DescriptionLead 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 throug...

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.

<div>Description 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 &amp; 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:  
<ul>
<li style="text-align:justify">Lead Audit coordinator may serve as an on-site manager, if site manager is not available.</li>
<li style="text-align:justify">Lead auditor must be available 5 days a week 8 hours a day, during core hours, Monday - Friday.</li>
<li style="text-align:justify">Lead Medical Coding Auditors for Outpatient shall be responsible for the performance of the work activities of all contracted auditing staff.</li>
<li style="text-align:justify">Daily activities would include resolving any coding discrepancies, mediating disputes, setting audit assignments, time and attendance, and performance improvement planning.</li>
<li style="text-align:justify">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.</li>
<li style="text-align:justify">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.</li>
<li style="text-align:justify">Prepares approximately 52 productivity summaries per year.</li>
<li style="text-align:justify">Ensures accurate coding of medical records utilizing JC, MHS and MTF guidelines.</li>
<li style="text-align:justify">Completes all mandatory Command training and provide a training summary to the PAD leadership on a monthly basis.</li>
<li style="text-align:justify">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.</li>
<li style="text-align:justify">All audit spreadsheets are submitted to the WRNMMC site supervisor weekly without discrepancies.</li>
<li style="text-align:justify">All data reports are prepared in the format specified by the Government.</li>
<li style="text-align:justify">All log entries and reports required to support the program will be kept up to date.</li>
<li style="text-align:justify">Conduct and provide regular statistics evaluations/reports.</li>
<li style="text-align:justify">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.</li>
<li style="text-align:justify">Schedule of trainings, topics. Clinic/provider(s) trained and copy of presentations, if any.</li>
<li style="text-align:justify">Submit monthly report on activities done for the month, e.g. audit results, training provided and feedback.</li>
<li style="text-align:justify">Other duties as assigned.</li>
</ul>
 
QUALIFICATIONS: 
<ul>
<li style="text-align:justify">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).) </li>
<li style="text-align:justify">Expertise must also include ambulatory surgery coding/auditing for the outpatient auditor reviewing APV encounters.</li>
<li style="text-align:justify">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).</li>
<li style="text-align:justify">Extensive knowledge for understanding and applying the official coding clinic guidelines.</li>
<li style="text-align:justify">Knowledge of medical terminology and usage, including general medical, surgical, pharmaceutical, hospital terms and abbreviations and abstracting techniques.</li>
<li style="text-align:justify">Knowledge of a broad range of references such as the ICD-10, CPT, HCPCS, medical dictionaries, manuals relating to coding textbooks and glossaries.</li>
<li style="text-align:justify">Knowledge of legal and regulatory requirements of medical records.</li>
<li style="text-align:justify">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.</li>
<li style="text-align:justify">Knowledge of data collection methods for basic health care, research information and statistical reporting.</li>
<li style="text-align:justify">Knowledge of laws and DoD/MHS/WRNMMC regulations on the confidentiality of medical records.</li>
<li style="text-align:justify">Skilled in effective oral and written communication.</li>
<li style="text-align:justify">Able to read, write, speak and understand English.</li>
</ul>
 
 
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:
<ul>
<li style="text-align:justify">New Year’s Day</li>
<li style="text-align:justify">Martin Luther King, Jr. Day</li>
<li style="text-align:justify">Presidents Birthday</li>
<li style="text-align:justify">Memorial Day</li>
<li style="text-align:justify">Juneteenth</li>
<li style="text-align:justify">Independence Day</li>
<li style="text-align:justify">Labor Day</li>
<li style="text-align:justify">Columbus Day</li>
<li style="text-align:justify">Veterans Day</li>
<li style="text-align:justify">Thanksgiving Day</li>
<li style="text-align:justify">Christmas Day </li>
</ul>
 
 
 
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. 
 
 </div>

20889

Expertise must also include ambulatory surgery coding/auditing for the outpatient auditor reviewing APV encounters.

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.

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.

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.

Medical Coding

Auditing

Supervisory Skills

Documentation

Training Development

Data Analysis

Communication

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

DescriptionInpatient Medical Coding Auditor/Trainer- Lead (ON-SITE)
Walter Reed National Military Medical Center
 
 
 
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. ...

Lead auditor will be onsite 5 days a week, responsible for the performance of contracted auditing staff, resolving coding discrepancies, mediating disputes, setting audit assignments, and providing educational feedback to the Government and Providers. Maintain records and statistics, develop and execute training specific to clinical services, and ensure accurate coding of medical records.

