Medical Coding Modernization
This position will support coding operations and compliance as
part of the Medical Modernization Program. The CDIS 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.
Mandatory Knowledge and Skills.
· Knowledge of The International Classification of Diseases,
Tenth Revision, Clinical Modification (ICD-CM), 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
· 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.
· 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.
· Ability to write reports, business correspondence, and
· Organizational, analytical, time management, statistical, and
problem solving skills.
· Advanced knowledge of computers, keyboard skills, and various
software programs including Microsoft (word processing, spreadsheet
and database) as well as coding software programs.
A Registered Health Information Technician (RHIT) or equivalent
certification is required. Other coding certifications may be
considered. CDIS will maintain the required continuing education
hours and credentials as required by their national association
Successful completion of academic requirements, at least at an
associate's degree level from a health information management
program is required.
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.
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.
Preferred Education and Experience: The
education and experienced requirements outlined above are required;
however, the following are preferred:
A Baccalaureate Degree in Nursing, a Graduate Diploma in
Nursing, or an Associate Degree in Nursing, from an accredited
agency such as the Accreditation Commission for Education in
Nursing (ACEN) or the Commission on Collegiate Nursing Education
(CCNE). Additional educational considerations include other health
related fields such as health administration, social work, etc.
Registered Health Information Administrator (RHIA), Registered
Health Information Technician (RHIT), or Certified Documentation
Improvement Practitioner (CDIP) certification.
A minimum of five (5) years of clinical experience with acute
Must be able to satisfy the eligibility requirements for
obtaining a government issued security clearance (US citizenship is
required) and must have a physical and annual immunizations as well
as TB testing and flu shots. May be required to pass a coding
assessment and or a clinical documentation improvement
VEVRRA Federal Contractor
Equal Opportunity Employer of protected veterans