Posted in Other about 2 hours ago.
Location: US, Rhode Island
This position is 100% ONSITE at 43 Smith Rd, Bldg. 23, Newport, RI 02841.
The Qualified candidate is responsible for the auditing of medical documentation and codes for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.
Mandatory knowledge and skills.
Experience
MUST HAVE a minimum of 5 years medical coding experience (encompassing multiple clinical specialties) and a minimum of 2 years of medical auditing experience within the last 3 years and three years of medical auditing experience within the last eight years is required.
MHS/DOD experience is preferred.
Experience with Armed Forces Health Longitudinal Technology Application (AHLTA); Composite Health Care systems (CHCS) and/or MHS GENESIS; Military Filing System - by sponsor social security number, terminal digit order, color-coded and blocked filing system; Contents of a military medical record, layout, sections, family member prefix designation, forms used in a MTF, and the medical record tracking procedures; Coding Compliance Editor (CCE) Systems and MHS Coding Guidelines http://www.tricare.mil/ocfo/bea/ubu/coding_guidelines.cfm and NHCNE – Bureau of Medicine and Surgery (BUMED) Outpatient Coding Protocol Plans is preferred.
Certification--MUST HAVE AT LEAST ONE CODING CERTIFICATION...PREFERABLY A CODING CERTIFICATE and CPMA
Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Coder Specialist-Physician (CCS-P), and/or Certified Coder Specialist (CCS) are acceptable with a minimum of 5 years medical coding experience (encompassing multiple clinical specialties) and 3 years of medical auditing experience within the last eight years is required. The candidates possessing a Certified Professional Medical Auditor (CPMA) certification must have a minimum of 2 years medical auditing experience within the last 5 years of medical coding experience (encompassing multiple clinical specialties).
May require less than 10% local travel
Must provide proof of immunizations, including COVID vaccination, annual flu and TB testing.
Must be able to obtain/maintain government issued security clearance (US citizenship is a requirement).
This contractor and subcontractor shall abide by the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity or national origin. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
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