Outpatient Medical Coder Auditor

Outpatient Medical Coder Auditor (Healthcare)

Sierra7 is looking for an Outpatient Medical Coding Auditor to support the Department of Veterans Affairs. The Auditor will have expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). The Medical Coding Auditors will serve as experts of current coding conventions and guidelines related to professional and facility coding and perform audits of encounters to identify areas of non‑compliance in coding.

This is a Part‑Time opportunity, and we are looking for auditors who can commit to a minimum of 20 hours per week, scheduled at your discretion from Monday through Sunday weekly.

• Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures, and the principles and practices of health services to ensure proper code selection.
• Reviews assigned codes from the current versions of several coding systems, including International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS).
• Applies guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs.
• Monitors ever‑changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC.
• Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided.
• Reviews, analyzes, and reports performance monitors for PTF, PCE, VERA and Non‑VA Medical Care (purchased care) coding.