Certified medical coder ambulatory procedure visit (Apv) -- Fully remote (23349)

Responsibilities

Responsible for assignment of accurate E&M, ICD, CPT and HCPCS codes and modifiers from medical record documentation into the Government computer systems. Identifies and abstracts information from medical records (paper or electronic) for special studies and audits, internal and external. Interacts with MTF staff to ensure documentation is clear and supports coding assignments. Educates MTF staff through individual or group in-services and training sessions. Maintains a delinquency report of missing records in order to facilitate completion of work within the required thresholds. Works closely with the Coding Supervisor/auditor during audit process. Ensures all required component parts of the medical record that pertain to coding are present, accurate and compile with DoD and JCAHO requirements. Works with Coding Compliance-Editor software to ensure records are accurately coded. May also be responsible for the assignment of accurate ICD diagnoses, CPT and HCPCS, modifiers, and quantities from medical record documentation (paper or electronic) for inpatient professional services (IPPS encounters - a.k.a, rounds). Perform focus audits as designated by the MTF. All audit spreadsheets are submitted to the supervisor weekly without discrepancies as required. Submit monthly report on activities done for the month, e.g. audit results, training provided and feedback as required by the MTF. Must attend scheduled coding and auditing meetings and trainings as required by the MTF. Other duties as assigned.

Qualifications

Position requires excellent computer/communication skills for provider and staff interactions. Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient and ambulatory surgery), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience. Candidate must have ability to handle multiple projects and appropriately prioritize tasks to meet deadlines. Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Coder Specialist (CCS), Certified Coder Specialist Physician (CCS-P) are preferred for outpatient/ambulatory surgery medical coders as long as candidate has a minimum of three-year experience in the outpatient setting (physician's office or ambulatory care centers) within the last five years. An accrediting institution recognized by the American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) must accredit education and certification. A minimum of one of the following: An associate’s degree in health information management or a university certificate in medical coding, OR at least 20 quarter/30 semester hours university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology. Contract medical coders will obtain the required continued education hours at no expense to the government in order to maintain current and proper national certification(s) required for the position. EXPERIENCE: A minimum of three years' experience in the outpatient setting (ambulatory care centers) within the last five years is required or a minimum of two years if experience if that experience was in a military treatment facility. Multiple specialties encompass different medical specialties (i.e. Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes. Ancillary specialties (PT/OT, Radiology, Lab, Nutrition, etc.) that usually do NOT use E&M codes do not count as qualifying experience. Additionally, coding, auditing and training exclusively for specialties such as home health, skilled nursing facilities, and rehabilitation care will not be considered as qualifying experience. Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, accounts receivable) is not a qualifying factor. A minimum of eight (8) years medical coding and/or auditing experience in multiple surgical specialties (minimum of one (1) year to count a specialty). Composite Health Care systems (CHCS) and/or MHS GENESIS Armed Forces Health Longitudinal Technology Application (AHLTA). An electronic medical record documentation system designed for the MHS; Defense Enrollment Eligibility Reporting System (DEERS); Military Filing System - by sponsor social security number, terminal digit order, colorcoded and blocked filing system. Contents of a military medical record, layout, sections, family member prefix designation, forms used in a MTF, and the medical record tracking procedures. EssentrisTM, the client-server version of the Clinical Information System (CIS) Coding Compliance Editor (CCE) Systems Biometric Data Quality Assurance Service (BDQAS) - https://bdqas.afms.mil/ AFMS Internal Coding Audit Methodology - AFMOA Audit Tool MHS Coding Guidelines http://www.tricare.mil/ocfo/bea/ubu/coding_guidelines.cfm SPECIAL NOTE: This position is contingent on the candidate’s ability to meet the physical and medical requirements specific to the role, including compliance with all applicable federal, state, and local regulations. Government or customer site-specific requirements may include, but are not limited to, providing proof of full COVID-19 vaccination status, unless the candidate is legally entitled to an exemption.

Benefits

Health, Dental, and Vision insurance 401(k) Retirement Plan Vacation Sick Leave Competitive salary based on experience and technical qualifications. Disability & Life Insurance 11 Paid Federal Holidays including: New Year’s Day Martin Luther King, Jr. Day Presidents Birthday Memorial Day Juneteenth Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Day Christmas Day EQUAL OPPORTUNITY EMPLOYER: Laredo Technical Services, Inc. (LTSI) is an Equal Opportunity/Affirmative Action Employer. We provide equal consideration to all qualified applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Please visit the link below for the "Know Your Rights" and "Pay Transparency Nondiscrimination" supplement posters: https://www.dol.gov/agencies/ofccp/posters LTSI is committed to ensuring an accessible online application process for all individuals, including those with disabilities. We offer alternative application methods for candidates who are unable to complete the online application due to a disability or other need for accommodation. LTSI complies with the Americans with Disabilities Act (ADA), Section 503 of the Rehabilitation Act of 1973, the Vietnam-Era Veterans’ Readjustment Assistance Act of 1974, and other relevant state and local laws. If you need assistance due to a disability, please contact our Recruiting Department at hr@laredotechnical.com or call (210) 425-5650 Qualifications