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Medical Coder II

Role overview

Qualifications

  • Four years of medical coding and/or auditing experience in two or more medical, surgical, and ancillary specialties within the past 10 years
  • At least ONE of the following: Associate's Degree in Health Information, Healthcare Administration or Biological Science, University Certificate in medical coding, or relevant university coursework
  • Certification: ONE recognized professional coding certification and ONE recognized institutional coding certification
  • Minimum 80% passing score on Medical Coding Test

Responsibilities

  • Accurately assigns diagnosis and procedure codes for inpatient facility and professional services
  • Performs necessary tasks within MHS GENESIS® and other military coding systems
  • Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies
  • Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance

Key facts

  • Remote from: United States
  • Full time
  • Mid-level (2-5 years)
  • Medical Coder
  • 73 - 73K yearly
  • English

Hard skills

Other skills

  • Collaboration
  • Detail Oriented
  • Problem Solving
  • Communication

About the company

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Decypher

Company details

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Job description

Join Decypher and make a direct impact on the health and readiness of America’s 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: The Medical Coder II is responsiblefor accurately assigning inpatient facility and professional medical codes, including ICD-CM, CPT, HCPCS, modifiers, and E&M codes, while ensuring compliance with DHA coding standards and documentation requirements. Collaborates with providers and clinical staff to resolve documentation discrepancies, provide coding education and guidance, maintain productivity and accuracy standards, and support coding compliance across military healthcare systems.

Compensation: Up to $38.09 per hour + additional cash pay for benefits (H&W)

Qualifications:

Required Experience

  • 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

  • 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 performance in the specialties listed above is required to be documented to be considered qualifying

Education Requirements: Completion of at least ONE of the following:

  • Associate's Degree 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

AND

  • 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)

AND Minimum 80% passing score on Medical Coding Test

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

U.S. Citizenship is required.

Work Environment and Schedule:

  • 100% Remote
  • Flexible scheduling Sunday–Saturday
  • Up to 40 hours per week

Physical requirements: May be required to lift 20-25 pounds independently. Position requires long periods of sitting and computer use in an office setting.

We are currently hiring remote medical coders in:
AK,AL,AR,AZ,FL,GA,HI,IL,IN,KS,LA,MD,ME,MO,MS,NC,NE,NM,NV,OH,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)

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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