Colorado is facing an incredible drug epidemic, affecting many individuals and families. Crossroads Turning Points (CTP) is providing individuals and families help and you can be part of that! We are currently searching for a dynamic individual to become the MEDICAID QUALITY ASSURANCE SPECIALIST. This position review data provided by our Electronic Health Record (EHR) system and audit coding and billing for patient services. Patient data will be used to compile and submit claims to Medicaid, Medicare as well as private insurance companies.

ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned.

Train CIC and Outpatient staff on Medicaid role and on CPT coding of HCPCS, ICD-10, and DSM-5 systems.

Work closely with Unit Supervisor(s)/Director(s) to ensure:

Acceptable quality of insurance billing of patient services.

Billing processes comply with insurance contracts as well as state & federal regulations.

Communicate effectively and efficiently in both oral and written communication.

Attend all Quality Assurance Meetings and represent your respective areas.

Review daily client records for accuracy and completeness of information.

Collaborate with Insurance Coordinator in conjunction with the Clinical & Accounting Teams to review all chart/financial issues with regard to insurance.

Units Supervisor(s)/Director(s) will support efforts by ensuring the cooperation of clinical staff to achieve acceptable clinical records and billing of Medicaid services.

QUALIFICATIONS:

Education:

High School Diploma or G.E.D. required.

RHIT (Registered Health Information Technician) and/or Associate in Business Administration or Health Information preferred.

Experience:

Minimum one (1) year of experience in Substance Abuse and/or Behavioral Health, preferably detox experience.

Excel and Word proficiency at the intermediate level is preferred.

Experience in billing, especially Medicaid and third-party insurance including, but not limited to ICD-10 and DSM 5 and any other coding platform preferred.

Other:

Valid driver's license and insurability.

PHYSICAL DEMANDS:

Must be able to stand, walk, and sit for long periods of time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORK ENVIRONMENT: Office and/or Clinical Services Environment

We offer a competitive salary and an excellent package of benefits:

• Student Loan Forgiveness (certain restrictions apply)
• Medical (employer pays around 70% of the cost)
• Dental Insurance
• Vision Insurance
• Eight (8) Paid Holidays
• Two (2) Paid Adm Holidays
• Jury Duty Leave
• Military/Reserve Duty Leave
• Family/Medical Leave
• Modified PTO (cash payout x emp leave)
• 401K (with company match)
• AFLAC (optional)
• Growth opportunities
• Free Long-Term Disability
• Free Clinical Supervision
• Free CAT, CAS & Lic renewal.
• Free Life Insurance (three times your annual salary)
• Free Sam’s Club Membership
• Flexible Spending Account (optional)
• Others

Apply today at www.crossroadstp.org under the employment tab.

Join a leader in the behavioral health field with over 43 years of experience!

Closing Date:

June 14, 2023 or open until filled.

Rate:

$15.44 per hour

EOE / M / F / D / V / SO