Current jobs related to Dha Medical Coding Auditing Specialist - Washington - Serco North America
-
Medical Coding Specialist
4 days ago
Washington, DC , USA, United States Howard University Full timeJob Title: Coding and Reimbursement SpecialistHoward University is seeking a skilled Coding and Reimbursement Specialist to join our team. As a key member of our Talent Acquisition department, you will play a critical role in ensuring the accuracy and compliance of our medical coding and reimbursement processes.Key Responsibilities:Review and analyze medical...
-
Inpatient Medical Coding Specialist
6 hours ago
Washington, Washington, D.C., United States Bright Vision Technologies Full timeJob SummaryBright Vision Technologies is seeking a skilled Inpatient Medical Coding Analyst to join our team. As a key member of our coding team, you will be responsible for reviewing and analyzing medical records to assign accurate codes for diagnoses, procedures, and services rendered.ResponsibilitiesUtilize medical record review and coding expertise to...
-
Compliance Coding Auditor
4 weeks ago
Washington, United States Medstar Full timePosition OverviewMedStar Family Choice is in search of a qualified Compliance Coding Auditor to enhance our DC Medicaid Plan team. The ideal candidate must hold a certification in Medical Coding and will be responsible for conducting audits and investigations to ensure adherence to relevant laws and regulations governing the Medicaid Program Integrity.Key...
-
Coding Compliance Auditor
4 weeks ago
Washington, United States Medstar Full timePosition OverviewMedStar Family Choice is seeking a qualified Coding Compliance Auditor to support the DC Medicaid Plan team. The ideal candidate must hold a certification in medical coding and will be responsible for conducting audits and investigations to ensure adherence to both District and federal regulations related to the Medicaid Program...
-
Coding Compliance Auditor
4 weeks ago
Washington, United States Medstar Full timePosition OverviewMedStar Family Choice is in search of a skilled Coding Compliance Auditor to enhance our DC Medicaid Plan team. The ideal candidate must hold a certification in Medical Coding and will be responsible for conducting audits and investigations to ensure adherence to both District and federal regulations related to the Medicaid Program...
-
Medical Coding and Billing Expert
59 minutes ago
Washington, Michigan, United States AAPC Full timeJob Title: Medical Coding and Billing ExpertWe are seeking a highly skilled and experienced Medical Coding and Billing Expert to join our team at AAPC. In this role, you will work with a diverse range of projects, providing expertise in medical coding, billing, and revenue cycle management.Key Responsibilities:Accurately review medical records to ensure...
-
Instructor - Medical Billing and Coding
3 weeks ago
Washington, United States ProTrain Full timeJob DescriptionJob DescriptionPOSITION OVERVIEW:ProTrain is currently recruiting for an experienced Live Online instructor with experience teaching Medical Billing & Coding.Candidates must have experience teaching in a classroom or/and in a synchronous environment, as well as have a minimum of 3 years in Medical Billing & Coding.This is a part time;...
-
Instructor - Medical Billing and Coding
2 months ago
Washington, United States ProTrain Full timeJob DescriptionJob DescriptionPOSITION OVERVIEW:ProTrain is currently recruiting for an experienced Live Online instructor with experience teaching Medical Billing & Coding.Candidates must have experience teaching in a classroom or/and in a synchronous environment, as well as have a minimum of 3 years in Medical Billing & Coding.This is a part time;...
-
IT Audit Specialist
1 day ago
Washington, Washington, D.C., United States Client Server Software Solutions Full timeJob Title: IS/IT AuditJob Summary:We are seeking a highly skilled IS/IT Audit professional to join our team at Constellation West. As an IS/IT Audit Specialist, you will be responsible for conducting comprehensive audits of DHS IT systems and information security policies to ensure compliance with established standards and efficiency benchmarks.Key...
