Performs retrospective audits of diagnoses, E/M levels, procedures, and documentation to identify inaccurately coded services and support regulatory compliance.
Reviews medical records, analyzes coding accuracy trends, prepares finding reports, and coordinates results with leadership to drive performance improvement.
Uses encounter audits to identify operational and regulatory issues, ensures complete data capture, and supports development of compliance plans.
Develops and delivers one-on-one and group training on documentation and coding requirements, updates clinical templates, and recommends coding resources.
Reviews and codes medical records, validates ICD and CPT accuracy, assists providers with documentation needs, and ensures proper RVU/RWP capture.
Prepares monthly progress reports, monitors coding performance, conducts special audits/projects, and communicates findings to leadership.
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 is a federal position requiring experience-only qualification; education may not be substituted for experience.
Applicants must be U.S. citizens and must clearly document relevant paid or unpaid experience in the resume.
Conditions of employment may include background investigation/suitability screening, personnel security investigation, immunization requirements, and compliance with additional federal employment requirements.
Salary includes applicable locality pay or local market supplement.
Relocation expenses reimbursement may be authorized in accordance with agency policy.
Salary negotiation may be available for candidates new to federal service.
Direct deposit of pay is required.
Location
San Antonio, Texas, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$51,201 - $65,563
Remote work allowed
No
Posted
2 months ago