Medical Coding Trainer

US-FL-Eglin AFB
6 days ago
Requisition ID
2017-38133
# of Openings
8
Category
Quality
Minimum Clearance
Position of Public Trust

About Engility

Engility delivers innovative solutions to critical challenges facing the nation and the world. As a premier provider of integrated services for the U.S. government, we support the Department of Defense, intelligence community, space communities, federal civilian agencies and international customers. Engility is dedicated to making lives better, safer and more secure.

Description

Medical coding training consists of analyzing and identifying medical coding and documentation performance gaps due to knowledge or skills; researching target audience and topic; designing and developing training plan, content, and presentation; delivering training via chosen method of communication; and evaluating and reporting on effectiveness of training.

Training audiences will include medical providers, clinical staff, other medical coding professionals, and varying levels of AFMS leadership.

  • Make well-informed, effective, and timely decisions, even when data are limited or solutions produce unpleasant consequences; perceives the impact and implications of decisions.
  • Receive, attend to, interpret, and respond to verbal messages and other cues such as body language in ways that are appropriate to listeners and situations.
  • Clearly express information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information.
  • 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 (for example, facts, ideas, or messages) in a succinct and organized manner; produce written information, which may include technical material, that is appropriate for the intended audience.
  • Display, courtesy, empathy, and tact, developing and maintaining effective relationships with others; effectively work with individuals who are difficult, hostile, or distressed to resolve differences; and be able to relate well to people from varied backgrounds and in different situations.
  • Work with internal and external customers to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations.
  • Contribute to maintaining the integrity of the organization; display high standards of ethical conduct and understand the impact of violating these standards on an organization, self, and others.
  • Be open to change and new information; adapt behavior or work methods in response to new information, changing conditions, or unexpected obstacles; effectively deals with uncertainty.
  • A high level of effort and commitment towards performing the work, using efficient learning techniques to acquire and apply new knowledge and skills; uses training, feedback, or other opportunities for self-learning and development.
  • Understand and interpret written material, including technical material, rules, regulations, instructions, reports, charts, graphs, or tables; applies what is learned from written material to specific situations.
  • Attention to detail and completeness with a thorough understanding of government rules and regulations, medical coding and reimbursement guidelines, and potential areas of risk for fraud.
  • Use imagination to develop new insights into situations and apply new solutions to problems; assist in designing new methods where established methods and procedures are not suitable or are unavailable.

Required Qualifications

Education, one of the following:

  • An associate’s degree in Health Information Management; OR
  • A university certificate in medical coding; At least 30 semester hours’ university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology; OR
  • Completion of can Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding exam preparation courses that include the above coursework and lead to successful course completion and coding certification may be accepted in lieu of university/college credit by the AFMS MCPO on a case-by-case basis.

AND

Certification in good standing from each:

  • Professional Services Coding Certifications: The following are recognized professional certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Professional Medical Coding Auditor (CPMA); Certified Professional Coder (CPC); Certified Outpatient Coder (COC); or Certified Coding Specialist - Physician (CCS-P).
  • Institutional (Facility) Coding Certifications: Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS). Other institutional coding certifications will be considered by the AFMS MCPO on a case-by-case basis.
  • Continuing Education Requirements: Medical coders shall maintain the required continuing education hours in order to maintain current and proper national certification(s) requirements for this position at no expense to the Government.

Coding Test. Pass a pre-employment coding test In accordance with (IAW) the requirements of the AFMS Coding Manual.

AND

Experience:

  • A minimum of 10 years of medical coding and/or auditing experience in two or more medical, surgical and ancillary specialties within the past 15 years, including at least 5 years of experience in a training role (training auditors, coders, and/or providers), OR minimum of 3 years’ training experience within the last 6 years in a military coding environment.
  • A minimum of 1 year of performance in the specialty is required to be qualifying. Training expertise must include identifying coding training opportunities; developing training plans and material, and instruction/delivery of the training to medical coder and clinical audiences

Desired Qualifications

  • Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), and Procedural Coding System (PCS); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT).
  • Practical 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).
  • Advanced knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.
  • Advanced knowledge of medical specialties; medical diagnostic and therapeutic procedures; ancillary services (includes, but is not limited to, Laboratory, Occupational Therapy, Physical Therapy, and Radiology); and revenue cycle management.).
  • Thorough understanding of Government rules and regulations regarding medical coding, reimbursement guidelines, and healthcare fraud; commercial reimbursement guidelines and policies; coding audit principles and concepts, and potential areas of risk for fraud and abuse.
  • Practical knowledge of revenue cycle management, project management concepts, business analysis, training methods, clinical documentation improvement, and continuous process improvement processes.

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