Medical Records Technician Coder III

Koniag Advisory Business Solutions LLC a Koniag Government Services company is seeking a Medical Records Technician Coder III to support KABS and our government customer in Oklahoma OKC. This position requires the candidate to be able to obtain a Public position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health dental and vision insurance 401K with company matching paid holidays paid Vacation paid sick leave and Our Team Where Precision Integrity and Expertise Matter. Koniag Advisory Business Solutions (KABS) is seeking detail-oriented highly capable and motivated Medical Records Coder III professionals to support a large-scale healthcare mission serving hospitals and clinics. This is an opportunity to contribute to a team responsible for coding and billing more than 300000 patient visits where accuracy compliance accountability and sound judgment are this role you will support the integrity of clinical documentation help ensure compliant reimbursement and contribute to continuity of patient care by accurately reviewing records assigning diagnostic and procedural codes and abstracting key clinical information into the appropriate systems. We are looking for coding professionals who are analytical dependable and committed to quality with the ability to work productively in a collaborative healthcare position is well suited for coding professionals who have a strong foundation in medical coding principles and who are ready to apply their skills in a high-volume mission-driven setting while continuing to deepen their Schedule and Hybrid Conditions:This is a hybrid position based in Oklahoma City Oklahoma. We anticipate July 1 as the project kick-off date. During the first few weeks of onboarding and initial training employees are required to work on site full-time Monday through Friday 8:00 a.m. to 5:00 p.m. CT at: 701 Market Dr Oklahoma City OK working hours are generally 9:00 a.m. CT to 3:00 p.m. CT with exact start and end times determined by the Program Manager. Work hours may flex based on client on demonstrated proficiency and successful performance in all areas of responsibility employees may become eligible for telework. Telework is a temporary privilege and may be modified or rescinded at any time due to operational client business or security requirements. Employees approved for telework must:Maintain a dedicated secure home office a reliable high-speed internet within a reasonable commuting distance of Oklahoma to the office at least twice every two weeks and more often as needed for meetings or business purpose of this position is to interpret analyze and assign diagnostic and procedural codes abstract clinical information into the computer database and support determinations regarding appropriate utilization of services and medical necessity for hospital and clinic records including inpatient day surgery observation emergency room and ambulatory care encounters. The coding function provides a primary source for healthcare data and information promotes continuity of medical care and supports compliance with third-party reimbursement policies regulations and accreditation guidelines. Under general supervision the Medical Records Coder III performs coding and abstracting functions of moderate to advanced complexity and supports documentation accuracy coding compliance and efficient health information management Responsibilities:Medical Record Analysis:Reviews written dictated and electronic clinical documentation to ensure required components of the ambulatory or inpatient visit record are quantitative and qualitative analysis of medical records for consistency adequacy and records to confirm diagnoses procedures and supporting documentation are present and appropriately inconsistencies omissions or discrepancies in the medical record and escalates questions as with provider queries related to clarification specificity medical necessity and documentation documentation quality improvement efforts through accurate review and consistent application of coding rules and Record Coding:Applies knowledge of anatomy and physiology disease processes pharmacology diagnostic and procedural terminology and coding guidelines to assign accurate diagnosis and procedure encoder tools coding books approved references and system resources to assign and sequence ICD-10-CM ICD-10-PCS CPT and HCPCS records to ensure diagnoses and procedures documented by the provider are valid complete and appropriately secondary diagnoses complications and co-morbid conditions to support complete and accurate code provider documentation to support appropriate Evaluation and Management (E&M) level assignment and correct CPT and HCPCS in coding quality reviews internal audits and peer review activities as required productivity and accuracy Support:During peak workloads supports health information management operations to promote efficiency and accurate logs of completed work and related productivity with weekly error reports and correction of orphaned visits and related database with supervisors coding staff and related personnel to support efficient professionally with business office staff and other stakeholders regarding coding and reimbursement matters as providers and staff as appropriate with record completion and correction of documentation Qualifications:High school diploma or equivalent plus 3 or more years of experience in medical coding medical records or health information management; or an associate or bachelor degree in Health Information Management