Medical Coder

MEDICAL CODER

REMOTE POSITION

AAI is actively recruiting Medical Coders to have thorough and expert knowledge of, and skill in applying, a comprehensive body of rules, procedures, and operations, such as Army ambulatory care medical records activities with a focus on Orthopedics, operations, and regulations; medical terminology, procedures, anatomy, physiology, and disease processes; ICD--CM diagnosis, CPT procedural evaluation & Management, and HCPS (Health Care Financing Administration’s Common Procedure Coding System) coding techniques; and

Ambulatory Data Module (ADM) computerized data entry and retrieval systems sufficient to: conduct a wide range of quality assurance studies; make recommendations to improve procedures for compiling and retrieving medical records information; identify specific clinical findings, support existing diagnoses, or substantiate listing additional diagnoses in the medical record; code complicated medical records that are difficult to classify, proficiency in

Microsoft Office Suite of products, to include Excel, Word and PowerPoint; possess ability to gather and represent data graphically and make a variety of basic statistical computations and perform basic analysis; identify possible trends and patterns for preparing reports; organize information, data and images into a coherent training presentation, effective verbal and written communication skills to discuss internal audits and assist in training providers, clerical staff and coding trainees.

RESPONSIBILITIES:

The Medical Coders will be responsible for the assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (Paper or electronic) for outpatient encounters.

The Outpatient Medical Coders also train and educate the medical treatment facility staff on coding issues and play a significant role in coding compliance activities.

The Outpatient Medical Coders must have the following:

Excellent computer/communication skills for provider and staff interactions.

Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience.

The ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.

REQUIREMENTS:

Education/Certification.

The following are recognized certifications:

Registered Health Information Technologist (RHIT), Registered Health Information.

Administrator (RHIA), Certified Professional Coder (CPC) CCS-P (Certified Coder.

Specialist – Physician (CCS-P) with the appropriate level of experience.

An accrediting institution recognized by the American Health Information.

Management Association (AHIMA) and/or the American Academy of Professional.

Coders (AAPC) must accredit education.

CONTINUED EDUCATION REQUIREMENTS:

Contract medical coders will obtain the required continued education hours at no expense to the government in order to maintain the current and proper national certification(s) required for the position.

Experience:

A minimum of three years of experience in the outpatient setting (physician’s office or ambulatory surgery centers) within the last five years, including assignment of E&M, CPT, and HCPCS codes.

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 qualifying experiences.

Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, accounts receivable) is not a qualifying factor.

Two years of outpatient/ambulatory surgery experience may be qualifying if received in a military medical facility.

Work Environment/Physical Requirements:

The work is primarily sedentary.

Requirements may include prolonged walking, standing, sitting, or bending.

Carrying or lifting of medical records may be required daily. Use of one or more computer programs and monitors may be required daily.

Responsible for the assignment of accurate E&M, ICD, CPT, and HCPCS codes and modifiers from medical record documentation.

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.

UNIQUE MILITARY HEALTH CARE SYSTEMS/PROCEDURES:

Armed Forces Health Longitudinal Technology Application (AHLTA).

Composite Health Care systems (CHCS) and/or MHS GENESIS.

Defense Enrollment Eligibility Reporting System (DEERS);

Military Filing System - by sponsor social security number, terminal digit order, color-coded and blocked filing system.

Contents of a military medical record, layout, sections, family member prefix designation, forms used in an MTF, and the medical record tracking procedures.

Essentris TM, the client-server version of the Clinical Information System (CIS)

Coding Compliance Editor (CCE) Systems.

Biometric Data Quality Assurance Service (BDQAS)

Reserved.

MHS Coding Guidelines

ABOUT AAI:

AAI is focused on delivering outstanding services to the federal government. We have extensive experience in the fields of cyber security, development, IT infrastructure, supply chain management and other professional services such as system design and continuous improvement. AAI is a VA CVE-certified Service-Disabled Veteran-Owned Small Business (SDVOSB), SBA certified Economically Disadvantaged Woman Owned Small Business

(EDWOSB), and a Woman Owned Small Business (WOSB) with offices in Hampton Roads Virginia, Washington DC and Atlanta. Our website is

OUR BENEFITS INCLUDE:

Paid Federal Holidays.

Robust Health & Dental Insurance Options.

401a plan.

401k plan.

Paid vacation and sick leave.

Continuing education assistance.

Short Term / Long Term Disability & Life Insurance.

Veterans are encouraged to apply:

AAI does not discriminate in employment opportunities, terms and conditions of employment, or practices on the basis of race, age, gender, religious or political beliefs, national origin or heritage, disability, sexual orientation, or any characteristic protected by law. Pending guidance from the Safer Federal Workforce, employees may in the future be required to provide evidence of COVID-19 vaccination or request and receive approval for a medical or religious exemption.

Full-Time