Medical Coder III

SAIC; Town of Texas (WI); Remote; USD 40,000 - 80,000; Full time

Job summary

Join a leading company seeking a Remote Medical Coder III to provide essential coding support for government healthcare facilities. The ideal candidate will have extensive experience in various coding modalities, certifications, and a dedication to maintaining accuracy in medical billing and coding practices.

Qualifications

• Minimum of five years of medical coding or auditing experience.
• Advanced knowledge of ICD, CPT, HCPCS coding systems.
• Experience in multiple medical specialties required.

Responsibilities

• Provide remote medical coding support to government Medical Treatment Facilities.
• Ensure accurate coding of various medical procedures and diagnoses.
• Maintain up-to-date knowledge of coding regulations and guidelines.

Skills

ICD-CM

CPT

HCPCS

medical terminology

anatomy and physiology

revenue cycle management

Education

Medical coding certification (e.g., RHIT, RHIA, CPC)

Job description

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Job ID 2506132-2946

Location REMOTE WORK, TX, US

Date Posted 2025-05-28

Category Environmental, Health & Safety

Subcategory Medical Affairs Non MD Analyst

Schedule Full-time

Shift Day Job

Travel No

Minimum Clearance Required None

Clearance Level Must Be Able to Obtain Public Trust

Potential for Remote Work Yes

Description

SAIC is looking for a Full-Time Remote Medical Coder III to provide remote medical coding support to government Medical Treatment Facilities assigned under the Defense Health Agency (DHA) Medical Coding Program Branch. This position is 100% remote and can be performed anywhere in the United States.

Applicants must have experience in multiple coding modalities/specialties, such as inpatient professional, inpatient facility, same day surgeries, observation, Emergency Department, outpatient specialty/ primary care encounters.

Responsibilities And Qualifications

• 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).
• Advanced knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and Resource-Based Relative Value Scale (RBRVS).
• Advanced knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.
• 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 concepts.
• Practical knowledge and understanding of Government rules and regulations regarding medical coding, reimbursement guidelines, and healthcare fraud; commercial reimbursement guidelines and policies; coding audit principles and concepts, and potential areas of risk for fraud and abuse. Includes, but is not limited to The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage Determinations and National Coverage Determinations (LCD and NCD), National Correct Coding Initiative (NCCI) guidance, manual, and edits, Internet-Only Manuals (IOMs), and HHS-OIG publications and reports.
• Practical knowledge of revenue cycle management, project management concepts, business analysis, training methods, clinical documentation improvement, and continuous process improvement processes.
• Practical knowledge of Current Dental Terminology (CDT).
  
  

Qualifications

Experience Requirements

• A minimum of five (5) years of medical coding and/or auditing experience in four or more medical, surgical, and ancillary specialties within the past fifteen (15) years.
• A minimum of one (1) year of performance in the specialty is required to be qualifying. Multiple specialties encompass different medical specialties (i.e., Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes. Ancillary specialties (PT/OT, Radiology, Lab, Nutrition, etc.) that usually do NOT use E&M codes do not count as qualifying experience. Additionally, coding, auditing, and training exclusively for specialties such as home health, skilled nursing facilities, and rehabilitation care will not be considered as qualifying experience. Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, accounts receivable) is not a qualifying factor.
  
  

Certifications

Applicants must have ONE of the following medical coding certifications

RHIT/RHIA/CPC/CCS-P/CDEO/CDEI/ACDIS/CCDS/CCDS-O/CDIP/CEMA

Applicants who possess multiple certifications from the list above are preferred.

• Medical coding personnel shall maintain the required continuing education hours in order to maintain current and proper national certification (requirements for this position).
  
  

Selected applicant must do the following before starting, based on government requirements

• Pass a pre-employment coding test.
• Provide proof of specific vaccinations.
• The selected applicant will be subject to a government security investigation and must meet eligibility requirements.
• Must be able to obtain clearance.
  
  

Target salary range $40,001 - $80,000. The estimate displayed represents the typical salary range for this position based on experience and other factors.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Computer Hardware Manufacturing, Defense and Space Manufacturing, and IT Services and IT Consulting

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