Medical Coding or a related field with 1 or more years of relevant coding of an accredited Health Information Management or Medical Coding coding certification such as CCS CPC RHIT or equivalent knowledge of ICD-10-CM/PCS CPT HCPCS and related coding of coding guidelines reimbursement principles and documentation with electronic health record systems and coding and encoder attention to detail analytical skills and organizational Qualifications or Experience:Experience working in Indian Health Service or other federal tribal or hospital-based healthcare with RPMS/EHR health information management workflows and outpatient and inpatient coding of Medicare and Medicaid billing and reimbursement with HIPAA regulations and healthcare compliance to develop positive working relationships with providers business office staff and fellow coding sufficient initiative interpersonal relationship skills and social sensitivity such that he or she can relate constructively to Native American and Compliance Requirements:You must be able to obtain and maintain a favorable Tier II background investigation determination as required by the Indian Health Service (IHS) as a condition of access to IHS facilities systems and data. Employment is contingent upon successful completion of all credentialing fingerprinting identity proofing and security processing required by IHS and any other authorized government must also be able to comply with all applicable medical privacy records confidentiality and IT security requirements governing access to patient information and federal this role you must adhere to HIPAA HITECH the Privacy Act and all IHS privacy and security policies and procedures. This includes protecting electronic and paper records using only authorized systems and approved access methods maintaining workstation and password security completing required privacy and IT security training and immediately reporting any suspected privacy breach security incident or unauthorized Requirements:Must be able to obtain and maintain a favorable Tier II background investigation determination as required by successfully complete all required fingerprinting identity proofing credentialing badge and access complete required privacy HIPAA and IT security training within required timeframes and maintain current status comply with all IHS HHS facility and company privacy confidentiality records management and cybersecurity protect PHI and other sensitive information in both paper and electronic form using required administrative technical and physical immediately report suspected privacy breaches improper disclosures security incidents malware events lost devices or unauthorized use only authorized systems accounts devices software and remote-access maintain workstation password and badge security at all be able to support periodic access reviews audits and compliance Security Requirements:If telework is approved the employee must maintain a dedicated private workspace suitable for handling confidential information and must use only authorized equipment approved connections and secure access methods. Telework may be suspended or revoked at any time if privacy security operational or contractual concerns Documentation and Pre-Employment Submission Requirements:Final candidates will be required to provide documentation and information necessary to support background investigation credentialing and access processing which may include:Government-issued identity documents for identity needed for fingerprinting and background investigation address and prior residence history as history and related verification information as certification and training documentation as other forms or supporting materials required by IHS HHS or authorized security Equal Employment Opportunity PolicyThe company is an equal opportunity employer. The company shall not discriminate against any employee or applicant because of race color religion creed ethnicity sex sexual orientation gender or gender identity (except where gender is a bona fide occupational qualification) national origin or ancestry age disability citizenship military/veteran status marital status genetic information or any other characteristic protected by applicable federal state or local law. We are committed to equal employment opportunity in all decisions related to employment promotion wages benefits and all other privileges terms and conditions of company is dedicated to seeking all qualified applicants. If you require an accommodation to navigate or apply for a position on our website please get in touch with Heaven Wood via e-mail by calling to request Government Services (KGS) is an Alaska Native Owned corporation supporting the values and traditions of our native communities through an agile employee and corporate culture that delivers Enterprise Solutions Professional Services and Operational Management to Federal Government Agencies. As a wholly owned subsidiary of Koniag we apply our proven commercial solutions to a deep knowledge of Defense and Civilian missions to provide forward leaning technical professional and operational solutions. KGS enables successful mission outcomes for our customers through solution-oriented business partnerships and a commitment to exceptional service delivery. We ensure long-term success with a continuous improvement approach while balancing the collective interests of our customers employees and native communities. For more information please Opportunity Employer/Veterans/ Preference in accordance with Public Law 88-352