POSITION IS 100% ONSITE NAVAL HOSPITAL CLINIC QUANTICO, QUANTICO, VA
The Ambulatory Medical Coding Auditor is 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.
Must be able to satisfy the eligibility requirements for obtaining a government issued security clearance (US citizenship is required). Requires a physical, proof of immunization, including COVID vaccination and annual immunizations such as TB testing and flu shots. Must successfully pass a coding assessment and credential verification.
Mandatory knowledge and skills
Education/Certification
Must have one or more of the following credentials: Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Coder Specialist-Physician (CCS-P), and/or Certified Coder Specialist (CCS); 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).
Experience
A minimum of 5 years medical coding experience in multiple clinical specialties and three years of medical auditing experience within the last eight years is required. Expertise must also include ambulatory surgery coding/auditing for the outpatient auditor reviewing APV encounters.
Work Environment/Physical Requirements. The work is primarily sedentary. Requirements include prolonged walking, standing, sitting or bending. Carrying or lifting of medical records is usually required daily. Use of one or more computer programs and monitors may be required to efficiently accomplish duties.
Previous DoD experience desirable.
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.
PI202552231
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