Medical Records Technician (Coder/Audit/Training)
DD60
Job at a glance
About the Position: This is an open continuous announcement. Multiple vacancies exist and may be filled from this announcement at any of the locations listed. We accept applications on an ongoing basis; qualified applicants will be considered as vacancies become available. Salary negotiation may be available for those candidates who are new to Federal service. This is a Direct Hire Solicitation Major duties: Perform retrospective audits of diagnoses, E/M levels, procedures, and documentation to identify inaccurately coded services and ensure regulatory compliance.
Review medical records, analyze coding accuracy trends, prepare finding reports, and coordinate results with leadership to drive performance improvement. Use encounter audits to identify operational and regulatory issues, ensures complete data capture, and support development of compliance plans. Develop and deliver one-on-one and group training on documentation and coding requirements; updates clinical templates and recommends coding resources.
Review and code medical records, validates ICD and CPT accuracy, assists providers with documentation needs, and ensures proper RVU/RWP capture. Prepare monthly progress reports, monitors coding performance, conducts special audits/projects, and communicates findings to leadership.