Medical Coding Compliance Specialist ONSITE

1 week ago

Camp Lejeune, United States Standard Technology Full time

Medical Coding Compliance Specialist

(Medical Auditor)

POSITION IS HYBRID -- DAYS ONSITE AT NMCCL, JACKSONVILLE, NC and REMOTE

SUMMARY: Member of the MHS agency Coding Program Office support team. The position will reduce inpatient facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload surges, manning shortages, or computer system issues. This position will conduct focused audits for coding compliance or training purposes; develop standardized coding training; deliver coding education/training to individuals or groups; and identifying/educating on clinical documentation improvement opportunities.

Mandatory Knowledge and Skills

1) Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICDCM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and Resource-Based Relative Value Scale (RBRVS).

2) Knowledge of and the ability to interpret guidelines, rules and regulations developed by: Centers for Medicare & Medicaid Services (CMS), American Medical Association (AMA), American Heart Association (AHA) and other applicable Federal requirements so as to provide timely and accurate information relating to coding, billing and documentation.

3) Excellent oral and written communication skills, interpersonal skills along with the confidence to present complex medical coding issues and educational instruction to a diverse audience. Must be comfortable in front of high ranking, professional staff and coding peers to training and respond to questions.

4) Ability to write reports, business correspondence, and procedure manuals.

5) Organizational, analytical, time management, statistical, and problem solving skills.

6) Advanced knowledge of computers, keyboard skills, and various software programs including Microsoft (word processing, spreadsheet and database) as well as coding software programs

EDUCATION

At least one of the following recognized professional coding certifications from AHIMA and or AAPC is required: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Professional Medical Auditor (CPMA); Certified Professional Coder (CPC); Certified Outpatient Coder (COC);Certified Coding Specialist (CCS); or Certified Coding Specialist ??? Physician (CCS-P).

EXPERIENCE

A minimum of ten years of medical coding experience within the past ten years, in more than 4 medical and surgical specialties. A minimum of two years of inpatient facility coding experience must be included in the required ten years of experience. A minimum of two years of ambulatory surgery facility coding experience must be included in the required ten years of experience. 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. Additionally, coding, auditing and training exclusively for specialties such as home health, skilled nursing facilities, and rehabilitation care will not be considered as qualifying experience. Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, accounts receivable) is not a qualifying factor.

AND A minimum of four years of auditing, training, and/or compliance functions within the last ten years is required.

OR Candidates with three years of auditing, compliance, or training experience involving professional and facility coding within the last five years in a DoD coding environment may be considered in lieu of ten years for those without DoD experience.

  • Auditing functions include development and execution of audit plan, conducting audit according to audit plan by reviewing required documentation and determining compliance with audit standards, communicating with stakeholders during all phases of audit, and reporting on audit findings.
  • Training functions include identifying coding training opportunities; developing coding training plans, and development/delivery of coding training to coder and physician/provider audiences.
  • Compliance functions include identifying compliance issues and analyzing practice patterns and recommending changes to policies and procedures; recommending/updating standard policies and procedures; contribute to risk assessments and mitigation strategies; and data collection and statistical report generation.

Experience within MTF is desirable. MHS GENESIS EXPERIENCE is desireable.

Requires some occasional local travel.

Physical and proof of immunizations, including COVID Vaccinations, flu and TB assessment required.

Security clearance necessary to start to work. US Citizenship is a requirement for a security 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.



  • Medical Coding Compliance Specialist

    1 week ago

    Camp Lejeune, United States Standard Technology Full time

    Job Title: Medical Coding Compliance SpecialistWe are seeking a highly skilled Medical Coding Compliance Specialist to join our team at Standard Technology. As a Medical Coding Compliance Specialist, you will play a critical role in ensuring the accuracy and compliance of medical coding practices within our organization.Key Responsibilities:Conduct audits to...

  • Medical Coding Compliance Specialist

    5 days ago

    Camp Lejeune, United States Standard Technology Full time

    Job Title: Medical Coding Compliance SpecialistWe are seeking a highly skilled Medical Coding Compliance Specialist to join our team at Standard Technology. As a key member of our Coding Program Office support team, you will play a critical role in reducing inpatient facility, ambulatory procedure visit, or professional services coding backlog.Key...

  • Medical Coding Compliance Specialist

    3 days ago

    Camp Lejeune, United States Standard Technology Full time

    Job Title: Medical Coding Compliance SpecialistWe are seeking a highly skilled Medical Coding Compliance Specialist to join our team at Standard Technology. As a key member of our Coding Program Office support team, you will play a critical role in reducing inpatient facility, ambulatory procedure visit, or professional services coding backlog.Key...

  • Medical Coding Compliance Specialist ONSITE

    2 weeks ago

    Camp Lejeune, NC, United States Standard Technology Full time

    Medical Coding Compliance Specialist(Medical Auditor) POSITION IS HYBRID DAYS ONSITE AT NMCCL, JACKSONVILLE, NC and REMOTESUMMARY: Member of the MHS agency Coding Program Office support team. The position will reduce inpatient facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload surges, manning...

  • Medical Coding Compliance Specialist

    1 week ago

    Camp Lejeune, United States Standard Technology Full time

    Job SummaryWe are seeking a highly skilled Medical Coding Compliance Specialist to join our team at Standard Technology. The successful candidate will be responsible for reducing inpatient facility, ambulatory procedure visit, or professional services coding backlog, conducting focused audits for coding compliance or training purposes, developing...

  • Medical Coding Compliance Specialist

    1 week ago

    Camp Lejeune, United States Standard Technology Full time

    Job SummaryWe are seeking a highly skilled Medical Coding Compliance Specialist to join our team at Standard Technology. As a key member of our Coding Program Office support team, you will play a critical role in reducing inpatient facility, ambulatory procedure visit, or professional services coding backlog.Key ResponsibilitiesConduct focused audits for...

