The Medical Coding Auditor will support the Department of Veterans Affairs. This position is part-time. The Auditor will have expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). The Medical Coding Auditors will serve as experts of current coding conventions and guidelines related to professional and facility coding, and perform audits of encounters to identify areas of non-compliance in coding.
To be considered for this position, you must have at least one year of experience coding for the Department of Veterans Affairs.
Position Responsibilities:
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Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection.
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Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).
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Applies guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs.
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Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC.
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Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided.
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Reviews, analyzes, and reports performance monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding.
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Audit accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MS-DRG, POA status, and discharge disposition values for inpatient health records.
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Facilitates improved overall quality, completeness, and accuracy of coded data. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes with continuing education to all members of the patient care team on an ongoing basis.
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Responsible for performing audits of coded data, developing criteria, collecting data, graphing, and analyzing results, creating reports, and communicating in writing and/or in person to appropriate leadership and groups.
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Collaboratively works with coding staff and clinical staff to provide support and education on coding issues. Provides training and education to coding and clinical staff. Researches complex coding issues and participates in process improvements related to coding.
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Analyze audit results and prepare summary feedback for individual coders and/or clinicians, making recommendations for improvement. Provide coding consultation to coders and/or clinicians related to coding and documentation questions.
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Requires six additional months of creditable experience that is paid or non-paid employment equivalent to a MRT (Coder).
Experience:
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An Associate’s degree or higher in Health Care.
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Minimum of 5 years of coding/auditing experience.
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One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records.
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1 Year of Experience Coding for the Department of Veteran Affairs.
Certifications:
Must have one certification listed below:
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Apprentice/Associate level Certification through AHIMA or AAPC.
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Mastery Level Certification through AHIMA or AAPC.
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Clinical Documentation Improvement Certification through AHIMA or ACDIS.
Why Join Sierra7?
Sierra7 is a Small Disabled Veteran Owned Business. We were founded in 2009 with the mission of "Serving those who Serve". We recently received the DAV (Disabled American Veteran) award. Also, Sierra7 is ranked No. 457 out of 5,000 fastest growing private companies in America by Inc. Apply today and help us with our mission of "Serving those who Serve".
This posting is for prospective candidates only. Unsolicited third-party resume submissions will be considered property of Sierra7, Inc. and will not be acknowledged or returned.
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Disclaimer:
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
Sierra7 will not provide sponsorship for employment-based immigration benefits for this position. To be considered for this position all candidates must be a US Citizen. This position is not a C2C opportunity.
Sierra7 is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.
Equal Opportunity Employer Veterans Disabled