Medical Coding Auditors
ONSITE- Medical Coding Auditors/Trainers
Standard Technology, Inc. (STI), a certified woman owned business, providing clinical coding, auditing, training and CDIS services and financial management support to the Department of Defense at its locations CONUS and OCONUS, is seeking qualified HIM professionals for positions throughout the USA.
We are seeking experienced Medical Coding Auditors to Support the auditing of medical documentation for Military Treatment Facilities (MTF).
At Quantico, VA, we need an Ambulatory Medical Coding Auditor onsite at Quantico Naval Clinic. The position will be responsible for the auditing of medical documentation and codes for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.
At Portsmouth, VA, we require a Professional Services Medical Coding Auditor to be onsite at Portsmouth Naval Hospital. This position will be responsible for the auditing of medical documentation and codes professional services for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Evaluation and Management (E&M), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.
At Jacksonville, FL, these auditing/training specialists are called Medical Coding Compliance Specialists. They are responsible for reducing inpatient facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload surges, manning shortages, or computer system issues. This position will conduct focused audits for coding compliance or training purposes; develop standardized coding training; deliver coding education/training to individuals or groups; and identifying/educating on clinical documentation improvement opportunities. In addition to the required experience below, two years of ambulatory surgery facility coding experience is required along with at least three years of training, auditing or compliance experience involving professional and facility coding.
Mandatory Knowledge and Skills
1) Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICDCM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and Resource-Based Relative Value Scale (RBRVS).
2) Knowledge of and the ability to interpret guidelines, rules and regulations developed by: Centers for Medicare & Medicaid Services (CMS), American Medical Association (AMA), American Heart Association (AHA) and other applicable Federal requirements so as to provide timely and accurate information relating to coding, billing and documentation.
3) Excellent oral and written communication skills, interpersonal skills along with the confidence to present complex medical coding issues and educational instruction to a diverse audience. Must be comfortable in front of high ranking, professional staff and coding peers to training and respond to questions.
4) Ability to write reports, business correspondence, and procedure manuals.
5) Organizational, analytical, time management, statistical, and problem-solving skills.
6) Advanced knowledge of computers, keyboard skills, and various software programs including Microsoft (word processing, spreadsheet and database) as well as coding software programs.
Credentials: must have at least one of the following:
Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Outpatient Coder (COC); Certified Coder Specialist-Physician (CCS-P), and/or Certified Coder Specialist (CCS) are acceptable with a minimum of 5 years medical coding experience (encompassing multiple clinical specialties) and 3 years of medical auditing experience within the last eight years is required. The candidates possessing a Certified Professional Medical Auditor (CPMA) certification must have a minimum of 2 years medical auditing experience within the last 5 years of medical coding experience (encompassing multiple clinical specialties).
All qualified candidates must be able to satisfy the eligibility requirements for obtaining a government issued security clearance (US citizenship is required) and must have a physical and immunizations, including COVID Vaccinations as well as TB testing and flu shots.
Must successfully pass a coding assessment to be a qualified candidate.
This contractor and subcontractor shall abide by the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity or national origin. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.