Clinical Informaticist / Clinical Coder Jobs

Clinical Informaticist / Clinical Coder

Are you looking for a career that will make an impact? The Leidos Military and Veterans Health Solutions Operation has an opening for a Clinical Informaticist / Clinical Coder to join the Operational Readiness Directorate at the Naval Health Research Center in San Diego, CA. This position will provide support to the Epidemiology and Data Management Support Department and involves clinical coding and data abstraction to support research on the physical and mental health of military personnel to improve overall health and readiness. The person in this position will work closely with department professionals in records management, information technology, and research teams to ensure alignment of clinical coding with research needs. Are you ready for unique and exciting work? This is a full-time position in San Diego. The candidate for this position must be located within commuting distance of San Diego to work on-site at the Naval Health Research Center as needed. The number of days on-site may vary, and the schedule is subject to change based on program and customer requirements. Work hours will coincide with the standard command business hours of 0700-1630.

Primary Responsibilities:

• Obtain and maintain required access to military electronic health records (EHR) systems, such as Joint Longitudinal Viewer (JLV) and Theater Medical Data Store (TMDS)
• Perform detailed reviews of health records and supporting documentation in multiple systems throughout the continuum of care to assign precise medical coding
• Assign clinical codes using the following systems: International Classification of Diseases, 9th and 10th Revision, Clinical Modification (ICD-9-CM and ICD-10-CM), Abbreviated Injury Scale (AIS), Injury Severity Score (ISS), and Current Procedural Terminology (CPT)
• Enter codes and populate additional information from health records as required into the Expeditionary Medical Encounter Database (EMED)
• Perform additional medical records data abstraction as requested for study specific purposes
• Examine, interpret, and prepare reports on various aspects of health records, including subject areas of general surgery, orthopedic surgery, neurology, pathology, and radiology, as requested
• Regularly perform a random audit on 10% of coded records to ensure the quality, accuracy, and consistency of coded data,
• Perform monthly re-abstraction of a percentage of patient records and quarterly Inter-rater Reliability (IRR) assessments using an internal validation program
• Develop and maintain project timelines, deliverables, and milestones to track progress and ensure timely completion
• Resolve coding discrepancies, queries, and other data issues
• Provide clinical and subject matter expertise to EDMS professionals
• Work closely with principal investigators (PIs) and other professionals in EMDS to ensure data integrity and execute studies
• Identify risks and challenges and immediately alert PIs to issues in obtaining and maintaining system access, clinical coding, and EMED performance
• Prepare and deliver project status reports and updates to PIs and other department professionals, as requested
• Ensure compliance with research protocols and regulatory standards, including HIPAA and PHI privacy standards
• Participate in regularly scheduled team and department meetings
• Work independently to achieve day-to-day objectives that impact operational results and project deliverables for the department
• Ensure tasks are completed on time for mission requirements
• Work with department staff on other tasks and duties as needed for customer mission
• Model Leidos Values and uphold Leidos Code of Conduct at all times

If this sounds like an environment where you can thrive, keep reading for the keys to success! Basic Qualifications :

• Master's degree in relevant field or equivalent experience
• Minimum of 6 years of experience in relevant field
• Certified Abbreviated Injury Scale Specialist (CAISS)
• Prior experience reviewing and coding ICD-9-CM, ICD-10-CM, AIS, ISS, and CPT
• Knowledge of military health issues, especially physical health and injury
• Proven ability to collaborate with multi-disciplinary teams
• Experience facilitating clinical record analysis and classification
• Excellent verbal and written communication, organizational, problem-solving, and interpersonal skills to work effectively in a fast-paced, team-based environment.
• Ability to self-start, plan and prioritize tasks, demonstrate leadership, and work independently and in a team
• Ability to establish and maintain cooperative and professional working relationships with military leadership, team members, and internal and external collaborators
• Ability to manage multiple coding initiatives at once and reprioritize as necessary
• Interested candidates are encouraged to submit a copy of their transcript (official or unofficial) with their application.
• Hold US Citizenship and the ability obtain and maintain a SECRET government security clearance.

Preferred Qualifications:

• Other certifications, including Nurse Informaticist Certification (NI-BC), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) certification
• Prior experience supporting the Defense Health Agency (DHA) with access to EHR systems
• U.S. Citizen with an ACTIVE Secret Clearance