About this role
Job SummaryAbout the Position: This is an open continuous announcement. Multiple vacancies exist and may be filled from this announcement at any of the locations listed. We accept applications on an ongoing basis; qualified applicants will be considered as vacancies become available. Salary negotiation may be available for those candidates who are new to Federal service. 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 that includes assisting with coding audits to identify inaccurately coded services; reviewing coding errors to identify trends and develop training materials; and providing guidance to support accurate coding practices. 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.
Major DutiesPerform retrospective audits of diagnoses, E/M levels, procedures, and documentation to identify inaccurately coded services and ensure regulatory compliance.Review medical records, analyze coding accuracy trends, prepare finding reports, and coordinate results with leadership to drive performance improvement.Use encounter audits to identify operational and regulatory issues, ensures complete data capture, and support development of compliance plans.Develop and deliver one-on-one and group training on documentation and coding requirements; updates clinical templates and recommends coding resources.Review and code medical records, validates ICD and CPT accuracy, assists providers with documentation needs, and ensures proper RVU/RWP capture.Prepare monthly progress reports, monitors coding performance, conducts special audits/projects, and communicates findings to leadership.