1,607 Medical Coding Specialist jobs in the United States

Job Description

Minnesota Urology is looking for a dedicated Coding Specialist to join our team!

Monday- Friday

No Weekends, Holidays, or Evenings

Eligible for Hybrid Work Options after minimum of 90 days in office

PRIMARY OBJECTIVE:

To accurately link ICD-10, CPT and HCPCS codes to daily charges, ensure ICD-10, CPT and HCPCS codes are updated and reviewed regularly for accuracy, monitor physician and physician extender coding practices, and ensure that all charges are accounted for and entered in a timely manner.

ESSENTIAL SKILLS/ABILITIES TO EFFECTIVELY PERFORM RESPONSIBILITIES:

• Represent Minnesota Urology in a professional manner related to appearance, communication and the maintenance of patient and company confidentiality.
• Ability to work as a team member.
• Ability to communicate effectively and compassionately with patients, co-workers, management, and providers.
• Ability to effectively incorporate the use of technology into day-to-day tasks (Outlook, Microsoft Office Suite, NextGen and UroChart).
• Alpha and 10-key proficient
• Ability to examine medical documents for accuracy and completeness.
• Ability to prepare records in accordance with detailed instruction.
• Ability to analyze work methods to effectively organize work, make improvements, and correct problems.
• Ability to multi-task and switch gears based on workflows and situations requiring immediate action.
• Remain up-to-date and knowledgeable of coding procedures as well as remains current with federal legislative changes that affect outcomes.
• Knowledge of basic insurance policies, procedures and reimbursement practices
• Supportive of the goals and objectives of Minnesota Urology.
• Consistent attendance and punctuality.

EDUCATION/TRAINING/LICENSURE:

• Completion in one of the following programs required within first year of starting in the position:
• CPC through AAPC
• CCS though AHIMA
• RHIT through AHIMA
• RHIA through AHIMA
• Two or more years of coding experience preferred.
• Previous independent specialty physician practice experience preferred.
• Previous EMR experience required. Experience with Athena preferred, not required.

Minnesota Urology P.A. is an Equal Opportunity Employer.

This is a full-time, 1.0 FTE position that is remote. Applicants hired into this position can work from most states. This will be discussed during the interview process.

To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states.

Approved Remote Work States Listing

Be part of something remarkable

Join the #1 hospital in Wisconsin!

We are seeking a Medical Coding Specialist II - Inpatient to:

• Determine and assign ICD-10-CM diagnosis codes, in addition to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes.
• Identify cases with clinical indicators that may require provider documentation clarification and/or specificity in order to accurately assign codes; collaborate with CDIS team as part of the clinical documentation validation and physician query workflows.

• An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
• Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
• Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.

• High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required

Work Experience

• 2 years of progressive inpatient facility coding experience Required
• 2 years or more of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center Preferred

Licenses & Certifications

• Certified Coding Specialist (CCS) Upon Hire Required or
• Certified Inpatient Coder (CIC) Upon Hire Required
• Registered Health Information Technician (RHIT) Preferred
• Registered Health Information Administrator (RHIA) Preferred

Our commitment to Social Impact and Belonging

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Job Description

UW Hospital and Clinics benefits

This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process.

To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states.

Approved Remote Work States Listing

Be part of something remarkable

Join the #1 hospital in Wisconsin!

We are seeking a Medical Coding Specialist II to:

• Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
• Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.

• An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
• Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
• Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.

• High School Diploma or equivalent Required and
• Medical Coding Education Required
• Associate's Degree in a healthcare related field Preferred

Work Experience

• 1 year of progressive coding experience Required
• 2 years of progressive coding experience in multiple specialties Preferred

Licenses & Certifications

• Certification as Certified Professional Coder (CPC) Required
• Certified Outpatient Coder (COC) Required
• Certified Inpatient Coder (CIC) Required
• Certified Coding Specialist (CCS) Required or
• Certified Coding Specialist Physician-Based (CCS-P) Required or
• Certified Coding Associate (CCA) Required
• Registered Health Information Technician (RHIT) Preferred
• Registered Health Information Administrator (RHIA) Preferred

Our Commitment to Social Impact and Belonging

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

View Full Job Description

UW Hospital and Clinics benefits

To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states.

