Medical Records Technician (Coder/Audit/Training)

<p>About the Position: This position falls under the Defense Health Agency (DHA) Atlantic Network serving the Naval Medical Center Portsmouth, Virginia functioning primarily as a medical auditor/trainer under the Directorate of Administration. This is a Direct Hire Solicitation</p><h3>Major Duties</h3><p>Analyze patient medical records to identify inaccurately coded services in accordance with federal coding regulations and guidelines.</p><p>Assign specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients.</p><p>Ensure compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, and CPT coding books.</p><p>Perform limited utilization review of outpatient and inpatient records to assure the diagnosis responsible for the length of stay is appropriately identified.</p><p>Assure secondary diagnoses are sequenced properly to assure maximum allocation under the Relative Value Unit (RVU) and Diagnosis-Related Group (DRG) systems.</p><p>Provide review and analysis of coding accuracy and compliance statistics, coordinating results with the Coding Manager and Patient Administration Department Head for feed back to the providers.</p><p>Prepare reports of findings and recommends staff education and training on accurate coding practices and compliance issues to maintain coding accuracy.</p><p>Provide monthly performance and progress reports addressing levels of accomplishment to Coding Manager and Patient Administration Department Head.</p><p>Maintain thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs.</p><p>Maintain a thorough understanding of medical record practices, standards, regulations, and Joint Commission requirements.</p><p>Perform diagnosis and procedure coding through application of International Classification of Diseases, Clinical Modification (ICD-11-CM) current edition and Current Procedural Terminology (CPT) coding guidelines.</p><p>Develop programs and plans for training medical and ancillary services staff in basic coding techniques and requirements.</p><p>Work in coordination with the government electronic health record sustainment trainer as appropriate and recommends coding resources to enhance data quality.</p><h3>Education</h3>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.