In-Patient Medical Coding Auditor Job at Anthony & Associates, Inc.
INPATIENT MEDICAL CODING AUDITOR - LEAD AUDITOR/TRAINER
Bethesda, MD
Walter Reed National Military Medical Center (WRNMMC) is the Nation's largest and most renowned joint military medical center. Dubbed "The Nation's Medical Center," WRNMMC proudly serves military beneficiaries in the Washington, D.C. area as well as those from across the country and around the globe. WRNMMC is a tertiary care center providing services in over 100 clinics and specialties and is proud to be known as the first destination in the continental United States to care for the wounded, ill, and injured from global conflicts.
RESPONSIBILITIES:
- Knowledge of medical records procedures, regulations, and principles to carry out a variety of medical records functions such as analysis, coding, ensuring compliance, and compiling data.
- Knowledge of data collection methods for basic health care, research information, and statistical reporting.
- Knowledge of laws and DoD/MHS/WRNMMC regulations on the confidentiality of medical records.
- Skilled in effective oral and written communication.
- Shall be able to read, write, speak, and understand English.
- The Lead auditor will be onsite 5 days a week, 8 hours a day from Monday through Friday, during PAD core hours 0700 – 1700. Telework may be approved at the discretion of the COR.
- Responsible for the performance of the work activities of all contracted auditing staff.
- Daily activities include resolving coding discrepancies, mediating disputes, setting audit assignments, time and attendance, and performance improvement planning.
- Provide educational feedback to the Government, Auditors, and Providers addressing inappropriate patterns of documentation of records audited. Maintain records and statistics to include quality control measures, CCE reporting, the accuracy of coding, workload completed, and ad hoc reports as required.
- Shall develop and execute training that is specific to the clinical services provided by the MTF and will incorporate standardized training guidance to facilitate evolving requirements.
- Prepares approximately 52 productivity summaries per year.
- Ensures accurate coding of medical records utilizing IAW, JC, and MTF guidelines.
- Completes all mandatory Command training.
- All audits of coded data for inpatient medical records, inpatient consults, IPSRS, and ambulatory procedure visits, including data related to the provider information, dates of procedures, and patient identifiable information, are completed by established official guidelines and without discrepancies.
- Performs focus audits as designated by the MTF.
- Schedule of training, and topics. Clinic/provider(s) trained and copy of presentations if any.
- Submit the monthly reports on activities done for the month, e.g., audit results, training provided, and feedback.
- All audit spreadsheets are submitted to the supervisor weekly without discrepancies.
- All data reports are prepared in the format specified by the Government.
- Conduct and provide regular statistic evaluations/reports as requested by the MTF.
REQUIREMENTS:
- Certified through one of the following organizations: American Academy Professional Coders (AAPC) credentials – CPC, CPC-H, CPC-P, CPMA or American Health Information Management Associations (AHIMA) credentials – RHIA, RHIT, CCS, and CCS-P).
- The employee personnel shall be certified in the field of medical coding and/or auditing.
- Extensive knowledge of understanding and applying the official coding clinic guidelines.
- Must know medical terminology and usage, including general medical, surgical, pharmaceutical, and hospital terms and abbreviations and abstracting techniques.
- Must know a broad range of references such as the ICD-10, CPT, HCPCS, medical dictionaries, manuals relating to coding textbooks, and glossaries.
- Must know legal and regulatory requirements of medical records.
- Must know laws and DoD/MHS/WRNMMC regulations on the confidentiality of medical records.
- EXPERIENCE: A minimum of 3 years of inpatient medical coding experience (encompassing multiple clinic specialties) and 3 years of medical records coding, auditing, and supervisory experience within the last eight years (preferably with the Department of Defense (DOD).
DMHRSi Completion:
- Contractors must log into the DMHRSi site on the final work day of each reporting period (every 2 weeks).
- Properly enter hours worked on each day during the reporting period.
- Save and submit hours before leaving on the last workday of the reporting period.
UNIQUE MILITARY HEALTH CARE SYSTEMS/PROCEDURES:
- Composite Health Care systems (CHCS).
- Armed Forces Health Longitudinal Technology Application (AHLTA). An electronic medical record documentation system designed for the “1 MHS”.
- EssentrisTM, the client-server version of the Clinical Information System (CIS).
- MHS Genesis System.
- Coding Compliance Editor (CCE) Systems.
About AAI
AAI is focused on delivering outstanding services to the federal government. We have extensive experience in the fields of cyber security, development, IT infrastructure, supply chain management, and other professional services such as system design and continuous improvement. AAI is a VA CVE-certified Service-Disabled Veteran-Owned Small Business (SDVOSB), SBA-certified Economically Disadvantaged Woman Owned Small Business (EDWOSB), and a Woman Owned Small Business (WOSB) with offices in Hampton Roads Virginia, Montgomery, AL, Washington DC, and Atlanta.
Fully qualified candidates are welcome to apply directly on our website at: https://aaionline.us/.
Our benefits include:
- Paid Federal Holidays
- Robust Healthcare and Dental Insurance Options
- 401a plan
- 401k plan
- Paid vacation and sick leave
- Continuing education assistance
- Short Term / Long Term Disability & Life Insurance.
Veterans are encouraged to apply
AAI does not discriminate in employment opportunities, terms and conditions of employment, or practices based on race, age, gender, religious or political beliefs, national origin or heritage, disability, sexual orientation, or any characteristic protected by law. Pending guidance from the Safer Federal Workforce, employees may in the future be required to provide evidence of COVID-19 vaccination or request and receive approval for a medical or religious exemption.
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