Ambulatory Procedure Visit - Center, United States - AAI

Description

Job Description

•Ambulatory Procedure Visit (APV) Medical Coder (Coder II)
Darnall Army Medical Center

AAI is actively recruiting Ambulatory Procedure visit Medical Coder who is sponsible
for 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 ambulatory procedure visits.

RESPONSIBILITIES

• Mandatory knowledge and skills.

• The position requires excellent computer/communication skills for provider and
staff.

• 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 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) 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 five (5) years of medical coding and/or auditing experience in two (2) or more medical, surgical, and ancillary specialties
within the past 10 years; OR a minimum of three (3) years of medical coding or
auditing experience if that experience was in an MTF. A minimum of one (1) year of
performance in the specialty is required to qualify.

CONTINUED EDUCATION REQUIREMENTS:
Formal Education. Inpatient Medical Coder (Coder III) and Ambulatory Procedure
Visit Medical Coder (Coder II) personnel in this position are required to possess post-high
school education or training from ONE of the following:

•An Associate' degree or higher in Health Information Management or
Healthcare Administration, healthcare-related major, or biological science; OR

•A University certificate in medical coding; OR

•At least 30 semester hours of University/College credit that includes relevant
coursework such as anatomy/physiology, medical terminology, health information
management, and/or pharmacology; OR

•Successful completion of an American Academy of Professional Coders
(AAPC) or American Health Information Management Association (AHIMA) coding
certification preparation course for professional services or facility coding that
includes medical terminology, anatomy, and physiology, health information
management concepts, and pharmacology; OR

•Successful completion of a training course beyond apprentice level for medical
technicians, hospital corpsmen, medical service specialists, or hospital training,
obtained in a training program given by the Armed Forces or the U.S. Maritime
Service under close medical and professional supervision.

Experience:

• A minimum of four(4) years of medical coding and/or auditing experience in two (2) or more medical,
surgical, and ancillary specialties within the past 10 years; OR a minimum of two (2)
years of medical coding or auditing experience if that experience was in an MTF. A
minimum of one (1) year of performance in the specialty is required to be qualifying.

•Advanced knowledge of reimbursement systems, including Prospective
Payment System (PPS); Ambulatory Payment Classifications (APCs); and
Resource-Based Relative Value Scale (RBRVS).

•Advanced knowledge and understanding of industry nomenclature;
medical and procedural terminology; anatomy and physiology; pharmacology;
and disease processes.

•Practical knowledge of medical specialties; medical diagnostic and
therapeutic procedures; ancillary services (includes, but is not limited to:
Laboratory, Dental, Occupational Therapy, Physical Therapy, and Radiology);
and revenue cycle management concepts related to medical coding.

•Practical knowledge and understanding of Government rules and
regulations regarding medical coding, reimbursement guidelines, and healthcare
fraud; commercial reimbursement guidelines and policies; coding audit
principles and concepts, and potential areas of risk for fraud and abuse.
Includes, but not limited to: The Federal Register, Center for Medicare, and
Medicaid Services (CMS) Local Coverage Determinations and National
Coverage Determinations (LCD and NCD), National Correct Coding Initiative

(NCCI) guidance, manual, and edits, Internet-Only Manuals (IOMs), and HHS-
OIG publications and reports.

•Practical knowledge of clinical documentation improvement and
continuous process improvement processes.

UNIQUE MILITARY HEALTH CARE SYSTEMS/PROCEDURES:

• MHS GENESIS.

• Other 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,
color-coded 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.

• The client-server version of the Clinical Information System (CIS)

• Coding Compliance Editor (CCE) Systems

• Biometric Data Quality Assurance Service (BDQAS)

• MHS Coding Guidelines

IMPORTANT APPLICATION REQUIREMENTS:

Prior to starting the application process, please click this LINK to download

and complete the SF85 and OF306 forms. Please type all responses and provide a wet

signature or the government will reject your submitted forms.

During the application process, you will be required to upload a copy of your resume, your

completed SF85, your completed OF306, documents proving your U.S. Citizenship, a copy of your coding

certifications, and a copy of your AAPC/AHIMA membership card.

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.