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INPATIENT MEDICAL CODER-ON SITE

EMS Recruiting San Diego, CA

  • Expired: over a month ago. Applications are no longer accepted.
Job Description

INPATIENT MEDICAL CODER

SUMMARY: Responsible for assignment of accurate ICD codes for diagnoses and procedures. Medical Severity - Diagnostic Related Group (MS-DRG) is automatically assigned by the grouper software) for inpatient stays. Inpatient coders may also be responsible for the assignment of accurate ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities from medical record documentation (paper or electronic) for inpatient professional services (a.k.a, rounds or IBWA encounters). Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.

1 QUALIFICATIONS:
1.1 Mandatory knowledge and skills.

1.1.1 Position requires excellent computer/communication skills for provider and staff interactions.

1.1.2 Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (inpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience.

1.1.3 Candidate must have ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.

1.2 Education/Certification. The following are recognized certifications:

1.2.1 Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), and Certified Coder Specialist (CCS) are acceptable for inpatient coders.

1.2.2 An institution recognized by the American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) must accredit education.

1.2.2.1 CONTINUED EDUCATION REQUIREMENTS: Contract medical coders will obtain the required continued education hours at no expense to the government in order to maintain current and proper national certification(s) required for the position.

1.3 Experience. A minimum of three years inpatient coding experience within the last five years is required. Two year of experience may be qualifying if the two years were in a military treatment facility. Inpatient facility experience should encompass different medical specialties (i.e. Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes. Ancillary specialties (PT/OT, Radiology, Lab, Nutrition, etc.) that usually do NOT use E&M codes do not count as qualifying experience. Additionally, coding, auditing and training exclusively for specialties such as home health will not be considered as qualifying experience. Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, accounts receivable) is not a qualifying factor.

1.4 Work Environment/Physical Requirements. The work is primarily sedentary. Requirements may include prolonged walking, standing, sitting or bending. Carrying or lifting of medical records may be required daily. Use of one or more computer programs and monitors may be required to efficiently accomplish duties.

2 UNIQUE MILITARY HEALTH CARE SYSTEMS/PROCEDURES:

2.1 Armed Forces Health Longitudinal Technology Application (AHLTA)

2.2 Composite Health Care systems (CHCS) and/or MHS GENESIS;

2.3 Defense Enrollment Eligibility Reporting System (DEERS);

2.4 Military Filing System - by sponsor social security number, terminal digit order, color-coded and blocked filing system.

2.5 Contents of a military medical record, layout, sections, family member prefix designation, forms used in a MTF, and the medical record tracking procedures.

2.6 EssentrisTM, the client-server version of the Clinical Information System (CIS)

2.7 Coding Compliance Editor (CCE) Systems

3 PERFORMANCE OUTCOMES:

3.1 Applies ICD codes for diagnoses and procedures (Diagnostic Related Group is automatically assigned by the grouper software) for inpatient stays.

3.2 Identifies and extracts information from medical records (paper or electronic) for special studies and audits, internal and external.

3.3 Interacts with MTF staff to ensure documentation is clear and supports coding assignments. Educates MTF staff through individual or group in-services and training sessions.

3.4 Maintains a delinquency report of missing documentation for inpatient records in order to facilitate completion of work within the required thresholds.

3.5 Ensures all required component parts of the inpatient medical record that pertain to coding are present, accurate and compile with DoD and accreditation requirements.

3.6 Responsible for assignment of accurate E&M, ICD, CPT, and HCPCS codes and modifiers as documented by the attending physician’s IBWA/rounds encounter during the patient hospital stay.

3.7 Identifies and extracts information from medical records (paper or electronic) for special studies and audits, internal and external.

3.8 Maintains a delinquency report and monitor lost IBWA/rounds records for reporting to MTF management.

Job Type: Full-time

Company Description
EMS Recruiting [Empowered Management Solutions Company] is a Direct Hire, Talent Acquisition firm that has mastered the art of attracting talent and hiring with purpose. We work with you to thoroughly discuss your career goals and what you are seeking to accomplish in your next place of employment. We offer resume services, career path strategies, along with insightful tips to help you prepare for your interview and beyond.

EMS-Recruiting specializes in professional, executive, and specialty placements, in areas of:

*IT/CYBER SECURITY-Security or Systems Analyst, SAP, Database Administrator, Database Architect, System and Network Engineers, and more.
*CORPORATE POSITIONS-Business Development, Business Analyst, Executive Administrator, Buyer/Planner, Communication Adviser, Market Analyst, Human
Resources, Supply Chain Management, Accounting Director, Comptroller, Staff Accountant, Tax Accountant, and more.
*SALES & MARKETING-Technical Sales, Social Media Content Manager, Inside/Outside Sales, B2B/B2C, Account Managers, Marketing Specialist, SEO
Management, Web Content Writer, Email Marketing Manager, Brand Management, Market Research, PR/Promotional Manager and more.
*MEDICAL-Director of Nursing, RN/LVN's, Medical Coding & Auditing, Case Managers, Utilization Review, Physicians, Hospital Administrators, and more.
*SKILLED TRADES-Engineering & Construction: Project Managers, Estimators, Field or Project Engineers, Environmental Engineers, Superintendents, and more.

EMS Recruiting

EMS Recruiting [Empowered Management Solutions Company] is a Direct Hire, Talent Acquisition firm that has mastered the art of attracting talent and hiring with purpose. We work with you to thoroughly discuss your career goals and what you are seeking to accomplish in your next place of employment. We offer resume services, career path strategies, along with insightful tips to help you prepare for your interview and beyond. EMS-Recruiting specializes in professional, executive, and specialty placements, in areas of: *IT/CYBER SECURITY-Security or Systems Analyst, SAP, Database Administrator, Database Architect, System and Network Engineers, and more. *CORPORATE POSITIONS-Business Development, Business Analyst, Executive Administrator, Buyer/Planner, Communication Adviser, Market Analyst, Human Resources, Supply Chain Management, Accounting Director, Comptroller, Staff Accountant, Tax Accountant, and more. *SALES & MARKETING-Technical Sales, Social Media Content Manager, Inside/Outside Sales, B2B/B2C, Account Managers, Marketing Specialist, SEO Management, Web Content Writer, Email Marketing Manager, Brand Management, Market Research, PR/Promotional Manager and more. *MEDICAL-Director of Nursing, RN/LVN's, Medical Coding & Auditing, Case Managers, Utilization Review, Physicians, Hospital Administrators, and more. *SKILLED TRADES-Engineering & Construction: Project Managers, Estimators, Field or Project Engineers, Environmental Engineers, Superintendents, and more.

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San Diego, CA
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