Medical Coder Trainer - Military veterans preferred

Description

SAIC is looking to hire a Medical Coder Trainer.  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.

Qualifications

• 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
• 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.

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 an 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.

·         Certification in good standing for 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.

Selected applicant must do the following before starting, based on government requirements:         

• Pass a pre-employment coding test IAW the requirements of the AFMS Coding Manual. 
• Provide proof of specific vaccinations and CPR training that is required to work at the facility
• The selected applicant will be subject to a government security investigation and must meet eligibility requirements

Covid Policy: SAIC does not require COVID-19 vaccinations or boosters. Customer site vaccination requirements must be followed when work is performed at a customer site.