Approved Remote Work States Listing

Be part of something remarkable

Join the #1 hospital in Wisconsin!

We are seeking a Medical Coding Specialist II to:

• Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
• Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.

At UW Health, you will have:

• An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
• Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
• Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.

Qualifications

• High School Diploma or equivalent and medical coding education Required or
• In lieu of a medical coding education, an active coding certification Required
• Associate's Degree in a healthcare related field Preferred

Work Experience

• 1 year of progressive coding experience (For HCC-specific roles, experience must be specific to HCC) Required
• 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred

Licenses & Certifications

• Certified Professional Coder (CPC) Upon Hire Required or
• Certified Outpatient Coder (COC) Upon Hire Required or
• Certified Inpatient Coder (CIC) Upon Hire Required or
• Certified Coding Specialist (CCS) Upon Hire Required or
• Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required or
• Certified Coding Associate (CCA) Upon Hire Required or
• Certified Risk Adjustment Coder (CRC) Upon Hire Required or
• Registered Health Information Technician (RHIT) Upon Hire Required or
• Registered Health Information Administrator (RHIA) Upon Hire Required
• Registered Health Information Technician (RHIT) Preferred or
• Registered Health Information Administrator (RHIA) Preferred

Our Commitment to Social Impact and Belonging

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Job Description

UW Medical Foundation benefits

Approved Work States Listing

Be part of something remarkable

Join the #1 hospital in Wisconsin!

We are seeking a Medical Coding Specialist II to:

• Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
• Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.

• An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
• Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
• Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.

• High School Diploma or equivalent and medical coding education Required or
• In lieu of a medical coding education, an active coding certification Required
• Associate's Degree in a healthcare related field Preferred

Work Experience

• 1 year of progressive coding experience (For HCC-specific roles, experience must be specific to HCC) Required
• 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred

Licenses & Certifications

• Certified Professional Coder (CPC) Upon Hire Required or
• Certified Outpatient Coder (COC) Upon Hire Required or
• Certified Inpatient Coder (CIC) Upon Hire Required or
• Certified Coding Specialist (CCS) Upon Hire Required or
• Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required or
• Certified Coding Associate (CCA) Upon Hire Required or
• Certified Risk Adjustment Coder (CRC) Upon Hire Required or
• Registered Health Information Technician (RHIT) Upon Hire Required or
• Registered Health Information Administrator (RHIA) Upon Hire Required
• Registered Health Information Technician (RHIT) Preferred or
• Registered Health Information Administrator (RHIA) Preferred

