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SalaryWhy Join Sierra7?
Sierra7 is a Small Disabled Veteran Owned Business. We were founded in 2009 with the mission of "Serving those who Serve". We recently received the DAV (Disabled American Veteran) award. Also, Sierra7 is ranked No. 457 out of 5,000 fastest growing private companies in America by Inc. Apply today and help us with our mission of "Serving those who Serve".
Benefits:
- Medical/Dental/Vision
- FSA (Flexible Spending Account)
- HSA (Health Savings Account)
- Life Insurance, Voluntary Life Insurance, Voluntary Short- and Long-Term Disability
- Additional Supplemental Medical Benefits
- Critical Care, Hospital Indemnity, Legal Plan, Pet Insurance, Accident
- 401K
- Legal Assistance
- Financial Wellness
- Paid Time Off (PTO)
- Federal Holidays
- Education Reimbursement
- LinkedIn Learning
- Employee Referral Program
About this role:
The Inpatient Medical Coder will support the Military Treatment Facilities (MTFs). The Medical Coder will update patient records with standardized medical information needed for data management, billing, translate physician and medical reports into uniform medical codes.
Position Responsibilities:
- Accurately assigns diagnosis and procedure codes for facility and professional services for:
- Ambulatory Procedure Visit (APV)
- Dental surgical procedures
- Observation, Emergency Department (ED)
- Outpatient ERSA
- Outpatient encounters IAW DHA completeness
- Work may involve areas such as Laboratory, Radiology, and Dental services.
- Code records with correct Ambulatory Payment Classifications (APCs); and Relative Value Units (RVUs) for the Center to receive correct reimbursement or workload credit.
- Performs necessary tasks within MHS GENESIS and other military coding systems to complete encounters.
- Monitors ever-changing 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, medico-legal re-percussions or impacts quality patient care.
- Identifies any problems with legibility, abbreviations, etc., and brings it to the provider’s attention.
- 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.
- Assigns accurate codes to encounters based upon provider responses to queries and reports queries and responses IAW DHA guidance.
- Will be responsible for assignment of accurate E&M, ICD, CPT and HCPCS codes and modifiers from medical record documentation into the Government computer systems.
- 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.
- Complies with DHA coding compliance requirements regarding training and reporting of potential violations.
- Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT)
- Advanced knowledge of reimbursement systems
- 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 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.
- Practical knowledge of clinical documentation improvement and continuous process improvement processes.
- Pass an Inpatient Coding test.
Qualifications:
- An Associate’ degree or higher in Health Care
- Minimum of 5 years of coding experience and 1 year experience in coding Inpatient encounters. 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 be qualifying.
License-Certifications
- Active credential/certification with AAPC or AHIMA from EACH of the following categories:
- Professional Services Coding Certifications: ONE of the following recognized professional coding certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Professional Coder (CPC); or Certified Coding Specialist – Physician (CCS-P).
- Institutional (Facility) Coding Certifications: ONE of the following recognized institutional coding certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Inpatient Coder (CIC), or Certified Coding Specialist (CCS). Other institutional coding certifications will be considered by the DHA-MCPB on a case-by-case basis.
This posting is for prospective candidates only. Unsolicited third-party resume submissions will be considered property of Sierra7, Inc. and will not be acknowledged or returned.
Disclaimer:
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
Sierra7 will not provide sponsorship for employment-based immigration benefits for this position. To be considered for this position all candidates must be a US Citizen. This position is not a C2C opportunity.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
Sierra7 will not provide sponsorship for employment-based immigration benefits for this position. To be considered for this position all candidates must be a US Citizen. This position is not a C2C opportunity.
Sierra7 is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.
Equal Opportunity Employer Veterans Disabled
