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Claims Edit Specialist

Mountain Region Support Centennial, Colorado
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The posted compensation range of $25.50 - $38.82 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2026-468791 Employment Type Full Time Department HIM Coding Hours/Pay Period 80 Shift Day Weekly Schedule Standard Hours Remote Yes Category Medical Coding

Job Summary and Responsibilities

This is an advanced level claims edit specialist position reporting to the HB Manager Coding Auditor/Educator.  The Claims Edit Specialist will review and resolve hospital-based claim edits for both inpatient and outpatient services and provide specific education on these claim edits to hospital coders through a variety of mediums, including direct interactive learning sessions individually or in group settings, written guides,  protocols, etc.  Responsible for facilitating training, education, and support to hospital coders which may be based on detailed analysis of general or coder-specific trends, focus-recommended edits, or support teams. S/he provides support to all areas of Management, internal Coding, and Billing.

Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:

- Alabama- Arizona- Arkansas- Colorado 

- Florida- Georgia- Idaho- Indiana  

- Iowa- Kansas - Kentucky- Louisiana 

- Missouri- Mississippi- Nebraska- New Mexico 

- North Carolina- Ohio- Oklahoma- South Carolina 

- South Dakota- Tennessee- Texas- Utah 

- Virginia- West Virginia- Wyoming

Job Requirements

Required Education and Experience:

  • HS Diploma/GED

Preferred Education and Experience:

  • Associates degree or equivalent work experience in lieu of degree, preferred

Required Licensure and Certifications:

  • CPC Source: AAPC or CCS or CCS-P, or RHIT, or RHIA Source: AHIMA

  • Certified Professional Coder (CPC Certification)

  • CCS (Certified Coding Specialist)

  • CCS-P (Certified Coding Specialists – Physician based)

  • RHIT (Registered Health Information Technician)

  • RHIA (Registered Health Information Administrator)

Where You'll Work

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.