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Medical Records Technician (Coder/Audit/Training)

US Military Treatment Facilities under DHA

Summary

Position with the Defense Health Agency (DHA) Atlantic Network at Naval Medical Center Portsmouth. The role functions primarily as a medical auditor/trainer within the Directorate of Administration.

Duties

  • Analyze patient medical records to identify inaccurately coded services in accordance with federal coding regulations and guidelines.
  • Assign codes to medical records, sequencing and determining codes to accurately reflect services and procedures.
  • Ensure compliance with regulatory and third-party insurance requirements using ICD-10-CM and CPT coding books.
  • Perform limited utilization review of outpatient and inpatient records to verify diagnoses and length of stay.
  • Review secondary diagnoses sequencing to support accurate RVU and DRG allocation.
  • Provide coding accuracy and compliance analysis to the Coding Manager and Patient Administration Department Head.
  • Prepare reports and recommend staff education and training on accurate coding practices and compliance issues.
  • Submit monthly performance and progress reports.
  • Maintain knowledge of anatomy and physiology, medical terminology, disease processes, and surgical techniques through continuing education.
  • Maintain knowledge of medical record practices, standards, regulations, and Joint Commission requirements.
  • Perform diagnosis and procedure coding using ICD-11-CM and CPT guidelines.
  • Develop training programs for medical and ancillary services staff in basic coding techniques and requirements.
  • Coordinate with the government electronic health record sustainment trainer and recommend coding resources to improve data quality.
Requirements & Qualifications

Qualifications

  • One year of specialized experience including:
    • Assisting in auditing coders and/or providers to identify inaccurately coded services in accordance with coding regulations.
    • Identifying errors, trends, and concerns regarding diagnosis, CPT, and E/M errors and converting that data into training material.
    • Providing guidance and functional knowledge to improve coding accuracy.
  • Experience must be paid or unpaid relevant experience; volunteer experience may count.
  • Education substitution is not permitted; experience is required.
  • Nationally recognized medical coding certification from AHIMA or AAPC is highly desired but not required.

Conditions of Employment

  • Ability to obtain and maintain a Secret security clearance.
  • Background investigation and credit check required.
  • Suitability/fitness determination required.
  • Immunization screening required.
  • Hepatitis B immunization required for direct patient contact positions.
  • Annual seasonal influenza vaccination required unless exempted.
  • Tuberculosis testing required.
  • U.S. citizenship required.
  • 1-year probationary period required.
Benefits & Perks

Benefits

  • Comprehensive federal employee benefits package.
  • Health, dental, and other coverage options for employees and family.
  • Recruitment or relocation incentives may be authorized for highly qualified candidates.
  • Advanced in-hire may be authorized.
  • Relocation expenses may be reimbursed for highly qualified candidates in accordance with agency policy.

Location

Virginia, US

Employment Type

Full-time

Experience Level

Entry Level

Salary Range

$51,210 - $66,574

Remote work allowed

No

Posted

3 weeks ago

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