Full-Time Medical Coding Specialist

Day-to-day Responsibilities:

• Provide remote coding services for outpatient facility and professional services, which includes accurately assigning diagnosis and procedure codes for ambulatory/outpatient, Emergency Department, outpatient specialty, recurring, ancillary, and any other outpatient encounter types.
• Complete a minimum of 80-100 records per day, depending on complexity, while ensuring full compliance with client standards for accuracy, completeness, productivity, and timeliness as contained in DoDI 6040.42 (Management Standards for Coding of Department of Defense (DoD) Health Records).
• Code outpatient records with correct and optimal diagnosis codes and Relative Value Units (RVUs) to effectively capture workload credit, drive full reimbursement for services, and ensure ethical, accurate, and complete coding.
• Complete all necessary tasks within MHS GENESIS® (Cerner Millenium) and other military coding systems (e.g., 3M Encompass 360 and Joint Legacy Viewer (JLV)) to accurately move encounters through the revenue cycle.
• Code assigned records for outpatient visits within three (3) business days of placement in the coding task queue.
• Assess and examine records, as necessary, for the proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained.
• Resolve documentation issues by consistently coordinating with clinicians via queries to gather necessary information and drive full compliance with client policy, prescribed workflows, and coding standards.
• Monitor query submission, response times, and completion of clinician requests to support continuous improvement.
• Perform due diligence to support compliance with client coding standards by ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification from the Lead Medical Coder, supervisor, or client-Medical Coding Program Branch (MCPB) when necessary.

Required Skills:
Cerner Millennium; HIM - Electronic Patient Health Record; Electronic Health Records (EHR); ICD-10; ICD-10-CM; Medical Billing and Coding; Healthcare Common Procedure Coding System (HCPCS); Medical Coding; Medical Coding Compliance; Outpatient Coding; Supporting.

Preferred Skills:

• Prior Military Health System coding experience
• Practical knowledge of electronic health record (EHR) systems and workflows pertaining to medical coding, with preferred demonstrated experience in MHS GENESIS/Cerner Millennium products, 3M360, and Joint Legacy Viewer (JLV).
• Practical knowledge of rules and regulations regarding medical coding, reimbursement guidelines, and healthcare fraud, including The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage Determinations (LCD) and National Coverage Determinations (NCD), National Correct Coding Initiative (NCCI) guidance, manual, and edits, Internet-Only Manuals (IOMs), and Health and Human Services (HHS) Office of the Inspector General (OIG) publications.
• Knowledge of Health Insurance Portability and Accessibility Act (HIPAA) and DoD regulations on medical records confidentiality.
• Effective oral and written communication skills.