Clinical Informaticist / Clinical Coder

Leidos•San Diego, CA

5d•Onsite

About The Position

The Leidos Military and Veterans Health Solutions Operation has an opening for a Clinical Informaticist / Clinical Coder to join the Operational Readiness Directorate at the Naval Health Research Center in San Diego, CA. This position will provide support to the Epidemiology and Data Management Support Department and involves clinical coding and data abstraction to support research on the physical and mental health of military personnel to improve overall health and readiness. The person in this position will work closely with department professionals in records management, information technology, and research teams to ensure alignment of clinical coding with research needs. This is a full-time position in San Diego. The candidate for this position must be located within commuting distance of San Diego to work on-site at the Naval Health Research Center as needed. The number of days on-site may vary, and the schedule is subject to change based on program and customer requirements. Work hours will coincide with the standard command business hours of 0700-1630.

Requirements

Master’s degree in relevant field or equivalent experience
Minimum of 6 years of experience in relevant field
Certified Abbreviated Injury Scale Specialist (CAISS)
Prior experience reviewing and coding ICD-9-CM, ICD-10-CM, AIS, ISS, and CPT
Knowledge of military health issues, especially physical health and injury
Proven ability to collaborate with multi-disciplinary teams
Experience facilitating clinical record analysis and classification
Excellent verbal and written communication, organizational, problem-solving, and interpersonal skills to work effectively in a fast-paced, team-based environment.
Ability to self-start, plan and prioritize tasks, demonstrate leadership, and work independently and in a team
Ability to establish and maintain cooperative and professional working relationships with military leadership, team members, and internal and external collaborators
Ability to manage multiple coding initiatives at once and reprioritize as necessary
Hold US Citizenship and the ability obtain and maintain a SECRET government security clearance.

Nice To Haves

Other certifications, including Nurse Informaticist Certification (NI-BC), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) certification
Prior experience supporting the Defense Health Agency (DHA) with access to EHR systems
U.S. Citizen with an ACTIVE Secret Clearance

Responsibilities

Obtain and maintain required access to military electronic health records (EHR) systems, such as Joint Longitudinal Viewer (JLV) and Theater Medical Data Store (TMDS)
Perform detailed reviews of health records and supporting documentation in multiple systems throughout the continuum of care to assign precise medical coding
Assign clinical codes using the following systems: International Classification of Diseases, 9th and 10th Revision, Clinical Modification (ICD-9-CM and ICD-10-CM), Abbreviated Injury Scale (AIS), Injury Severity Score (ISS), and Current Procedural Terminology (CPT)
Enter codes and populate additional information from health records as required into the Expeditionary Medical Encounter Database (EMED)
Perform additional medical records data abstraction as requested for study specific purposes
Examine, interpret, and prepare reports on various aspects of health records, including subject areas of general surgery, orthopedic surgery, neurology, pathology, and radiology, as requested
Regularly perform a random audit on 10% of coded records to ensure the quality, accuracy, and consistency of coded data
Perform monthly re-abstraction of a percentage of patient records and quarterly Inter-rater Reliability (IRR) assessments using an internal validation program
Develop and maintain project timelines, deliverables, and milestones to track progress and ensure timely completion
Resolve coding discrepancies, queries, and other data issues
Provide clinical and subject matter expertise to EDMS professionals
Work closely with principal investigators (PIs) and other professionals in EMDS to ensure data integrity and execute studies
Identify risks and challenges and immediately alert PIs to issues in obtaining and maintaining system access, clinical coding, and EMED performance
Prepare and deliver project status reports and updates to PIs and other department professionals, as requested
Ensure compliance with research protocols and regulatory standards, including HIPAA and PHI privacy standards
Participate in regularly scheduled team and department meetings
Work independently to achieve day-to-day objectives that impact operational results and project deliverables for the department
Ensure tasks are completed on time for mission requirements
Work with department staff on other tasks and duties as needed for customer mission
Model Leidos Values and uphold Leidos Code of Conduct at all times