Our Commitment to Social Impact and Belonging

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Job Description

UW Medical Foundation benefits

Job Title: Medical Billing and Coding SpecialistJob Type: TemporaryPay: $25.00 - $28.00 per hourExpected hours: 40 per weekLocation: FairfaxReady for your next opportunity? PrideStaff is looking for a detail-oriented and experienced Medical Billing and Coding Specialist to join a thriving healthcare team in Fairfax! Do you need a fresh start in your career? Give us a call at . or apply directly to this posting for immediate consideration!If you are a meticulous professional with a passion for accuracy and a deep understanding of the healthcare revenue cycle, we want to connect with you. This is more than just a job; it's a chance to become a vital part of a team that values precision and dedication. Medical Billing and Coding Specialist - Job Responsibilities:Accurately translating medical diagnoses, procedures, and services into universal medical codes (ICD-10-CM, CPT, HCPCS).Creating, submitting, and tracking insurance claims to various payers in a timely manner.Diligently following up on unpaid, rejected, or denied claims, and investigating and appealing discrepancies.Reviewing patient bills for accuracy and completeness, and obtaining any missing information.Serving as a knowledgeable point of contact for patient billing inquiries, explaining benefits, and setting up payment plans when necessary.Ensuring all billing and coding practices are in full compliance with HIPAA, state, and federal regulations.Posting payments from insurance companies and patients, and reconciling accounts.Generating financial reports related to billing, collections, and accounts receivable.Medical Billing and Coding Specialist - Qualifications and Skills:Minimum of 2+ years of hands-on experience in medical billing and coding.Certification is highly preferred. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Biller (CPB) are a major plus.Proficiency in using Electronic Health Records (EHR) and medical billing software (e.g., Epic, Cerner, eClinicalWorks, etc.).Strong knowledge of medical terminology, anatomy, and physiology.In-depth understanding of ICD-10, CPT, and HCPCS coding systems and guidelines.Excellent attention to detail and a high degree of accuracy is essential.Strong organizational and time-management skills, with the ability to prioritize and manage multiple tasks effectively.Solid communication and interpersonal skills for interacting with patients and insurance carriers.Here is a comprehensive and compelling job post for a Medical Billing and Coding Specialist, crafted in the signature style of PrideStaff.Benefits:401(k)Dental insuranceHealth insurancePaid time offVision insuranceJoin Us.PrideStaff Company OverviewPrideStaff is dedicated to helping you succeed! Our team of consultants provides valuable employment market insights and resources to support you on your career journey. We have assisted tens of thousands of individuals in finding exceptional career growth opportunities over the years. At PrideStaff, we prioritize building relationships and advocating for you with our network of employers nationwide. Our recruiters are committed to guiding you with career tools and resources. PrideStaff is an Equal Opportunity Employer. We are committed to providing a workplace free from discrimination and harassment of any type, including but not limited to, discrimination based on race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, veteran status, or genetic information.

Job Description

MEDICAL BILLING CODING SPECIALIST  

We encourage Military Veterans and Military Spouses to apply

SITE OF SERVICE:

DOJ (Department of Justice Prison) – Butner, NC (Onsite at DOJ)

Federal Correctional Complex (FCC) located in Butner, North Carolina at Old NC Highway 75, Butner, NC 27509.

QUALIFICATIONS:

Experience: Possess 2 years of experience in a healthcare or insurance environment

Certification : Must have one of the following certifications:

·   Registered Health Information Administrator (RHIA)

·   Registered Health Information Technician (RHIT)

·   Certified Coding Specialist (CCS)

·   Certified Coding Assistant (CCA)

·   Certified Professional Coder (CPC)

CORE RESPONSIBILITIES:

·   Requires strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient in database software.

·   Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited to:

o  Medicare Inpatient Prospective Payment System

o  Medicare Outpatient Prospective Payment System

o  Medicare Ambulatory Surgical Center Payment Rates

o  Medicare Part B Physician Fee Schedule

o  Medicare Anesthesia Physician Services

o  Medicare Clinical Laboratory Fee Schedule

o  Medicare Drugs and Biological Payment Amounts

·   Utilizing automated records of ingress and egress for each facility at the FCC, the contractor shall verify time worked for other contract staff providing services at the FCC.

·   Utilizing Medicare National Correct Coding Initiative (NCCI) coding principles, the selected applicant shall verify that invoices for medical care to inmates provided by contracted medical services providers are coded appropriately based upon the care documented in the inmates’ medical records.

·   Utilizing Medicare Part A and Part B payment regulations and payment recommendations from a third party adjudicator, the selected applicant shall verify that invoices for the provision of medical care to inmates which have been determined to have been properly coded are also billed appropriately in accordance with the contracted terms and conditions of the contract under which the medical services were provided.

·   Utilizing contracted rates provided by the Government, the selected applicant shall verify that invoices for services performed at the FCC by other contracted medical services providers are accurately billed based upon the inclusion of approved/verified time sheets, the application of correct unit prices to the number of hours billed, and the overall total calculation.

·   Utilizing knowledge of Medicare coding and billing standards and procedures, selected applicant shall investigate all inconsistencies in invoices identified by third party adjudicator.

·   Other duties will include, but are not limited to filing, composing memoranda, maintaining suspense files, data entry, and preparation of cost analysis, financial obligations reconciliations, budget and expenditures tracking.

HOURS:

The work schedule will be 30 hours per week, Monday through Friday, excluding federal holidays. The schedule will include a ½ hour unpaid lunch break.

SPECIAL REQUIREMENTS/SKILL

Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.

