Medical Records Administrative Specialist (ONSITE)
Company: Standard Technology
Location: Pensacola
Posted on: May 3, 2024
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Job Description:
SUMMARY: 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. 1.
QUALIFICATIONS: 1.1. Mandatory knowledge and skills.1.1.1.
Knowledge of auditing concepts and principles.1.1.2. Advanced
knowledge of medical coding and billing systems and regulatory
requirements.1.1.3. Strong communication and interpersonal
skills.1.1.4. Knowledge of legal, regulatory, and policy compliance
issues related to medical coding and billing procedures and
documentation.1.1.5. Knowledge of current and developing issues and
trends in medical coding procedures requirements.1.1.6. Detailed
knowledge of medical coding systems, procedures, and documentation
requirements.1.1.7. Ability to adapt and modify medical billing
procedures, protocol, and data management systems to meet specific
operating requirements.1.1.8. Ability to clearly communicate
medical information to professional practitioners and/or the
general public.1.1.9. Ability to use independent judgment and to
manage and impart confidential information.1.1.10. Ability to
analyze and solve problems.1.1.11. Ability to provide guidance and
training to professional and technical staff in area of
expertise.1.1.12. Computer literate, with knowledge of coding and
auditing packages, mainframe and office software applications.
1.1.13. Knowledge of medical ethics, telephone etiquette, and
customer service1.2. Education/Certification. 1.2.1. Ambulatory
Auditor Certifications. 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).1.2.3. CONTINUED
EDUCATION REQUIREMENTS: Contract medical coders will obtain the
required continuing education hours at no expense to the government
in order to maintain current and proper national certification(s)
required for the position.1.3. Experience. A minimum of 5 years
medical coding experience in multiple clinical specialties and
three years of medical auditing experience within the last eight
years is required. Expertise must also include ambulatory surgery
coding/auditing for the outpatient auditor reviewing APV
encounters.1.4. Work Environment/Physical Requirements. The work is
primarily sedentary. Requirements include prolonged walking,
standing, sitting or bending. Carrying or lifting of medical
records is usually required daily. Use of one or more computer
programs and monitors may be required to efficiently accomplish
duties. 2. UNIQUE MILITARY HEALTH CARE SYSTEMS/PROCEDURES: 2.1.
Armed Forces Health Longitudinal Technology Application (AHLTA)2.2.
Composite Health Care systems (CHCS) and/or MHS GENESIS2.3. Defense
Enrollment Eligibility Reporting System (DEERS);2.4. Military
Filing System - by sponsor social security number, terminal digit
order, color-coded and blocked filing system.2.5. Contents of a
military medical record, layout, sections, family member prefix
designation, forms used in a MTF, and the medical record tracking
procedures.2.6. EssentrisTM, the client-server version of the
Clinical Information System (CIS)2.7. Coding Compliance Editor
(CCE) Systems2.8. Biometric Data Quality Assurance Service
(BDQAS).2.9. MHS Coding Guidelines
http://www.tricare.mil/ocfo/bea/ubu/coding_guidelines.cfm Proof of
immunizations, including COVID vaccination, and physical are
required. Some immunizations, such as flu vaccine, required
annually.Must obtain government security clearance. US citizenship
is a requirement for the clearance.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.
PI1f7b9a331117-25660-34372501
Keywords: Standard Technology, Pensacola , Medical Records Administrative Specialist (ONSITE), Healthcare , Pensacola, Florida
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