Medical Coding Modernization Specialist - Anthony & Associates, Inc. dba AAI - JBPHH, HI

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Anthony and Associates, Inc. (AAI) is looking for a candidate for a Medical Coding Modernization Specialist at Joint Base Pearl Harbor-Hickam in Honolulu, HI.

This position will support coding operations and compliance as part of the Medical Modernization Program. The coding professional will conduct internal audits; monitor coding practices and documentation deficiencies to identify, develop, deliver training and monitor effectiveness of efforts to ensure improvement to documentation, coding completion, timeliness and accuracy rates for the MTF.

Job Duties:

• Assists the MTF in identifying medical coding deficiencies by analyzing documentation and coding practices that may be misrepresenting or incorrectly capturing medical care activities.
• Analyzes historical encounter documentation and coding records from Government computer systems and medical records to identify clinical documentation improvement (CDI) and training opportunities.
• Compares documentation to code application to ensure accuracy. Tracks deficiencies for trending and corrective action.
• Collaborates with MTF leadership, MTF providers/staff, and other coding professionals related to the performance of tasks to address recurring documentation and coding deficiencies, Contacts providers to review findings to improve documentation practices as well as E&M leveling, capturing medical procedures and to improve diagnosis specificity issues IAW with coding guidelines.
• Develops focused training presentations from thorough analysis as outlined in the MTF modernization action plan. Seeks Government approval prior to delivering Government scheduled training to MTF providers and other staff.
• Creates and submits training activity reports to the MTF leadership. Presents reports to the Government weekly and identifies scheduling issues and obstacles to meeting improvement objectives.
• Creates monthly reports showing completed activities and improvement to metrics.

Education/Certification:
Successful completion of academic requirements, at least at an associate's degree level from a health information management program is required.

A Registered Health Information Technician (RHIT) or equivalent certification is required.

Experience:

Candidates will require a minimum of 10 years of medical coding experience in production coding environments within the past 10 years, in more than 4 medical and surgical specialties, involving assignment of ICD, E&M, CPT, and HCPCS codes. Coding, auditing and training for ancillary services such as physical, occupational therapy, speech, and nutritional medicine as well as home health, skilled nursing facilities, rehabilitation care and urgent care clinics are not qualifying.

AND

A minimum of four years of auditing, training, and/or compliance functions within the last eight years is required in at least 4 medical and surgical specialties as stated above.

OR

Candidates with three years of auditing, compliance, or training experience involving professional coding within the last five years in a DoD coding environment may be considered in lieu of 10 years for those without DoD experience. Auditing, compliance, or training experience is described as: 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.

Immunizations:

Candidates must provide proof of the following vaccinations:

• MMR (Measles, Mumps, Rubella)
• Tdap (Tetanus, Diphtheria, and Pertussis)
• Hepatitis B
• Tuberculosis (TB) Screening- completed within the past year
• Influenza- completed within the past year

MUST HAVE A CLEAN CRIMINAL RECORD-A BACKGROUND CHECK IS REQUIRED

* This article was originally published here