Medical Coder III

3500Square; United States; À distance; USD 65 000 - 90 000; Plein temps

Résumé du poste

3500 Square is seeking a Medical Coder III for remote work supporting the Defense Health Agency (DHA) with outpatient and ED coding expertise. You will assign CPT, HCPCS, ICD-10-CM and modifiers for outpatient encounters and ER visits, with potential inpatient work as needed.

Qualified candidates have 3+ years in outpatient/ED coding, a relevant degree or certificate, and professional certification such as CPC/RHIT/CCS-P with related E/M knowledge. U.S. citizenship required for DHA eligibility.

Qualifications

• Education in health information management or related field plus coding certification.
• Experience with outpatient and ED coding preferred.
• Active professional coding certification required.

Responsabilités

• Accurately assign CPT/HCPCS/ICD-10-CM for outpatient/ED encounters.
• Review documentation for procedures, clinics, same-day surgeries, ER visits.
• Ensure coding accuracy and resolve documentation discrepancies.
• Collaborate with providers and staff to support education and compliance.
• Research DHA/DoD coding guidance as needed.

Connaissances

Outpatient coding

ED coding

CPT coding

Documentation review

Provider collaboration

Formation

Associate degree or higher in HIM/Healthcare or biological sciences

University certificate in medical coding

30 semester hours with relevant coursework

AAPC/AHIMA coding certification prep course

Advanced military medical training equivalence

Outils

MHS Genesis

MHS computer systems

Description du poste

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Medical Coder III

Full Time Clerical Remote Puerto Rico, PR, PR

30+ days ago Requisition ID: 1026

Citizenship Requirement: U.S. Citizen
Language Requirement: Fluent in English (reading, writing, and verbal communication)
Work Location: 100% Remote – Open to candidates residing in Puerto Rico or the continental United States
Clearance: Must be able to obtain and maintain a favorable background investigation under the Department of Defense

Position Summary

We are seeking experienced Medical Coders III specializing in Outpatient and Emergency Department (ED) coding to support the Defense Health Agency (DHA). The selected candidates will accurately assign CPT, HCPCS, ICD-10-CM, and modifiers for outpatient encounters, same-day surgeries, and emergency room visits. Additional inpatient coding assignments may be required as directed.

This position offers the opportunity to contribute to a mission-driven healthcare program serving our nation’s military community while maintaining high standards of compliance and accuracy.

Minimum Qualifications

Education: Completion of one of the following:

Associate’s degree or higher in Health Information Management, Healthcare Administration, or biological sciences.

University certificate in medical coding.

At least 30 semester hours of university/college credits that include relevant coursework (anatomy/physiology, medical terminology, health information management, and/or pharmacology).

Completion of an AAPC or AHIMA coding certification preparation course for professional services or facility coding.

Advanced training course for medical technicians, hospital corpsmen, medical service specialists, or equivalent military medical training.

Certifications:
At least one recognized professional coding certification, such as:

Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist – Physician (CCS-P)
AND one of the following:

Certified Outpatient Coder (COC), RHIT, RHIA, or Certified Coding Specialist (CCS)
AND one of the following recognized E&M coding certifications:

Certified Evaluation and Management Coder (CEMC) or Certified Evaluation and Management Auditor (CEMA)

Additional Requirements:

U.S. Citizenship (required for DHA contract eligibility).

Demonstrated experience in Outpatient or Emergency Department (ED) coding (minimum 3 years preferred).

Core Duties

Accurately assign CPT, HCPCS, ICD-10-CM, and modifiers for Outpatient and Emergency Department (ED) encounters.

Review documentation for ambulatory procedures, outpatient clinics, same-day surgeries, and ER visits to ensure accuracy and completeness.

Identify and resolve documentation inconsistencies, ambiguities, or discrepancies that may affect accurate coding.

Collaborate with providers, auditors, and clinical staff to support coding compliance and education.

Provide feedback and guidance to clinical staff on documentation requirements supporting accurate code assignment.

Perform due diligence in ethically and appropriately researching or interpreting existing DHA/DoD coding guidance.

Utilize MHS computer systems to remotely access patient records and assign codes in support of other Military Treatment Facilities (MTFs).

Achieve and maintain DHA coding productivity and accuracy standards.

May provide support for inpatient or other coding assignments as directed.

Preferred Experience

Experience with MHS Genesis or other Military Health System applications.

Prior experience coding for the Defense Health Agency (DHA) or other federal healthcare contracts.

Why Join 3500 Square LLC?

At 3500 Square, we take pride in supporting federal healthcare missions with integrity, precision, and professionalism. Our team of certified coders and compliance experts ensures the highest level of accuracy and accountability in every encounter we process.

Join us in making an impact where it matters most.

Equal Employment Opportunity and E-Verify Statement

3500 Square, LLC is proud to be an Equal Opportunity Employer. We do not discriminate against any applicant or employee on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, protected veteran status, military status, citizenship status, or any other legally protected status, in accordance with federal, state, and local laws.

As a federal contractor, 3500 Square, LLC complies with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans’ Readjustment Assistance Act (VEVRAA), providing equal opportunity and affirmative action for qualified individuals with disabilities and protected veterans.

All employment decisions are based on qualifications, merit, and business needs. Fair consideration is provided to all candidates, including U.S. citizens and nationals, as required by federal regulations regarding national origin discrimination.

If you require a reasonable accommodation to complete the application process due to a disability, please contact our Human Resources team at [e-mail] or 1-787-814-0087.

3500 Square, LLC participates in E-Verify. If E-Verify cannot confirm that you are authorized to work, you will receive written instructions and an opportunity to contact the Department of Homeland Security (DHS) or Social Security Administration (SSA) to resolve the issue before any employment action is taken against you, including termination.

Employers can only use E-Verify after you have accepted a job offer and completed the Form I-9.

3500 Square, LLC is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.