Inpatient Medical Coding Auditor/Trainer- Lead (ON-SITE) (25886)

LTSi - Laredo Technical Services, Inc. • Bethesda, MD

114d • $42 - $43 • Onsite

About The Position

Laredo Technical Services, Inc. (LTSi) is seeking an experienced Inpatient Medical Coding Auditor/Trainer- Lead for an on-site position at Walter Reed National Military Medical Center. This role involves leading contracted auditing staff, resolving coding discrepancies, providing educational feedback to providers and government agencies, maintaining records, developing and executing training programs specific to the MTF's clinical services, and ensuring accurate coding of medical records according to established guidelines. The position requires immediate hire upon completion of background and security investigations.

Requirements

• Certified through one of the following organizations: American Academy Professional Coders (AAPC) credentials – CPC, CPC-H, CPC-P, CPMA or American Health Information Management Associations (AHIMA) credentials – RHIA, RHIT, CCS, and CCS-P).
• The Contractor’s personnel shall be certified in the field of medical coding and/or auditing.
• 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.
• A minimum of 3 years inpatient medical coding experience (encompassing multiple clinic specialties) and 3 years of medical records coding, auditing, and supervisory experience within the last eight years (preferably with the Department of Defense (DOD)).
• High School Diploma/GED

Responsibilities

• Lead auditor will be onsite 5 days a week, 8 hours a day from Monday through Friday, during PAD core hours 0700 – 1700. Telework may be approved at the discretion of the COR.
• Responsible for the performance of the work activities of all contracted auditing staff.
• Daily activities include resolving 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, accuracy of coding, workload completed and ad hoc reports as required.
• 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 IAW, JC, and MTF guidelines.
• Completes in all mandatory Command training.
• All audits of coded data for inpatient medical records, inpatient consults, IPSRS, 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.
• Performs focus audits as designated by the MTF.
• 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.
• All audit spreadsheets are submitted to the supervisor weekly without discrepancies.
• All data reports are prepared in the format specified by the Government.
• Conduct and provide regular statistic evaluations/reports as requested by the MTF.

Benefits

• Competitive salary based on experience and technical qualifications
• Health, Dental, and Vision insurance
• 401(k) Retirement Plan
• Vacation
• Sick Leave
• Disability & Life Insurance
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED