Open Positions

Coding Coordinator I
Review Services

Program Evaluator
Quality Improvement Services

Program Manager
Quality Improvement Services

RN, Non-Physician Reviewer
Review Services

Coding Coordinator I
Review Services

Responsible for validating DRG assignments through retrospective review of the medical record and correctly select principle and secondary diagnoses and procedures based on ICD-9-CM Coding Guidelines. Maintain knowledge by keeping current on coding practices-Coding Clinic and Coding Classification Updates. Demonstrate excellent oral and written communication skills. Serve as a resource and program support to the Review Services department.

Credentialed RHIA or RHIT with current AHIMA accreditation. Minimum of five years working as an inpatient coder with one year of quality improvement experience preferred. Knowledge of ICD-9-CM coding principles and applications as they related to acute care and long term acute care hospital coding.

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Program Evaluator
Quality Improvement Services

The Program Evaluator provides evaluation consulting and technical assistance to internal and external partners in a collaborative, coordinated manner across projects. This includes the following:

  • Participates in the development of monitoring and evaluation plans for health care quality improvement initiatives and their constituent programs.
  • Creates, modifies, and/or procures material support such as logic models, evaluation frameworks, data collection tools and reporting templates.
  • Builds evaluation capacity and supports monitoring and evaluation among partners, including selection and measurement of outcome indicators; supports effective outcomes monitoring and progress towards partnership goals and contractual objectives.
  • Works with program staff and other partners to identify and resolve monitoring- and evaluation-related problems; recommends appropriate changes and assists in development of action plans for program improvement.
  • Produces summary reports and related analyses regarding the evaluation of health care quality improvement activities.

Masters in Public Health or related field preferred. Experience using evaluation tools including SMART objectives, performance measures, indicators and logic models; program planning, implementation, and evaluation; statistical analysis methods; principles and practices of public health and health care quality improvement. Effective verbal and written communication; establishing and maintaining effective interpersonal relations; coordination with other programs, agencies, and organizations; gathering, assembling, correlating, and analyzing data; preparing reports; solving problems. Experience utilizing evaluation methods and tools; survey development and community assessment; word processing, presentation, and database software; education of health professionals.

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Program Manager
Quality Improvement Services

We are seeking a dynamic, motivated and organized individual to lead a high functioning team tasked with improving patient safety through quality improvement techniques. This person will be responsible for overall program management, day-to-day activities, communications and team processes. Management responsibilities include coordination and facilitation of project or program deliverables according to requirements of contract, timelines, staffing, budgets, and outreach.

Bachelor’s degree in health related field highly preferred and two (2) years experience in health care, project management, and supervision preferred. CQI/TQM experience preferred. Knowledge of quality improvement methodologies; an understanding of the health care delivery system, particularly in hospitals and nursing homes settings; proven abilities in project management and contract administration; excellent communicator; clinical background and/or equivalent experience in health care settings.

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RN, Non-Physician Reviewer
Review Services

Participate as a member of the review services team in the Medicare DME Appeals program in order to determine medical necessity of services provided.

Review appeals of non-payment for durable medical equipment to determine appropriateness of the equipment for the clinical condition, medical necessity of the client's situation, and cost effectiveness.

Requires Associate Degree or Bachelor of Science degree in nursing from an accredited school of nursing and a current license in the state of Colorado as a registered nurse, in good standing. Five years relevant work experience: utilization review, familiarity with Medicare DME coverage regulations, LCDs and NCDs. Experience in healthcare quality improvement preferred.

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