  • Medical Coding Compliance Specialist

    5 days ago

    CAMP LEJEUNE, NC, US Standard Technology Full time

    Job Title: Medical Coding Compliance SpecialistJoin Standard Technology as a Medical Coding Compliance Specialist and contribute to the success of our team!About the Role:We are seeking a highly skilled Medical Coding Compliance Specialist to join our team. As a Medical Coding Compliance Specialist, you will be responsible for ensuring the accuracy and...

  • Medical Coding Compliance Specialist

    4 days ago

    Camp Lejeune, United States Standard Technology Full time

    Job SummaryAs a member of the MHS agency Coding Program Office support team, this position will play a crucial role in reducing inpatient facility and ambulatory procedure visit coding errors. The ideal candidate will have a strong understanding of medical coding compliance and the ability to work independently in a hybrid environment.Key...

  • Medical Coding Compliance Specialist

    6 days ago

    Camp Lejeune, United States Standard Technology Full time

    Job SummaryAs a member of the MHS agency Coding Program Office support team, this role will play a crucial part in ensuring the accuracy and compliance of medical coding practices. The position will focus on reducing inpatient facility and ambulatory procedure visit coding errors, while also providing support to the coding program office.Key...

  • Architectural Design Specialist

    3 weeks ago

    Camp Lejeune, United States U.S. Marine Corps Full time

    Job SummaryWe are seeking a highly skilled Architectural Design Specialist to join our team at the U.S. Marine Corps. As a key member of our design team, you will be responsible for ensuring that all architectural components of our construction projects are built and installed in compliance with contract provisions, specifications, and approved construction...

  • IT Specialist Sr

    12 hours ago

    Camp Lejeune, United States Apex Systems Full time

    Job#: 2036870 Job Description: Apex Systems, a World-Class Technology Solutions Provider, is seeking applicants for the below position on behalf of our client. Please apply if interested and qualified. Please note that only qualified candidates will be contacted. Position: IT Specialist Sr.Location: Camp Lejeune, NCEstimated Duration: The client...

  • Health Systems Specialist

    1 month ago

    Camp Lejeune, United States Military Treatment Facilities Under Dha Full time

    Plan, organize, and assign work to be accomplished by subordinates and set priorities for completion of work. Review all incoming medical and educational enrollment forms for accuracy and insures proper coding. Maintain a variety of statistical and demographic...

  • Financial Management Specialist

    4 weeks ago

    Camp Lejeune, United States U.S. Marine Corps Full time

    Job SummaryWe are seeking a highly skilled Financial Management Specialist to join our team at the U.S. Marine Corps. As a key member of our financial operations team, you will be responsible for providing financial management support to our organization.Key ResponsibilitiesAssist in the formulation of budget and estimates to support plans, programs, and...

  • Commissary Store Quality Assurance Specialist

    3 weeks ago

    Camp Lejeune, United States Defense Commissary Agency Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Commissary Store Quality Assurance Specialist to join our team at the Defense Commissary Agency. As a key member of our team, you will be responsible for conducting quality assurance inspections and contract surveillance duties of specified commissary stocking, order-writing, custodial,...

  • Accreditation Specialist

    4 weeks ago

    Camp Lejeune, United States Apex Systems Full time

    Job SummaryApex Systems is seeking a highly skilled Accreditation Coordinator to join our team. As an Accreditation Coordinator, you will play a critical role in ensuring the security and compliance of our client's systems and networks.Key ResponsibilitiesAuthorization and Accreditation: Assist the Government Lead in daily tasks to ensure all systems have...

  • Quality Assurance Manager

    6 days ago

    Camp Lejeune, United States Sauer Construction, LLC Full time

    Job SummaryWe are seeking a highly skilled Quality Control Manager to join our team at Sauer Construction, LLC. The successful candidate will be responsible for overseeing the quality control plan for a project in Camp Lejeune, NC, and will have full authority to act in all QC matters.Key ResponsibilitiesCoordinate with multiple subcontractors to ensure...

  • Claims Resolution Professional

    4 weeks ago

    Camp Hill, Pennsylvania, United States Addison Group Full time

    About the RoleWe are seeking a skilled Claims Resolution Specialist to join our team at Addison Group. As a Claims Resolution Specialist, you will play a critical role in ensuring the accuracy and timeliness of claims submissions to payors.Key ResponsibilitiesManage the Daily Billing Process: You will be responsible for overseeing the daily billing process...

  • Certified Nursing Assistant

    7 days ago

    Camp Lejeune, United States Saratoga Medical Center Full time

    Saratoga Medical Center is seeking a skilled Certified Nursing Assistant to join our team at Camp Lejeune, NC. As a CNA, you will play a vital role in providing exceptional patient care and services to our military members. We offer a competitive salary, paid time off, and relocation assistance to support your career growth.**Qualifications:*** Completion of...

  • Certified Nursing Assistant

    7 days ago

    Camp Lejeune, United States Saratoga Medical Center Full time

    Saratoga Medical Center is seeking a Certified Nursing Assistant to join our team at Camp Lejeune, NC. As a CNA, you will play a vital role in providing exceptional care to our military members. We offer a competitive salary, paid time off, paid holidays, relocation assistance, and a comprehensive benefits package.**Qualifications:*** Completion of a...

  • Electrical Supervisor

    3 weeks ago

    Camp Lejeune, United States Roberts Company Full time

    Job SummaryThe Roberts Company is seeking an experienced Electrical Supervisor to oversee the daily operations of our construction sites. As a key member of our team, you will be responsible for ensuring the safe and efficient execution of electrical projects.Key ResponsibilitiesSupervise and coordinate the activities of electrical workers to meet project...