MEDICAL BILLING CODING SPECIALIST  

SITE OF SERVICE:

DOJ (Department of Justice Prison) – Butner, NC (Onsite at DOJ)

Federal Correctional Complex (FCC) located in Butner, North Carolina at Old NC Highway 75, Butner, NC 27509.

QUALIFICATIONS:

Experience: Possess 2 years of experience in a healthcare or insurance environment

Certification : Must have one of the following certifications:

·   Registered Health Information Administrator (RHIA)

·   Registered Health Information Technician (RHIT)

·   Certified Coding Specialist (CCS)

·   Certified Coding Assistant (CCA)

·   Certified Professional Coder (CPC)

CORE RESPONSIBILITIES:

·   Requires strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient in database software.

·   Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited to:

·   Medicare Inpatient Prospective Payment System

·   Medicare Outpatient Prospective Payment System

·   Medicare Ambulatory Surgical Center Payment Rates

·   Medicare Part B Physician Fee Schedule

·   Medicare Anesthesia Physician Services

·   Medicare Clinical Laboratory Fee Schedule

·   Medicare Drugs and Biological Payment Amounts

·   Utilizing automated records of ingress and egress for each facility at the FCC, the contractor shall verify time worked for other contract staff providing services at the FCC.

·   Utilizing Medicare National Correct Coding Initiative (NCCI) coding principles, the selected applicant shall verify that invoices for medical care to inmates provided by contracted medical services providers are coded appropriately based upon the care documented in the inmates’ medical records.

·   Utilizing Medicare Part A and Part B payment regulations and payment recommendations from a third party adjudicator, the selected applicant shall verify that invoices for the provision of medical care to inmates which have been determined to have been properly coded are also billed appropriately in accordance with the contracted terms and conditions of the contract under which the medical services were provided.

·   Utilizing contracted rates provided by the Government, the selected applicant shall verify that invoices for services performed at the FCC by other contracted medical services providers are accurately billed based upon the inclusion of approved/verified time sheets, the application of correct unit prices to the number of hours billed, and the overall total calculation.

·   Utilizing knowledge of Medicare coding and billing standards and procedures, selected applicant shall investigate all inconsistencies in invoices identified by third party adjudicator.

·   Other duties will include, but are not limited to filing, composing memoranda, maintaining suspense files, data entry, and preparation of cost analysis, financial obligations reconciliations, budget and expenditures tracking.

HOURS:

The work schedule will be 30 hours per week, Monday through Friday, excluding federal holidays. The schedule will include a ½ hour unpaid lunch break.

SPECIAL REQUIREMENTS/SKILL

Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.

LUKE is an Equal Opportunity employer.

Links:

To learn more about LUKE, please visit our website at:

Powered by JazzHR

LJbvSMjFes

Job Description

Salary: $27.00

MEDICAL CODING MODERNIZATION SPECIALIST

Pearl Harbor, HI

AAI is actively recruiting a Medical Coding Modernization Specialist. This position will support coding operations and compliance as part of the Medical Modernization Program. The coding professional will conduct internal audits; monitor coding practices and documentation deficiencies to identify, develop, deliver training and monitor effectiveness of efforts to ensure improvement to documentation, coding completion, timeliness and accuracy rates for the MTF.

