outcomes for ongoing quality improvement; maintains knowledge of Colorado state laws and CMS/AMA guidelines related to licensure and clinical practices; holds or pursues CPC/CCSP credentials; creates and implements templates, systems, and processes to ensure compliant clinical documentation across the center. Core competencies include adaptability, reliability, communication, learning, and KPI alignment. Schedule typically M-F 8-5 with possible work-from-home day; occasional travel and mileage reimbursement opportunities. Salary range: $65,000–$71,000 per year. Location: Westminster, Colorado (US) with hybrid work arrangement.