Medical Data Coder Lead

GeoControl Systems, Inc.•Houston, TX

3d•Hybrid

About The Position

GeoControl Systems, Inc. is seeking a Medical Data Coder Lead to support the Lifetime Surveillance of Astronaut Health (LSAH) at the Johnson Space Center (JSC). This role is part of the LSAH team, responsible for enhancing astronaut medical records by incorporating outside provider records into internal medical records. The position involves health information management and medical coding functions, including ICD and/or SNOMED, and provides leadership oversight of one additional medical coder.

Requirements

Certified Professional Coder (or CPC-A) or Certified Outpatient Coder (or COC-A)
Experience using an Electronic Health/Medical Record in a clinical setting (e.g., not billing only)
Three to five years of experience performing data entry of patient medical data and/or medical records management
Experience overseeing junior staff
Experience managing multiple projects simultaneously
Knowledge of ICD, SNOMED and/or CPT coding systems
Extensive knowledge of human anatomy and physiology, medical terminology and abbreviations, and pharmaceutical names and uses
Demonstrated ability to read medical record documents, including handwritten physician chart notes, diagnoses, procedures and patient data
Ability to work with medical records data efficiently and accurately
Ability to maintain confidentiality of all medical and personal information to which access has been granted
Ability to work effectively in a professional environment, both independently and with teams that may include physicians, allied health staff, information technology specialists, and management
Proficiency with Microsoft Office suite, EHR software and associated programs
Superior written and interpersonal communication skills
Highly developed organizational and decision-making skills
Strong analytical skills and attention to detail

Nice To Haves

Experience coding in multiple specialties
Experience or familiarity with coding assistance software
Demonstrated workflow management and ability to prioritize tasks with minimal oversight
Familiarity with AI tools and best practices

Responsibilities

Coding medical record diagnoses and procedures using ICD-9-CM/ICD-10-CM and SNOMED-CT coding systems for ease of retrieval for occupational surveillance and medical research purposes
Chart review, abstraction, quality control and data entry of medical records from paper and electronic sources into the JSC electronic health record (EHR) and customized database software
Review medical record forms for completeness and work with medical providers to obtain missing data
Perform quality assurance and incorporation of medical reports from onsite and external physicians and consultants into the EHR and customized databases
Provide oversight of medical coder work, support onboarding tasks, delegate daily tasks to one junior medical coder, and provide consistent communication with team leadership on workload, issues, and accomplishments
Data abstraction and entry of patient medical data from paper copy and electronic sources into EHR, PACS and other custom databases (e.g., LSAH)
Coding of all medical events, including diagnoses and procedures, using ICD and/or SNOMED coding systems
Perform verification of data entered into clinical systems; make corrections to databases; make record deletions and changes to the databases as needed
Audit generated datasets compiled from various sources against original source data
Generate and maintain copies of documents and reports using standard computer software (e.g., Microsoft Office products)
Maintain required certifications through applicable continuing education modules
Responsible for compliance with all applicable patient privacy and data confidentiality regulations, including but not limited to NASA Privacy regulations, the Privacy Act, HIPAA, etc.
Provide weekly status reports of work activities to supervisor
Other tasks as directed