-
Healthcare Coding Specialist
4 weeks ago
Washington, Washington, D.C., United States Kikiktagruk Inupiat Corporation Full timeJob OverviewPosition: Healthcare Coding SpecialistEmployment Type: Full TimeCompany Overview:Kikiktagruk Inupiat Corporation is seeking a Healthcare Coding Specialist to contribute to a Federal initiative with the Department of Labor's Office of Workers' Compensation Programs (OWCP).Key Responsibilities:Designs and executes projects, assignments, and studies...
-
Audit Specialist
3 weeks ago
Washington, United States Hamdan Resources Full timeJob Title: Audit SpecialistJob Summary:Hamdan Resources, LLC is seeking an experienced Audit Specialist to join their team. As a remote position, this role requires a strong understanding of database administration and compliance.Key Responsibilities:Administer, develop, and test databases to ensure data integrity and security.Perform various database...
-
Medical Billing and Coding Instructor
3 weeks ago
Washington, DC, USA, United States ProTrain Full timeJob Opportunity: Medical Billing and Coding InstructorJob Summary:ProTrain is seeking an experienced and skilled Medical Billing and Coding Instructor to join our team of educators. As a Medical Billing and Coding Instructor, you will be responsible for teaching live online courses to students seeking to become certified medical billing specialists.Key...
-
Medical Billing and Coding Instructor
3 weeks ago
Washington, DC, USA, United States ProTrain Full timeJob Opportunity: Medical Billing and Coding InstructorJob Summary:ProTrain is seeking an experienced and skilled Medical Billing and Coding Instructor to join our team of educators. As a Medical Billing and Coding Instructor, you will be responsible for teaching live online courses to students seeking to become certified medical billing specialists.Key...
-
Audit Letter Specialist
3 weeks ago
Washington, United States SourcePro Search Full time**Job Summary**SourcePro Search is seeking a highly skilled Audit Letter Specialist to join our Risk & Compliance team. The ideal candidate will possess a strong background in compliance and risk management, with experience working in a law firm. Additionally, the candidate should have at least three years of direct experience in receiving, responding to,...
-
Audit Specialist
2 months ago
Washington, United States Hamdan Resources Full timeJob Description Our client is seeking an Audit Specialist to join their team. This is a remote position. Responsibilities Administer, develop, and test databases Perform many related database functions across one or more teams or clients, including designing, implementing, and maintaining new databases, backup/recovery, and configuration management Install...
-
Audit Specialist
4 months ago
Washington, United States Hamdan Resources Full timeJob Description Our client is seeking an Audit Specialist to join their team. This is a remote position. Responsibilities Administer, develop, and test databases Perform many related database functions across one or more teams or clients, including designing, implementing, and maintaining new databases, backup/recovery, and configuration management Install...
-
Audit Specialist
4 months ago
Washington, United States Hamdan Resources Full timeJob DescriptionJob DescriptionJob DescriptionOur client is seeking an Audit Specialist to join their team. This is a remote position.ResponsibilitiesAdminister, develop, and test databasesPerform many related database functions across one or more teams or clients, including designing, implementing, and maintaining new databases, backup/recovery, and...
-
Building Code Compliance Specialist
3 weeks ago
Washington, United States Engineering Consulting Services Full timeJob SummaryWe are seeking a highly skilled Building Code Compliance Specialist to join our team at Engineering Consulting Services. As a key member of our team, you will be responsible for ensuring that our clients' construction projects meet the highest standards of safety and compliance.Key ResponsibilitiesPerform third-party building inspections to ensure...
-
Audit Specialist
2 weeks ago
Washington, United States Hamdan Resources Full timeJob OpportunityAbout the RoleHamdan Resources, LLC is seeking a highly skilled Audit Specialist to join their team. This is a remote position that requires a strong background in database administration and security.Key ResponsibilitiesAdminister, develop, and test databases to ensure data integrity and security.Perform various database functions across...
