Medical Coding & Data Entry Specialist (Opp #1108)

Purpose/Function (Job Summary)

The purpose of this position is to provide support to Epidemiology and the Lifetime Surveillance of Astronaut Health (LSAH) project at NASA-Johnson Space Center. The incumbent for this position performs health information management and medical coding functions. Primary responsibilities include: 1) chart review, abstraction, quality control and data entry of medical records from paper and electronic sources into the electronic medical record (EMR) and customized database software, 2) coding medical record diagnoses and procedures using ICD-9-CM/ICD-10-CM and SNOMED-CT coding systems for ease of retrieval for medical research and statistical purposes, 3) interact with clinical personnel for records management, and 4) work with epidemiologists to prepare and perform dataset audits.

Essential Duties & Responsibilities

  • Review medical record forms for completeness and work with medical providers to obtain missing data
  • Perform quality assurance and incorporation of medical reports from onsite and external physicians and consultants into the EMR and LSAH databases
  • Data abstraction and entry of patient medical data from paper copy and electronic sources into EMR, PACS and other custom databases (e.g., LSAH)
  • Coding of all medical events, including diagnoses and procedures, using ICD-9-CM, ICD-10-CM and SNOMED-CT coding systems
  • Perform 100% verification of data entered into clinical systems; make corrections to databases; make record deletions and changes to the databases as needed
  • Audit generated datasets compiled from various sources against original source data
  • Generate and maintain copies of documents and reports using standard computer software (e.g., Microsoft Office products)
  • Maintain required certifications through applicable continuing education modules
  • Responsible for compliance with all applicable patient privacy and data confidentiality regulations, including but not limited to NASA Privacy regulations, the Privacy Act, HIPAA, etc
  • Provide weekly status reports of work activities to supervisor
  • Other tasks as directed

Benefits
Education / Experience

REQUIRED

Certified Professional Coder (or CPC-A) or Certified Outpatient Coder (or COC-A); if apprentice, commitment to remove apprentice designation within 2 years of hire and Experience using an Electronic Health/Medical Record in a clinical setting (e.g., not billing only)

and

1 year of experience performing data entry of patient medical data and/or medical records management

DESIRED

Experience coding in multiple specialties

Skills / Training

REQUIRED

  • Knowledge of ICD-9-CM, ICD-10, and CPT coding systems
  • Extensive knowledge of human anatomy and physiology, medical terminology and abbreviations, and pharmaceutical names and uses
  • Demonstrated ability to read medical record documents, including handwritten physician chart notes, and utilize computer to enter diagnoses, procedures and patient data throughout the day
  • Ability to work with medical records data efficiently and accurately
  • Ability to learn the SNOMED Coding System
  • Ability to work effectively in a professional environment, both independently and in collaboration with teams that may include physicians, allied health staff, other coding and data entry staff, information technology specialists, and management
  • Proficiency and currency with computers, software, hardware and technological advances, particularly EMR software and associated programs
  • Ability to use Microsoft Office and related software to generate documents and reports.
  • Superior written and interpersonal communication skills
  • Highly developed organizational and decision-making skills
  • Strong analytical and problem-solving ability and attention to detail

DESIRED

  • Experience or familiarity with 3M Coding Software or other coding assistance software
  • Takes ownership and prompt action on assigned tasks, seeks guidance, and effectively addresses challenges & opportunities

Job Type: Full-time

Salary: $18.00 to $23.00 /hour

Experience:

  • Medical Coding: 1 year (Required)

Work authorization:

  • United States (Required)

Work Location:

  • One location

Benefits:

  • Health insurance
  • Dental insurance
  • Vision insurance
  • Retirement plan
  • Paid time off
  • Professional development assistance
  • Tuition reimbursement

Schedule:

  • Monday to Friday