Medical Coder II

OUTPATIENT MEDICAL CODER

POSITION ONSITE AT Groton, CT or Newport, RI

SUMMARY: Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.

Education/Certification. The following are recognized certifications from American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC): Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), CCS-P (Certified Coder Specialist - Physician (CCS-P) with the appropriate level of experience.

Experience. A minimum of three year experience in the outpatient setting (physician's office or ambulatory surgery centers) within the last five years, including assignment of E&M, CPT, and HCPCS codes. Multiple specialties 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, skilled nursing facilities, and rehabilitation care 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. Two years of outpatient/ambulatory surgery experience may be qualifying if received in a military medical facility.

EXCELLENT COMPUTER AND COMMUNICATION SKILLS REQUIRED.

MUST HAVE THE ABILITY TO MANAGE HANDLE MULTIPLE PROJECTS AND APPROPRIATELY PRIORITIZE TASKS TO MEET DEADLINES.

Prior MTF coding experience desirable.

MUST PROVIDE PROOF OF IMMUNIZATIONS, including COVID -19 VACCINE. FACE COVERING REQUIRED.

A SECURITY CLEARANCE (US CITIZENSHIP REQUIRED) MUST BE OBTAINED PRIOR TO STARTING THE POSITION.

This contractor and subcontractor shall abide by the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity or national origin. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.