Company Overview Aliron International, Inc. provides state-of-the-art professional health, cybersecurity, information technology, acquisition and logistics support, data analysis and management, linguistics/OSINT analysis, and managed services to the US Government at home and abroad. Founded in 1989 in Washington, DC. Aliron started as an idea designed to save the U.S. government money in providing medical services to military and other personnel. Since then, Aliron has grown into a dynamic company that has over the years employed nearly 500 people in 19 time zones for numerous defense agencies across sixteen states in the continental United States as well as projects in Germany, Italy, Korea, Japan, Singapore, Guam, Panama, Alaska, and Hawaii. Responsibilities: + Utilizes appropriate data codes and system commands for data entry. + Performs edit checks on data entered prior to transmittal and corrects errors as indicated. + Analyzes medical record documentation for consistency and completeness for coding purposes using established criteria and regulations. + Examines all documents in the record for authorized signature and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered, and that results obtained are adequately described. + Identifies Third Party Billing information per Data Quality Directives and identify lack of proper documentation to on site auditor or clinical and Data Quality staff. Determines who is the responsible attending staff physician according to pertinent and current AF and DoD guidelines. + Interprets and verifies the reason for the encounter, including cause(s), diagnosis, procedures(s), performed and significant related diseases to assure record contents meets JCAHO and AF and DoD regulation requirements for the highest attainable quality. + Obtain clarification as needed from clinical staff on errors or missing documentation noted. + Track all errors noted for training and education purposes to ensure the MTF and other contractor staff?s training templates will accurately reflect the true nature of what needs to be trained. + Identifies potential or existing medico-legal problems to supervisor; i.e. malingering cases, therapeutic misadventures, child abuse, and therapeutic abortions. + must ensure that all sensitive records be secured due to medical-legal potential. + shall be responsible for safeguarding both the record and its informational content against loss, defacement and tampering, and from use by unauthorized individuals while in the contract personnel?s control. + Supports the third party Collection office (as needed) to ensure they have the documentation to submit a claim for reimbursement, to include coding of episode of care if required. + Reviews and verifies component parts of medical record to ensure completeness and accuracy of diagnosis, operations, and special therapeutic procedures that must conform to the Center for Medicare and Medicaid Services (CMS) and Department of Defense Coding Guidelines. + Codes and/or reviews principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases 9th Revision Clinical Modification (ICD-9-CM), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) ? all levels, and any other coding classification systems required by the Department of Defense (ICD-10-CM/PCS when available). + Inputs codes into applicable coding system made available for each individual MTF. + These systems include, but are not limited to: CCE, CHCS (ADM), Essentris, and AHLTA. Qualifications & Skills: + Must have the knowledge of accepted medical abbreviations and their meanings and interpretation. + Must have knowledge in the use of specialized references, such as medical nomenclatures, medical dictionaries and texts and medical journals to accurately spell out and use medical terminology. + Must have knowledge of basic computer functionality. + Must have at least 2 (two) years? experience in outpatient or inpatient coding. + Must have proficient knowledge of medical terminology, anatomy, pharmacology, surgical and medical procedures sufficient to code for optimum billing. + Must be able to communicate in the English language at the intermediate level as exemplified in their written and verbal skills in the performance of their duties. Licensure/Certification: The Coding Technician is required to have at least one accreditation from a nationally recognized in the United States accrediting medical coding body to include . Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder Hospital (CPC-H), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA). Why Aliron International Aliron offers competitive wages for all its positions as well as a generous benefits package: + Sponsored medical, vision, and dental plan options through United Healthcare, the largest and most widely accepted provider in the United States (eligible from first day of work) + A robust 401(k) plan with company matches (eligible 90 days after hire) + Paid time off and paid federal holidays. Most importantly, you can take pride in working for a company dedicated to serving our government by providing the best, most cost-effective solutions for the US Government. Our work helps the US Government secure our nation, support the efforts of our military and intelligence communities, and provide lifesaving medical services to our soldiers, vets, and their families. Disclaimers Following the presentation of a job offer, all candidates must undergo a government-mandated credentialing process. The government has identified strict procedures and standards to credential and verify the work experience, licenses, and education of all candidates. Due to this strict process, candidates who do not meet the above listed qualifications are encouraged to look at other opportunities at Aliron. Those who have criminal records (minor charges) are still encouraged to apply, but encouraged to disclose this so our recruiting team can verify your eligibility to work on the relevant contract. Aliron International is an equal opportunity employer. Aliron is a woman-owned company and its day-to-day operations are run by a veteran. We are proud of our diverse staff, and encourage all qualified job seekers to apply for opportunities with Aliron.