Remote Medical Coder II

Compass Government Solutions LLC is looking for a highly experienced and detailoriented Remote  Medical Coder II/Auditor eager to be included in our proposal as an interested and skilled individual to service the Defense Health Agency (DHA). Successful candidates will be responsible for accurately coding and auditing medical records across multiple specialties ensuring compliance with all applicable regulations and maximizing reimbursement. This role requires advanced knowledge of coding systems and reimbursement methodologies as well as a strong commitment to accuracy and efficiency.

Job Requirements:

• Ensure coding accuracy completeness productivity and timeliness in accordance with DHA standards and DoDI 6040.42.
• Code records for services in areas such as Laboratory Radiology and Dental.
• Assign correct Ambulatory Payment Classifications (APCs) and Relative Value Units (RVUs) for accurate reimbursement or workload credit.
• Perform coding tasks within MHS GENESIS and other military coding systems 3M Encompass 360 Joint Legacy Viewer (JLV).
• Research and resolve coding edit failures as assigned.
• Apply advanced knowledge of ICD10CM HCPCS and CPT coding systems for both institutional and professional medical coding.
• Utilize advanced knowledge of reimbursement systems including PPS APCs and RBRVS to ensure accurate billing and revenue capture.
•  Apply expert understanding of industry nomenclature medical and procedural terminology anatomy physiology pharmacology and disease processes to coding and auditing tasks.
• Demonstrate practical knowledge of medical specialties medical diagnostic and therapeutic procedures and ancillary services (Laboratory Dental Occupational Therapy Physical Therapy Radiology) in relation to medical coding.
•  Apply practical knowledge of revenue cycle management concepts to medical coding practices.
•  Maintain compliance with government and commercial reimbursement guidelines and regulations including The Federal Register CMS Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs) National Correct Coding Initiative (NCCI) guidance manuals and edits InternetOnly Manuals (IOMs) HHSOIG publications and reports.
• Conduct coding audits identifying and correcting errors and mitigating fraud and abuse risks.
• Implement and support clinical documentation improvement initiatives.
• Contribute to continuous process improvement efforts within the medical coding department.
•  Utilize practical knowledge of EHR systems and workflows related to medical coding.

Preferred Qualifications:

• Strong analytical and problemsolving skills.
• Excellent communication and interpersonal abilities. 
• Proficiency in medical coding software and electronic health record systems.

Incumbents encouraged to apply.

Qualifications :

Education:

• High School Diploma or equivalent
• Minimum of four 4 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 of two 2 years of medical coding or auditing experience if that experience was in a Military Treatment Facility (MTF).
• A minimum of one 1 year of documented performance in a medical specialty is required to be considered qualifying.
• Strong knowledge of ICD10CM HCPCS and CPT coding systems.
• Understanding of ambulatory payment classifications (APCs) and other relevant reimbursement methodologies.
• Knowledge of medical terminology anatomy and physiology.
• Strong attention to detail and accuracy.
• Excellent analytical and problemsolving skills.  
• Completion of a recognized coding certification preparation course through the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA); OR
• Completion of an advanced medical training course (e.g. for medical technicians hospital corpsmen) from the Armed Forces or U.S. Maritime Service.

Certification:

• One of the following coding certifications: Certified Professional Coder (CPC) Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) or Certified Coding Specialist Physician (CCSP); AND
•  One recognized institutional coding certification: Certified Outpatient Coder (COC) RHIT RHIA or Certified Coding Specialist (CCS); AND
• One E&M coding certification: Certified Evaluation and Management Coder (CEMC) or NAMAS Certified Evaluation and Management Auditor (CEMA).

Additional Information :

Some of the benefits offered to our fulltime employees include:

• Competitive Salary
• Accrued paid time off
• Paid Federal Holidays
• Health and Wellness benefit to help cover medical costs
• Dental and Vision Plans
• 401k Plan

EOE AA M/F/Vet/Disability

Remote Work :

Yes

Employment Type :

Fulltime