Lead Outpatient Medical Coding Auditor (On-site) (26002)

Lead Outpatient Medical Coding Auditor

(On-site)

ABOUT US:

Laredo Technical Services, Inc. provides staffing services to federal Government agencies all over the world.   LTSI connects the right opportunities to the right people.  With our experience in placing our Team Members throughout the United States and overseas, we excel at providing experienced, professional personnel for a wide range of Professional and Office Administration as well as Medical services. Our goal is to provide the highest quality of professionals in the industry.

LTSI’s culture delivers a strong work ethic while going above and beyond with a sense of urgency. We are the employee-driven company.  We strive for excellence every day, which is what sets us apart from all the other government contractors. Our strong work ethic, sense of urgency and commitment to going above and beyond for our clients is what we value most!  

As a Certified Service-Disabled Veteran Owned Small Business (SDVOSB) Minority Business Enterprise (MBE) that provides a broad range of administrative, project management, and medical staffing support services, we are also honored to be a Member of the Military Spouse Employment Partnership (MSEP), and we encourage military spouses to apply for any of our positions for which they feel they are qualified.

JOB TITLE:  Lead Outpatient Medical Coding Auditor

GOVERNMENT AGENCY & LOCATION:    Walter Reed National Military Medical Center

                                                                           8901 Wisconsin Ave.

                                                                           Bethesda MD 20889

POSITION INFORMATION:  This is a full-time, on-site position.  Work week is Monday – Friday excluding Federal Holidays.

RESPONSIBILITIES: 

• Lead Audit coordinator may serve as an on-site manager, if site manager is not available.
• Lead auditor must be available 5 days a week 8 hours a day, during core hours, Monday - Friday.
• Lead Medical Coding Auditors for Outpatient shall be responsible for the performance of the work activities of all contracted auditing staff.
• Daily activities would include resolving any coding discrepancies, mediating disputes, setting audit assignments, time and attendance, and performance improvement planning.
• Provide educational feedback to the Government, Auditors and Provider’s addressing inappropriate patterns of documentation of records audited. Maintain records and statistics to include quality control measures, CCE reporting, MHS Genesis usage, 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 JC, MHS and MTF guidelines.
• Completes all mandatory Command training and provide a training summary to the PAD leadership on a monthly basis.
• All audits of coded data for outpatient medical records (clinic visits), inpatient medical records, inpatient rounds, 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 site supervisor weekly without discrepancies.
• All data reports are prepared in the format specified by the Government.
• All log entries and reports required to support the program will be kept up to date.
• Conduct and provide regular statistics evaluations/reports.
• Ensure Coding Audits are done monthly (from previous month’s prior encounters and discharges) and submitted on the 10th of the following month, e.g. audit for April data submitted on June 10th.
• Schedule of trainings, topics. Clinic/provider(s) trained and copy of presentations, if any.
• Submit monthly report on activities done for the month, e.g. audit results, training provided and feedback.
• Other duties as assigned.

QUALIFICATIONS:

• A minimum of 3 years medical coding experience in multiple clinical specialties and three 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.
• Must be certified 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.
• Able to read, write, speak and understand English.

POSITION TIMING: Immediate hire upon completion of all background and security investigations.

BENEFITS:  Health, Dental, and Vision, 401(k), Vacation, Sick Leave, and 11 Paid Federal Holidays including:

• New Year’s Day
• Martin Luther King, Jr. Day
• Presidents Birthday
• Memorial Day
• Juneteenth
• Independence Day
• Labor Day
• Columbus Day
• Veterans Day
• Thanksgiving Day
• Christmas Day

Laredo Technical Services, Inc. (LTSi) is an Equal Opportunity/Affirmative Action Employer. We make employment decisions based on merit and qualifications, ensuring equal opportunity for all applicants and employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable law.

LTSi is committed to ensuring an accessible online application process for all individuals, including those with disabilities. We offer alternative application methods for candidates who are unable to complete the online application due to a disability or other need for accommodation. LTSi complies with the Americans with Disabilities Act (ADA), Section 503 of the Rehabilitation Act of 1973, the Vietnam-Era Veterans’ Readjustment Assistance Act of 1974, and other relevant state and local laws. If you need assistance with an application due to a disability, please contact hr@laredotechnical.com. 

Salary : $38 - $40