About this role
Job SummaryAbout the Position: The primary function of this position is to provide guidance and functional expertise to improve coding accuracy. This is a Direct Hire Solicitation.
QualificationsWho May Apply: US Citizens In order to qualify, you must meet the experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Specialized Experience: One year of specialized experience which includes: 1) Applying outpatient and inpatient coding principles; 2) Using medical terminology and clinical knowledge to assign accurate diagnostic and procedural codes; 3) Coding complex records with oversight; 4) Performing quality control of medical records data; and 5) Assisting in training clerical staff and coding trainees on the coding of medical records. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06). Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. Inpatient coding experience highly preferred. American Academy of Professional Coders - Certified Professional Coder (AAPC-CPC), Certified Professional Coder - Hospital Outpatient (CPC-H), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Registered Health Information Technician (AHIMA-RHIT), Certified Coding Specialist (CCS), or Certified Coding Specialist - Physician-based (CCS-P) credentials highly preferred.
Major DutiesAnalyze patient medical records to identify inaccurately coded services.Audit retrospectively for accuracy of diagnosis, evaluation and management, procedure codes and documentation.Prepare reports of findings and recommend staff education and training on accurate coding practices and compliance issues to maintain coding accuracy.Provide monthly performance and progress reports addressing all task area activities and levels of accomplishment.Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques to effectively apply coding guidelines to inpatient and outpatient diagnosis and procedures.Review and code medical records.Develop programs and plans for orienting and training medical and ancillary services staff in basic coding techniques and requirements.Analyze existing clinical templates to ensure accurate and up-to-date current diagnosis clinical, medical, and procedure codes.