Inpatient Medical Coder - San Diego, United States - AAI

AAI
AAI
Verified Company
San Diego, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter


Description

Inpatient Medical Coder (Coder III)

Brook Army Medical Center

IMPORTANT APPLICATION INSTRUCTIONS -
and complete the SF85 and OF306 forms. Please type all responses and provide a wet

signature or the government will reject your submitted forms.


List of Documents Required To Apply

  • Resume _(must list at least 2 areas of specialty coding for each job location where coding was performed)_


  • SF8

  • OF306
  • Documents proving your U.S. Citizenship
  • A copy of your coding certifications
  • A copy of your AAPC/AHIMA membership card

SUMMARY -
AAI is actively recruiting Ambulatory Procedure visit Medical Coder who is responsible
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.


Job Duties/Responsibilities

  • Mandatory knowledge and skills.
  • 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.
prioritize tasks to meet deadlines.

  • Accurately assigns diagnosis and procedure codes for inpatient facility and professional services to include, but not limited to; inpatient stays, surgical procedures, dental surgical procedures, anesthesia services, ancillary services, and inpatient ERSA encounters IAW DHA completeness, productivity, and timeliness standards. Work may involve areas such as Laboratory, Radiology, and Dental services. Ensures correct assignment of DRGs for inpatient stays. Codes inpatient discharge records with correct and optimal DRG assignment, Relative Weighted Product (RWP) and Relative Value Units (RVUs) in order for the Center to receive correct reimbursement or workload credit. Performs necessary tasks within MHS GENESIS and other military coding systems to complete encounters. May be tasked with assisting with ambulatory and outpatient coding if available.
  • Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or E&M code to ensure ethical, accurate, and complete coding.
  • Monitors everchanging regulatory and policy requirements affecting coded information for the full spectrum of services provided.
  • Maintains technical currency through continuing education and training opportunities.
  • Reviews encounter and/or record documentation to identify inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medicolegal repercussions or impacts quality patient care. Identifies any problems with legibility, abbreviations, etc., and brings it to the provider's attention. May perform assessments and examine records for proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained. Develops and submits a written (electronic or hard copy) query IAW DHA guidelines to the provider to request clarification of provider documentation that is conflicting, ambiguous, or incomplete regarding any significant reportable condition or procedure. Monitors query submission, response times, and completion. Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance. Assigns accurate codes to encounters based upon provider responses to queries and reports queries and responses IAW DHA guidance
  • Acts as a source of reference to medical staff that have questions, issues, or concerns related to coding. Responds to provider questions and provides examples of appropriate coding and documentation reference(s) to provide clarity and understanding. Based on contacts from the medical staff, identifies training opportunities and works with coding training personnel to focus on consistency and clarity of coding advice provided. Collaborates with Medical Coding Trainers in developing, delivering, and monitoring initial and annual coding training to providers and clinical staff by providing guidance to professional and technical staff in documentation requirements for coding
  • Supports DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification from the Lead Medical Coder, supervisor, or DHA-MCPB. Performs administrative related tasks associated with medical records final reviews/audits and contacting various departments, services, or medical staff to obtain data needed to complete the records. Complies with DHA coding compliance requirements regarding training and reporting of potential violations.
  • Coding backlog sup

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