Medical Coder

• Assign Evaluation and Management (E&M) codes International Classification of Diseases Clinical Modification (ICD-CM) diagnoses Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) modifiers and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of outpatient primary care encounters.
• Review encounter and/or record documentation to identify and resolve inconsistencies ambiguities or discrepancies that may cause inaccurate coding medico-legal repercussions or impacts quality patient care.
• Educate and provide feedback to providers and clinical staff to resolve documentation issues to support coding compliance.
• Assign accurate codes to encounters based upon provider responses to coding queries.
• Support DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance including seeking clarification through appropriate channels.
• Use MHS computer systems to remotely access patient records and assign codes for patient encounters in support of other Facilities.
  

• You will be the expert source of reference for medical staff having questions issues or concerns related to coding.
• Collaborate effectively with healthcare team members and patients to enhance care and resolve concerns.
• Youll respond to provider questions and provides examples of appropriate coding and documentation reference(s) to provide clarity and understanding.
• Youll collaborate with and supports medical coding auditors trainers and compliance specialists in providing education and feedback to providers and staff.
• Participate in staff development programs cross-training initiatives and performance improvement activities.
  

• Maintain accurate timely and concise patient records both manual and electronic.
• Engage in self-directed learning continuing education and competency validation.
• Contribute to the orientation training and evaluation of newly assigned personnel.
• Comply with legal regulatory and FCI-specific policies in all aspects of patient care.

• You thrive in a secure environment managing detailed healthcare records.
• You communicate effectively and professionally with patients and multidisciplinary teams.
• You are mission-focused and want to make a meaningful difference in the lives of incarcerated inmates.
• You are adaptable collaborative and eager to support a culture of continuous learning.

• Education: Completed a university or technical school program resulting in completion of ONE of the following:
  • 1) An Associates degree or higher in Health Information Management Healthcare Administration or a biological science; OR
  • 2) A university certificate in medical coding; OR
  • 3) At least 30 semester hours university/college credit that includes relevant coursework such as anatomy/physiology medical terminology health information management and/or pharmacology; OR
  • 4) 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
  • 5) 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.
• Experience and Certification: 2 Years of experience in a healthcare or insurance environment and at a minimum of a certificate in one of the following:
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialist (CCS)
  • Certified Coding Assistant (CCA)
  • Certified Professional Coder (CPC)
• Have a thorough knowledge of Medicare payment principles including: 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 and Medicare Drugs and Biological Payment Amounts.
• Proficient in database software.
• Requires strong analytical organizational and customer service skills.
• Strong oral and written communication skills.
• The individual selected to perform these services must be able to pass a drug screening and law enforcement agency background check to include credit checks.
• Experience in clinical correctional setting (preferred).
• Ability to complete FCI credentialing and screening requirements and have a favorable credit report.
  

• Supportive collaborative team environment with ongoing professional development.
• Help keep communities safe providing expert support to U.S. correctional facilities.
• A culture that values your skills expertise and input.

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French Consulting is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race color ancestry religion sex national origin sexual orientation age citizenship marital status disability gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories consistent with legal requirements.