Ambulatory Medical Coder II

Decypher; United States; Remote; USD 50,000 - 80,000; Full time

Job summary

Decypher is seeking a Full-time Ambulatory Medical Coder to join their team, supporting the Defense Health Agency. The role involves coding for inpatient and professional services, ensuring compliance, and educating staff while maintaining high accuracy standards in a collaborative environment.

Qualifications

• 4 years of medical coding experience required.
• Certifications like CPC or RHIA are necessary.
• Experience in several medical specialties preferred.

Responsibilities

• Accurately assigns diagnosis and procedure codes.
• Reviews and resolves documentation discrepancies.
• Educates staff and provides coding support.

Skills

Medical Coding

Auditing

Compliance

Education

Associate's Degree or higher in Health Information or related field

University Certificate in medical coding

Coding certification preparation course

Job description

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Decypher is a leading integrator of professional, technology, and management solutions and services. We provide our services globally to Federal, Commercial, Local and State clients. Our employees are our most valuable asset and play an integral role in the success of Decypher and our clients. Working at Decypher is not a job, but a career where your talent and energy is respected, and you can personally make a difference. Decypher invites you to join our professional team.

DESCRIPTION:

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; it’s 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.

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 Administrator (RHIA)

AND ONE of the following recognized institutional coding certifications:

Certified Coding Specialist (CCS)

Registered Health Information Administrator (RHIA)

Medical Coding Test: minimum 80% passing score

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

This job description is not intended to be all inclusive. Therefore, the employee may be requested to perform other reasonable duties as assigned by the immediate supervisor or other management as required.

At Decypher we believe that equal opportunity fuels innovation by using the strengths of individual differences. Therefore, we strive to provide a welcoming and inclusive work environment. Decypher is fully committed to a program of equal opportunity for all applicants and employees and will actively carry out all federal and state regulations and executive orders. We apply our equal opportunity policy to all employment decisions.