Ambulatory Medical Coding Auditor - Bethesda, United States - Professional Performance Development Group, Inc

Professional Performance Development Group, Inc Bethesda, United States

1 week ago

Full time

Description

Location: On-site at Walter Reed National Military Medical Center, Bethesda, MD
Hours: Monday – Friday, 8 working hours between the hours of

Qualifications:

Degree/Education: High School diploma or General Educational Development (GED) equivalency ·
Experience: A minimum of 3 years medical coding experience in multiple clinical specialties and 3 years of auditing and supervisory experience within the last eight years. (Preferably with the Department of Defense (DOD). Expertise must also include ambulatory surgery coding/auditing for the outpatient auditor reviewing APV encounters.
Certifications: Certified in the field of medical coding through one of the following organizations: American Academy Professional Coders (AAPC) credentials-, CPC-H, CPC-P, CPMA or American Health Information Management Associations (AHIMA) credentials – RHIA, RHIT, and CCS-P) ·
Extensive knowledge for understanding and applying the official coding clinic guidelines ·
Knowledge of medical terminology and usage, including general medical, surgical, pharmaceutical, hospital terms and abbreviations and abstracting techniques. ·
Knowledge of a broad range of references such as the ICD-10, CPT, HCPCS, medical dictionaries, manuals relating to coding textbooks and glossaries. ·
Knowledge of legal and regulatory requirements of medical records. ·
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. ·
Must possess or obtain Basic Life Support (BLS) Certification

Job Duties and Responsibilities
Duties include but are not limited to the following:

Auditor shall be responsible for providing auditing of coded data, related to provider information, dates of procedures, patient identifiable information to be entered into the Coding Compliance Editor, based on documentation from AHLTA, CHCS, the MHS Genesis and Essentris.
Daily activities would include resolving any coding discrepancies, mediating disputes, setting audit assignments, time and attendance, and performance improvement planning.
Provide educational feedback to auditors and physician's addressing inappropriate patterns of documentation of records audited.
Shall develop and execute training that is specific to the clinical services provided by the MTF and incorporate standardized training guidance to facilitate evolving requirements.
Completes all mandatory Command training and provide a training summary to PAD Administration on a monthly basis.
All audits of coded data for outpatient medical records (clinic visits), inpatient medical records, inpatient consults, IPSRs, emergency room and ambulatory procedure visits, including data related to the provider information, dates of procedures and patient identifiable information, are completed in accordance with established official guidelines and without discrepancies.
All audit spreadsheets are submitted to the WRNMMC supervisor weekly without discrepancies.
All data reports are prepared in the format specified by the Government.
All daily log entries and reports required to support the program will be kept up to date.

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