Experience with the Department of Defense (DOD)

Certified through AAPC or AHIMA

A minimum of 3 years inpatient medical coding experience

3 years of medical records coding, auditing, and supervisory experience within the last eight years

Inpatient Medical Coding

Quality Control

Medical Terminology

ICD-10

HCPCS

Data Reporting

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

Company DescriptionAre you an experienced Certified Coder with Managed Care experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is th...

As the Medical Coding Auditor, you would be responsible for reviewing medical and behavioral health care medical records, coding, abstracting, and analyzing inpatient and outpatient medical records. You will verify and validate authorization of services, coordinate coding and payment issues, conduct reviews of medical records/documents supporting claims for medical/behavioral services, and identify coding errors, inconsistencies, or abnormal billing patterns.

<div itemprop="description"><section class="job-section" id="st-companyDescription"><div><h2 class="title">Company Description</h2></div><div class="wysiwyg spl-wysiwyg">Are you an experienced Certified Coder with Managed Care experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!</div></section><section class="job-section" id="st-jobDescription"><div><h2 class="title">Job Description</h2></div><div class="wysiwyg spl-wysiwyg" itemprop="responsibilities">Job Title: Medical Coding AuditorPosition Summary:As the Medical Coding Auditor, you would be responsible for reviewing medical and behavioral health care medical records, coding, abstracting, and analyzing inpatient and outpatient medical records. Hours for this Position: Monday-Friday 8:00am-5:00pmAdvantages of this Opportunity:<ul><li>Pay $20-$30 per hour, negotiable based on experience</li><li>Work for a Fortune 500 company who pride themselves on partnership, integrity, teamwork, and accountability</li><li>Be a part of a team who serves the full spectrum of member needs</li><li>Weekly deposit options</li><li>Great benefits offered</li></ul>More Insight of Daily Responsibilities: <ul><li>Verify and validate authorization of services</li><li>Coordinate coding and payment issues</li><li>Conduct reviews of medical records/documents supporting claims for medical/behavioral services</li><li>Identify coding errors, inconsistencies, or abnormal billing patterns</li></ul> </div></section><section class="job-section" id="st-qualifications"><div><h2 class="title">Qualifications</h2></div><div class="wysiwyg spl-wysiwyg" itemprop="qualifications">What We Look For:<ul><li>CCA, CCS, CCS-P, CPC, or CPC-H certification</li><li>5+ years of experience in managed care and/or behavioral health care</li></ul> </div></section><section class="job-section" id="st-additionalInformation"><div><h2 class="title">Additional Information</h2></div><div class="wysiwyg spl-wysiwyg" itemprop="incentives">Want More Information?Interested in hearing more about this great opportunity? Reach out to Amanda Hammer at 407-636-7030 ext. 201 for immediate consideration.  HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! The greatest compliment to our business is a referral. If you know of someone looking for a new opportunity, please pass along my contact information! </div></section></div>

Tampa

CCA, CCS, CCS-P, CPC, or CPC-H certification

5+ years of experience in managed care and/or behavioral health care

Behavioral Health Care

Managed Care

CCA Certification

CCS Certification

CCS-P Certification

CPC Certification

CPC-H Certification

Medical Coding Auditor




OUR CLIENT  is a contracting and data management services organization dedicated to primary care physicians throughout Florida
IN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and o...

Assist in the development and maintenance of a comprehensive clinical coding audit program for inpatient and outpatient activity. Develop and implement policies for coding audits, review patient billing coding complaints, identify training needs, conduct compliance reviews, prepare reports, work with coding associates on compliance, and conduct educational sessions on coding regulations.

<div class="mt-5">

<div class="redactor-styles">
<a href="https://www.reflik.com/job?jobId=NjY4OQ==referrer=ODAxNjA=">OUR CLIENT </a> is a contracting and data management services organization dedicated to primary care physicians throughout Florida
IN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity.<a href="https://www.reflik.com/job?jobId=NjY4OQ==referrer=ODAxNjA="></a>
<ul><li>To develop and Implement policies to support the clinical coding audit function</li><li>Receive, review and communicate findings on patient billing coding related complaints.</li><li>Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified</li><li>Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers</li><li>Prepare reports as required relative to these monitoring and review activities.</li><li>Work with coding/billing associates to assure compliance on coding, billing, monitoring and review activities. </li><li>Monitor, communicate and conduct educational sessions regarding additions and/or revisions to coding and documentation rules and regulations.</li></ul>
TO SUCCEED IN THIS ROLE, YOU HAVE: 
<ul><li>High School diploma required, Associate Degree preferred; </li><li>Must be a certified professional coder; </li><li>Minimum five years hands-on experience in physician coding</li></ul>
</div>

</div>

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