Ambulatory Medical Coder (Medical Coder II)

Join Decypher and make a direct impact on the health and readiness of Americas service members, veterans, and their families. Since 2008 Decypher has offered healthcare industry professionals careers where their expertise is valued, and their work makes a meaningful impact. Decypher partners with the Defense Health Agency to deliver professional services, technology, and management solutions. Our mission is to provide and support quality care for our veterans, servicemembers and their families, across the United States.

Job Summary: We are looking for Full-time Ambulatory Medical Coder (Medical Coder II)to join us in our mission supporting the Defense Health Agency (DHA). This is more than just a job; its an opportunity to be part of a supportive and dynamic environment where your skills and passion can truly shine. If you are enthusiastic about continuously enhancing your coding skills and demonstrate unwavering dedication to achieving excellence together, you may be the perfect fit for our team.

Required Qualifications:

• Experience:

  • 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

  • Minimum of two (2) years of medical coding or auditing experience if that experience was in an MTF

  • A minimum of one (1) year of performance in the specialty is required to be documented to be considered qualifying.

• Education: Completion of ONE of the following:

  • Associate's Degree or higher in Health Information, Healthcare Administration, or Biological Science

  • University Certificate in medical coding

  • At least 30 semester hours university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, or pharmacology

  • Successful completion of 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.

  • 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

• Certification: ONE of the following recognized professional coding certifications:

  • Certified Professional Coder (CPC)

  • Registered Health Information Technician (RHIT)

  • Registered Health Information Administrator (RHIA)

  • Certified Coding Specialist Physician (CCS-P)

  • AND ONE of the following recognized institutional coding certifications:

    • Certified Coding Specialist (CCS)

    • Registered Health Information Administrator (RHIA)

    • Registered Health Information Technician (RHIT)

    • Certified Outpatient Coder (COC)

• Medical Coding Test: minimum 80% passing score

Key Responsibilities:

• Accurately assigns diagnosis and procedure codes for inpatient facility and professional services.
• Performs necessary tasks within MHS GENESIS® and other military coding systems.
• Accurately 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).
• Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies.
• Assigns accurate codes to encounters based upon provider responses to coding queries.
• Supports DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification through appropriate channels.
• Upon DHA-MCPB direction, utilizes MHS computer systems to remotely access patient records and assign codes for patient encounters in support of other MTFs.
• Achieve and maintain DHA coding productivity and accuracy standards for the position.
• Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance.
• Acts as a source of reference to medical staff having questions, issues, or concerns related to coding.
• Responds to provider questions and provides examples of appropriate coding and documentation reference(s) to provide clarity and understanding.
• Collaborates with and supports medical coding auditors, trainers, and compliance specialists in providing education and feedback to providers and staff

Compensation & Benefits: Up to $32.37 per hour + Health & Wellness

We are currently hiring in:

AK,AL,AR,AZ,CA,CO,FL,GA,HI,IL,IN,KS,LA,MD,ME,MO,MS,NC,NE,NM,NV,OH,OK,SC,TN,TX,UT,VA,WA

Decypher is an equal opportunity and affirmative action employer committed to a diverse and inclusive workforce (M/F/D/V)