Certified inpatient medical coder -- Fully remote (23350)

Responsibilities

Accurately assigns diagnosis, procedure, and supply codes for the professional and institutional (facility) components of Inpatient, External Resource Sharing Agreement (ERSA), Ambulatory Procedure Visit (APV), Observation, Emergency Department (ED), Outpatient encounters and modifiers IAW DHA and AFMS MCPO completeness, productivity, and timeliness standards. Applies knowledge of medical terminology, anatomy and physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. May provide limited assistance as necessary to the MTF Data Quality, Group Practice Managers, or other MTF business functions in compiling, analyzing, and reporting MTF coding data for performance purposes. Coder Productivity. Coder productivity will be measured on a monthly basis by dividing the number of encounters coded by the number of available hours for coding, after subtracting hours for leave, holidays, weekends, non-coding tasks, and computer downtime. Details as to the specific calculation and data to be reported are contained in the DHA and MTF Standard Operating Procedure (SOP) for calculating coding productivity. Coder Accuracy. Coding accuracy will be determined by Contractor peer reviews or focused audits IAW the AFMS MCPO SOP for calculating coding accuracy. Coding accuracy will be determined as an overall accuracy score on the basis of ICD, E&M, and CPT accuracy. Accuracy will be determined by dividing the number of codes correct by the total number of codes for each category (for example, the number of ICD codes correct divided by the total number of ICD codes in the peer review or audit). Completion of continuing education and other training opportunities to further develop and maintain currency in coding proficiency during the reporting month. Coder Systems Issues Tracking. Contractor employees will be expected to provide monthly reports on systems issues IAW the AFMS MCPO SOP on tracking systems issues. Customer Satisfaction. The coder is expected to achieve a minimum average of 85% customer satisfaction on periodic surveys of the MTF Coding Managers and FREDs reported to the COR and AFMS MCPO. EDUCATION: An Associate’s degree or higher in Health Information Management OR A university certificate in medical coding OR 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 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. EXPERIENCE: Inpatient Medical Coders are required to possess a minimum of five (5) years of medical coding and/or auditing experience in 2 or more medical, surgical and ancillary specialties within the past 10 years. Required experience must include Medical Severity - Diagnostic Related Group (MS-DRG) assignment. A minimum of one (1) year of performance in the specialty is required to be qualifying. OTHER KNOWLEDGE, SKILLS AND ABILITIES: Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), and Procedural Coding System (PCS); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT). Practical knowledge of reimbursement systems, including, but not limited to, Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and Resource-Based Relative Value Scale (RBRVS). Practical knowledge of medical specialties: medical diagnostic and therapeutic procedures, ancillary services (includes, but is not limited to, Laboratory, Occupational Therapy, Physical Therapy, and Radiology) and revenue cycle management. Inpatient Medical Coders are required to possess a current coding certification in good standing from EACH of the following categories: CODING CERTIFICATIONS: Note: A Registered Health Information Technician (RHIT) and Registered Health Information Administrator (RHIA) from AHIMA are acceptable to count for either a professional services coding certification or institutional coding certification, but not both. Personnel in this position are required to possess a current coding certification in good standing from EACH of the following categories: Professional Services Coding Certifications: The following are recognized professional certifications: Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P). Institutional (Facility) Coding Certifications: Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS). Other institutional coding certifications will be considered by DHA or the AFMS MCPO on a case-by-case basis. Evaluation and Management (E&M) Auditor Certification: National Alliance of Medical Auditing Specialists (NAMAS) Certified Evaluation and Management Auditor (CEMA). POSITION TIMING: Immediate hire upon Contract Award and completion of all background and security investigations. Candidates must be willing to sign a Letter of Intent for submission with their resume. SPECIAL NOTE: This position is contingent on the candidate’s ability to meet the physical and medical requirements specific to the role, including compliance with all applicable federal, state, and local regulations. Government or customer site-specific requirements may include, but are not limited to, providing proof of full COVID-19 vaccination status, unless the candidate is legally entitled to an exemption.

Benefits

Health, Dental, and Vision insurance 401(k) Retirement Plan Vacation Sick Leave Competitive salary based on experience and technical qualifications Disability & Life Insurance 11 Paid Federal Holidays including: New Year’s Day Martin Luther King, Jr. Day Presidents Birthday Memorial Day Juneteenth Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Day Christmas Day EQUAL OPPORTUNITY EMPLOYER: Laredo Technical Services, Inc. (LTSI) is an Equal Opportunity/Affirmative Action Employer. We provide equal consideration to all qualified applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Please visit the link below for the "Know Your Rights" and "Pay Transparency Nondiscrimination" supplement posters: https://www.dol.gov/agencies/ofccp/posters LTSI is committed to ensuring an accessible online application process for all individuals, including those with disabilities. We offer alternative application methods for candidates who are unable to complete the online application due to a disability or other need for accommodation. LTSI complies with the Americans with Disabilities Act (ADA), Section 503 of the Rehabilitation Act of 1973, the Vietnam-Era Veterans’ Readjustment Assistance Act of 1974, and other relevant state and local laws. If you need assistance due to a disability, please contact our Recruiting Department at hr@laredotechnical.com or call (210) 425-5650. Qualifications