Medical Records Technician (Coder)

US Department of War; Satellite Beach (FL); On-site; USD 65,000 - 85,000; Full time

Job summary

US Department of War seeks a dedicated medical coder to assign precise ICD-10-CM, PCS, CPT and HCPCS Level II codes for patient records. The role ensures regulatory and insurer requirements are met, and that codes reflect procedures and resources used in care.

The position requires correlation of operation and diagnosis codes across complex cases, thorough data checks, and timely correction with providers. emphasis on accuracy and compliance with coding principles.

Responsibilities

• Assign specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients.
• Ensure compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, PCS, CPT, and HCPCS LEVEL II coding books.
• Correlate operation codes with diagnosis codes to ensure the most descriptive code is selected when more than one anatomical location is involved.
• Perform quantitative analysis and check medical record for completeness, accuracy, and compliance with regulatory requirements.
• Interpret documentation in record, ensuring accuracy, internal consistency and correlation of recorded data and returns record to provider/area for correction/completion.
• Identify and document any incident which may denote a potential compensatory event or questionable breach of quality of care delivered.
• Assure accurate coding of diseases, injuries, manifestations, operations, and nonsurgical procedures, both complicated and uncomplicated, in accordance with established guidelines and coding principles.

Job description

Job Duties

Assign specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients.

Ensure compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, PCS, CPT, and HCPCS LEVEL II coding books.

Correlate operation codes with diagnosis codes to ensure the most descriptive code is selected when more than one anatomical location is involved.

Perform quantitative analysis and check medical record for completeness, accuracy, and compliance with regulatory requirements.

Interpret documentation in record, ensuring accuracy, internal consistency and correlation of recorded data and returns record to provider/area for correction/completion.

Identify and document any incident which may denote a potential compensatory event or questionable breach of quality of care delivered.

Assure accurate coding of diseases, injuries, manifestations, operations, and nonsurgical procedures, both complicated and uncomplicated, in accordance with established guidelines and coding principles.