-
Inpatient Facility Medical Coding Specialist
3 weeks ago
Seattle, Washington, United States American IT Staff Full timeJob SummaryWe are seeking a highly skilled Inpatient Facility Medical Coder to join our team at American IT Staff. As a Medical Coder, you will play a critical role in ensuring the accuracy and quality of medical records for our clients.Key ResponsibilitiesAssign accurate diagnosis and procedure codes to patient health information records for Inpatient...
Dha Medical Coding Auditing Specialist
4 months ago
Position Description:
Serco is excited to continue our support to the Defense Heath Agency (DHA) Medical Coding Program Branch. The DHA is a joint, integrated Combat Support Agency that enables the Army, Navy, and Air Force medical services to provide a medically ready force to Combatant Commands in both peacetime and wartime. The essential mission of the DHA Medical Coding Program Branch (DHA-MCPB) is to improve the accuracy and quality of medical coding and documentation across DHA in support of the DHA mission. The work will encompass all 400 Military Treatment Facilities and Dental clinics assigned to DHA Markets.
This position is 100% Remote.
Specifically, Medical coding auditing consists of a systematic, unbiased, independent examination of medical documentation and coding to validate that all codes entered into the Military Health System (MHS) systems are in conformity with official coding policies, regulations, requirements, and standards. The task involves developing or following a disciplined, systematic process that defines what is to be audited and why, how errors are defined and reported, what documentation and official guidance is required, and how results are reported. You will professionally interact with Medical Treatment Facility (MTF) staff physicians and other coders from different companies regarding coding and documentation rules, policies, procedures, and regulations. You will obtain clarification of conflicting, ambiguous, or non-specific documentation. Provide advice, assistance, and technical support to MTF staff, Medical Coders, reviewers, Medical Coding Compliance Specialists, and Medical Coding Trainers as appropriate regarding official coding guidance and regulatory provisions.
In this role, you will:
- Verify the accuracy of the diagnosis, procedure, supply codes, modifiers, and sequencing for the professional and institutional (facility) components of Inpatient, External Resource Sharing Agreement (ERSA), Ambulatory Procedure Visit (APV), Observation, Emergency Department (ED), and Outpatient encounters.
- Code audited include International Classification of Diseases, Clinical Modification (ICD-CM), International Classification of Diseases, Procedural Classification System (PCS), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and modifiers.
- Assign errors IAW the Defense Heath Agency policies, procedures, rules, and standards, and provides clear, concise, official coding guidance, rationale, and reasons for assigning specific errors.
- Ensure strict confidentiality of medical records and audit findings.
- Provide second-level review of coding assignment to ensure compliance with legal and procedural policies to ensure optimal reimbursements while adhering to regulation prohibiting unbundling and other questionable practices.
- Review encounters and/or record documentation to identify inconsistencies or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care.
- Identify any problems with legibility, abbreviations, etc., and brings to the provider’s attention.
- Examine records for proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained.
- Utilize medical computer software programs to abstract, analyze, and/or evaluate clinical documentation and enter/edit diagnosis and procedure codes.
- Write in a clear, concise, organized, and convincing manner for the intended audience; use correct English grammar, punctuation, and spelling; communicate information in a succinct and organized manner; and produce written information.
Qualifications:
To be successful in this role, you will have:
- This position is contingent upon your ability to obtain and maintain a NACI clearance.
- A minimum of 8 years of medical coding and/or auditing experience in four or more medical, surgical, and ancillary specialties within the past 15 years.
- A minimum of one (1) year of performance in the specialty is required to be qualifying. Multiple specialties encompass different medical specialties (i.e. Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes. Ancillary specialties (PT/OT, Radiology, Lab, Nutrition, etc.) that usually do NOT use E&M codes do not count as qualifying experience.
- Four (4) years of the 8 years of required coding experience must involve medical coding auditing functions. Auditing functions include development and execution of audit plan, conducting audit according to audit plan by reviewing required documentation.
- An associate degree in health information management
- Coding Certifications - Medical Coding Auditors are required to possess a certification in good standing from **each of the following categories**:
- ** Professional Services Coding Certifications**:One** of the following recognized professional cert
