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    Duties

    Summary

    This position is in the Health Information Management (HIM) Section of Health Administration Service (HAS). The Medical Records Technician (MRT) (Coder) Auditor (Outpatient) performs prospective and retrospective reviews of the accuracy of ICD-10-CM/diagnosis, evaluation and management E&M, and procedure assignments for outpatient encounters.

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    Responsibilities

    The duties of the position include but are not limited to:

    Performs all the duties of a MRT (Coder).

    Serves as experts of current coding conventions and guidelines related to professional and facility coding.

    Performs audits of encounters to identify areas of non-compliance in coding.

    Facilitates improved overall quality, completeness, and accuracy of coded data.

    They provide recommendations on appropriate coding and are responsible for maintaining current knowledge of the various regulatory guidelines and requirements.

    Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided.

    Provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing.

    Consults with the clinical staff for clarification of conflicting or ambiguous clinical data.

    Uses computer applications with varied functions to produce a wide range of reports, to abstract records, and review assigned codes.

    Acts independently to plan, organize, and perform auditing with emphasis on data validation, analysis, and generation of reports.

    Assists in the development of guidelines for data quality, consistency, and monitoring for compliance to improve the quality of clinical, financial, and administrative data.

    Maintains statistical database(s) to track the results and validate the program.

    Identifies patterns and variations in coding practices with regular reports to the medical staff and management.


    Work Schedule: Monday - Friday, 8:00 AM - 4:30 PM
    Occasional travel to Community Based Out-Patient Clinics (CBOC)

    Financial Disclosure Report: Not required

    Travel Required

    Occasional travel - You may be expected to travel for this position.

    Supervisory status

    No

    Promotion Potential

    9

This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/583310900. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.