Medical Coding Auditor- Remote at Sierra7

Posted in Science 27 days ago.

Type: Full-Time
Location: Falls Church, Virginia





Job Description:

Why Join Sierra7?
Sierra7 is a Small Disabled Veteran Owned Business. We were founded in 2009 with the mission of "Serving those who Serve". We recently received the DAV (Disabled American Veteran) award. Also, Sierra7 is ranked No. 457 out of 5,000 fastest growing private companies in America by Inc. Apply today and help us with our mission of "Serving those who Serve".

About this role:
The Medical Coding Auditor will support the Department of Veterans Affairs. The Auditor will have expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). The Medical Coding Auditors will serve as experts of current coding conventions and guidelines related to professional and facility coding, and perform audits of encounters to identify areas of non-compliance in coding.

Position Responsibilities:
Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Applies guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs. Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. Reviews, analyzes, and reports performance monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding.





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