Medical Records Technician (Coder) - Auditor

Auditor Duties

Auditors serve as experts of current coding conventions and guidelines related to professional and facility coding, perform audits of encounters to identify areas of non-compliance in coding. Duties include but are not limited to:

• Reviews, analyzes and reports performance monitors for PTF, PCE, VERA and Non-VA medical Care (purchased care) coding.
• Audits accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MS-DRG, POA status, and discharge disposition values for inpatient health records.
• Reviews coding and assist coders in improving coding accuracy, provides coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations, and initiates various reports and analyzes data.
• Facilitates improved overall quality, completeness and accuracy of coded data.
• Performs audits of coded data, developing criteria, collecting data, graphing and analyzing results, creating reports and communicating in writing and/or in person to appropriate leadership and groups.
• Assists in the development of guidelines for data quality, consistency, and monitoring for compliance to improve the quality for clinical, financial, and administrative data to ensure all coded data is fully documented and supported.
• Analyzes audit results and prepares summary feedback for individual coders and/or clinicians, making recommendations for improvement.
• Maintains statistical databases to track the results and validate the program for identifying patterns and variations in coding practices with regular reports to the medical staff and management.

Work Schedule: M-F 0800-1630

Telework: Available

Virtual: This is not a virtual position.

Functional Statement #: 82038F

Permanent Change of Station (PCS): Not authorized