Lead Medical Coder and Auditor [PR0001D]
Core
Review health record documentation and assign proper diagnosis and procedure codes (CPT, ICD-10-CM, HCPCS) for reimbursement across inpatient, ambulatory, ER, and clinic settings for the US Armed Forces.
Role type
Lead Medical Coder and Auditor
Builds
Accurate medical coding and audit reports for military treatment facilities
Domain
Military Healthcare / Medical Billing & Coding
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical coding (CPT, ICD-10-CM, HCPCS), Chart abstraction, Data entry, Compliance with DoD/DHA directives, Risk adjustment analysis, Charge entry, Insurance resolution
Preferred skills
Clinical background, Anatomy and physiology knowledge, Electronic Medical Record software proficiency, Charge posting
Technologies
Microsoft Office Suite, Abstraction software, Electronic Medical Record systems
Responsibilities
Review patient charts for accuracy, Audit vendor and internal risk adjustments, Ensure codes are current and active, Report missing documentation, Meet daily coding production, Handle co-pays and charge posting, Maintain security of PHI
Seniority
Mid-level, hands-on IC