Inpatient Medical Coder

Certifications Required Current coding certification in good standing from EACH of the following categories: Professional Services Coding Certifications: ONE of RHIT, RHIA, CPC, or CCS-P Institutional (Facility) Coding Certifications: ONE of RHIT, RHIA, COC, or CCS *Candidates with "apprentice" and/or "associates" status of certification will not be accepted Experience Required A Inpatient medical coder must have: A minimum of four (4) to 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 three (3) years of medical coding or auditing experience if that experience was in a Military Treatment Facility.
*Candidates terminated by a contractor from a prior DoD coding contract within the past three (3) years for performance or conduct issues will not be accepted.
Education Candidates in this position are required to possess post-high school education or training from ONE of the following: Education Candidates in this position are required to possess post-high school education or training from ONE of the following: An Associate’s 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.
Performance Outcomes 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 in accordance with 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.
Other Knowledge, Skills, and Abilities Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), and Procedural Coding System (PCS); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT), as used in institutional and professional services medical coding.
Advanced knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); 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 is 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.
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: https://aaionline.
us/ Our benefits include: • Paid Federal Holidays • Medical Stipend • 401a plan • 401k plan • Paid vacation and sick leave • Continuing education assistance • Short Term / Long Term Disability & Life Insurance.
Veterans are encouraged to apply.
We are an equal-opportunity employer.