RESPONSIBILITIES

• Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-CM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and, ResourceBased Relative Value Scale (RBRVS).
• Knowledge of and the ability to interpret guidelines, rules and regulations developed by: Centers for Medicare & Medicaid Services (CMS), American Medical Association (AMA), American Heart Association (AHA) and other applicable Federal requirements so as to provide timely and accurate information relating to coding, billing and documentation.
• Excellent oral and written communication skills, interpersonal skills along with the confidence to present complex medical coding issues and educational instruction to a diverse audience. Must be comfortable in front of high ranking, professional staff and coding peers to training and respond to questions.
• Ability to write reports, business correspondence, and procedure manuals.
• Organizational, analytical, time management, statistical, and problem-solving skills.
• Advanced knowledge of computers, keyboard skills, and various software programs including Microsoft (word processing, spreadsheet and database) as well as coding software programs.
• Medical Coding Modernization Specialists will maintain the required continuing education hours and credentials as required by their national association certification at their own expense.
• Work Environment/Physical Requirements. The work is primarily sedentary. Requirements may include prolonged walking, standing, sitting, or bending. Carrying or lifting of medical records or documentation may be required daily. Use of one or more computer programs and monitors simultaneously is typical and frequent.
• Assists the MTF in identifying medical coding deficiencies by analyzing documentation and coding practices that may be misrepresenting or incorrectly capturing medical care activities.
• Analyzes historical encounter documentation and coding records from Government computer systems and medical records to identify clinical documentation improvement (CDI) and training opportunities.
• Compares documentation to code application to ensure accuracy. Tracks deficiencies for trending and corrective action.
• Collaborates with MTF leadership, MTF providers/staff, and other coding professionals related to the performance of tasks to address recurring documentation and coding deficiencies, Contacts providers to review findings to improve documentation practices as well as E&M leveling, capturing medical procedures and to improve diagnosis specificity issues IAW with coding guidelines.
• Develops focused training presentations from thorough analysis as outlined in the MTF modernization action plan. Seeks Government approval prior to delivering Government scheduled training to MTF providers and other staff.
• Creates and submits training activity reports to the MTF leadership. Presents reports to the Government weekly and identifies scheduling issues and obstacles to meeting improvement objectives.Creates monthly reports showing completed activities and improvement to metrics

Education/Certification:
1. Successful completion of academic requirements, at least at an associate's degree level from a health information management program is required.
2. A Registered Health Information Technician (RHIT) or equivalent certification is required.

1. Must have successfully completed requirements for International Classification of Diseases, Tenth Revision ICD-10-CM/PCS proficiency certification by AHIMA standards or the AAPC ICD-10-CM proficiency test prior to their start date if an equivalency determination request for AAPC certification(s) is authorized by the Government.

Experience:

• Candidates will require a minimum of 10 years of medical coding experience in production coding environments within the past 10 years, in more than 4 medical and surgical specialties, involving assignment of ICD, E&M, CPT, and HCPCS codes. Coding, auditing and training for ancillary services such as physical, occupational therapy, speech, and nutritional medicine as well as home health, skilled nursing facilities, rehabilitation care and urgent care clinics are not qualifying.
• A minimum of four years of auditing, training, and/or compliance functions within the last eight years is required in at least 4 medical and surgical specialties as stated above OR candidates with three years of auditing, compliance, or training experience involving professional coding within the last five years in a DoD coding environment may be considered in lieu of 10 years for those without DoD experience. Auditing, compliance, or training experience is described as:

1. Auditing functions include development and execution of audit plan, conducting audit according to audit plan by reviewing required documentation and determining compliance with audit standards, communicating with stakeholders during all phases of audit, and reporting on audit findings.
2. Training functions include identifying coding training opportunities; developing coding training plans, and development/delivery of coding training to coder and physician/provider audiences.
3. Compliance functions include identifying compliance issues and analyzing practice patterns and recommending changes to policies and procedures; recommending/updating standard policies and procedures; contribute to risk assessments and mitigation strategies; and data collection and statistical report generation.

UNIQUE MILITARY HEALTH CARE DYDTEMD/PROCEDURED:

• Armed Forces Health Longitudinal Technology Application (AHLTA).
• Composite Health Care System (CHCS) and/or MHS GENESIS.
• Defense Enrollment Eligibility Reporting System (DEERS).
• Essentris The client-server version of the Clinical Information System (CIS).
• Coding Compliance Editor (CCE).
• Biometric Data Quality Assurance Service (BDQAS)-
• AFMS Internal Coding Audit Methodology AFMOA Audit Tool/Coding Audit Review System (CARS), or current tool.
• MHS Coding Guidelines
• AFMS Centralized Coding Manual.

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, Montgomery, AL, Washington DC and Atlanta.

Fully qualified candidates are welcome to apply directly on our website at:

Our benefits include:

• Paid Federal Holidays
• Robust Healthcare and 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.