Medical Records Technician Coder

This position is pending award

This position will support the US Department of Veterans Affairs Critical Staffing Program.  The person in this position will represent International SOS Government Medical Services Inc. and provide services outlined below:

Provide facility inpatient coding using International Classification of Diseases Tenth Revision Clinical Modification (ICD-10-CM) and International Classification of Diseases Tenth Revision Procedure Coding System (ICD-10-PCS) to ensure accurate Diagnosis-Related Group (DRG) assignment compliant billing and protection of Protected Health Information (PHI) under Department of Veterans Affairs (VA) Veterans Health Administration (VHA) directives and the Health Insurance Portability and Accountability Act (HIPAA). Maintain data integrity for clinical statistical and reimbursement objectives.

• Code facility inpatient encounters using ICD-10-CM and ICD-10-PCS and current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to support accurate DRG assignment statistics and reimbursement
• Abstract review and validate the complete health record; determine correct principal and secondary diagnoses and procedures for routine new and unusual cases; perform concurrent coding when not final-coding discharges.
• Generate and manage queries to clinicians in Vista Integration Reporting and Revenue (VIRR) to resolve ambiguity or conflicts; close queries within 30 calendar days of discharge or service with documented impact.
• Sustain 95% or greater coding accuracy across ICD-10-CM ICD-10-PCS CPT HCPCS and Evaluation and Management (E/M) when applicable; participate in audits and corrective actions.
• Process record coding within seven (7) calendar days of record availability with a target of greater than 95% compliance.
• Perform 100% data validation of assigned electronic encounters; provide required monthly quality assurance/quality improvement (QA/QI) accuracy completeness training and corrective-action reports to the COR.
• Meet regularly with the COR and the CO to review timeliness accuracy completeness and issue resolution; maintain open professional communication with stakeholders.
• Follow the ICD-10 Official Coding Guidelines American Hospital Association (AHA) Coding Clinic CPT Assistant National Correct Coding Initiative (NCCI) and Centers for Medicare & Medicaid Services (CMS) billing guidance; remain current with updates.
• Safeguard PHI and comply with HIPAA the Privacy Act VA/VHA policies and The Joint Commission requirements.

Complete required organizational compliance education including assigned requirements that are client-specified for Joint Commission Healthcare Staffing Services certification or other regulatory bodies.
This list is non-exhaustive and the role holder may be required to undertake additional duties that are not specifically listed above.

Qualifications :

Basic Requirements/Certifications American: (must possess at least one and maintain from the Health Information Management Association (AHIMA)
 

• Registered Health Information Technician (RHIT)
• Certified Coding Specialist (CCS) or Certified Coding SpecialistPhysician-based (CCS-P)
• Registered Health Information Administrator (RHIA)
• American Academy of Professional Coders Certified Professional Coder (CPC)

Experience:

• Minimum three (3) years of continuous coding experience in a facility with a patient population equal to or greater than the VA
• Technical Proficiency
• DRGs ICD-10-CM ICD-10-PCS CPT HCPCS
• VA systems: Veterans Health Information Systems and Technology Architecture (VistA) Computerized Patient Record System (CPRS) and Vista Integration Reporting and Revenue (VIRR)
• Use of Evaluation and Management (E/M) calculator when mandated

Education Required:

• High school diploma or equivalent
• Physical Requirements:
• Work is normally performed in a typical interior/office work environment
• Work involves sitting and standing for prolonged periods of time
• May require bending stooping and lifting up to 15 lbs

Other Special Qualifications:

• Must be able to read write and speak English to effectively communicate
• US Citizen or Permanent Resident Card is

Additional Information :

Pay range is based on several factors and may vary in addition to a full range of medical financial and/or other benefits. Final salary and offer will be determined by the applicants background experience skills internal equity and alignment with geographical market data.

Benefits Full-time positions are eligible for our comprehensive and competitive benefits package including medical dental vision and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International Health and Medical Services complies with all federal state and local minimum wage laws

International Health and Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race color religion gender sexual orientation gender identity national origin age disability genetic information marital status amnesty or status as a covered veteran in accordance with the applicable federal state and local laws. 

Remote Work :

No

Employment Type :

Full-time