Medical Coder III Department of Defense (DoD) Defense Health Agency (DHA) Specifically supporting the DHA Medical Coding Program Branch (DHA-MCPB) Place of Performance: Remote / Off-site performance Period of Performance: One (1) year base period, with the possibility of one (1) additional option year. Schedule: Coding services may be performed Monday–Friday, excluding federal holidays Requirements: Coding contract personnel in this position are required to possess a minimum of five (5) years of medical coding and/or auditing experience in two (2) or more medical, surgical, and ancillary specialties within the past 10 years; OR a minimum of three (3) years of medical coding or auditing experience if that experience was in Military Treatment Facility (MTF). A minimum of one (1) year of performance in the specialty is required to be documented to be considered qualifying. Professional AND facility coding certification, such as: CCS® (AHIMA) CPC® + COC® (AAPC) CPC® + CIC® (AAPC) Advanced inpatient and complex coding experience expected Duties and Responsibilities will include, but are not limited to the following: Accurately assigns diagnosis and procedure codes for inpatient facility and professional services to include, but not limited to, inpatient stays, surgical procedures, dental surgical procedures, anesthesia services, ancillary services, and inpatient external resource sharing agreement (ERSA) encounters IAW DHA accuracy, completeness, productivity, and timeliness standards IAW DoDI 6040.42. Work may involve areas such as Laboratory, Radiology, and Dental services. Ensures correct assignment of DRGs for inpatient stays. Codes inpatient discharge records with correct and optimal DRG assignment, Relative Weighted Product (RWP) and Relative Value Units (RVUs) in order for the center to receive correct reimbursement or workload credit. Performs necessary tasks within MHS GENESIS® and other military coding systems (to include, but not limited to, 3M Encompass 360, Joint Legacy Viewer (JLV)) to complete encounters. May be tasked with assisting with ambulatory and outpatient coding. Researches Review medical documentation and codes for compliance with federal coding regulations and DoD guidelines. Obtain clarification of conflicting, ambiguous, or non-specific documentation. Maintain required productivity standards per DoD requirements. Contractor productivity requirement will be to complete 80% or more of assigned workload within a performance period (quarter). Maintain timeliness standards per DoD requirements. Maintain accuracy standards per DoD requirements. Accuracy standards will be 97% overall accuracy of diagnosis, Evaluation & Management (E&M), and procedure codes; modifiers; and quantities or units of service. #CB For additional information and compensation information, please email your most recent resume/CV to opportunities@cadgov.com . Thank you for your time and we look forward to speaking with you soon!
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