Revenue Integrity Medical Coder

Favor TechConsulting, LLC (FTC); Arlington (VA); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Revenue Integrity Medical Coder to join their team. This full-time remote role requires a minimum of 2 years of experience in medical coding, focusing on revenue accuracy and compliance. You'll play a vital role in ensuring that clinical documentation supports medical necessity and billing practices. If you're passionate about healthcare and want to contribute to mission-critical projects that impact citizens, this is the opportunity for you. Join a culture of inclusion and growth while advancing your career with comprehensive benefits.

Benefits

Comprehensive Benefits

Career Development Opportunities

Inclusive Work Culture

Qualifications

• Minimum 3+ years in medical coding with revenue integrity experience.
• Valid coding credential from AHIMA or AAPC required.

Responsibilities

• Review clinical documentation to assign ICD-10-CM, CPT, and HCPCS codes.
• Utilize MHS GENESIS for coding and revenue issue resolution.

Skills

ICD-10-CM Coding

CPT Coding

HCPCS Level II Coding

Attention to Detail

Analytical Skills

Communication Skills

Education

Bachelor's Degree

Master's Degree

Tools

Cerner Millennium

MHS GENESIS

Job description

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Ability to obtain & maintain a Public Trust *

* US Citizenship and the ability to obtain and maintain the clearance level stated above are required for this specific opportunity. Tria Federal (Tria) is unable to sponsor at this time.

Who We Are:

Tria Federal (Tria) is the premier middle-market IT services provider delivering digital transformation solutions to Civilian, Defense, and Intelligence agencies across the federal sector. With a future-forward vision and a mission rooted in service, we bridge capability gaps to help government agencies work faster, grow smarter, and stay nimble in the face of change. Wherever our customers are in their modernization journey, we are the trusted navigator in the path to possible.

Follow us on LinkedIn

#PoweringPossible

Who You Are:

You are a talented Revenue Integrity Medical Coder with at least 2 years of experience and a passion for thinking big, taking action, and delivering exceptional results. You are outcome-driven, quality-obsessed, and relentlessly focused on innovation as a value-driver for world-class delivery, client satisfaction, and performance. You’re looking to grow as a professional in a team-oriented environment where you can put your fingerprint on mission-critical projects impacting the citizens we serve.

Military Veterans and individuals with disabilities are encouraged to apply!

About This Role:

Remote

Full Time

Ability to obtain & maintain a Public Trust *

* US Citizenship and the ability to obtain and maintain the clearance level stated above are required for this specific opportunity. Tria Federal (Tria) is unable to sponsor at this time.

Responsibilities:

1. Coding for Revenue Accuracy:
   • Review clinical documentation to accurately assign ICD-10-CM, CPT, and HCPCS Level II codes, ensuring codes support medical necessity, charge capture, and compliance billing practices.
   • Apply modifiers correctly to ensure appropriate reimbursement and prevent denials.
   • Ensure coding complies with Official Coding Guidelines, payer regulations (including TRICARE), NCCI edits, and DoD/DHA policies impacting revenue.
2. Revenue Cycle & Work Queue Management:
   • Utilize MHS GENESIS (Cerner Millennium) to review documentation, assign codes, and investigate coding-related revenue issues.
   • Monitor, prioritize, research, and resolve coding and billing-related edits in electronic work queues.
   • Meet productivity and quality standards for coding accuracy and timeliness.
3. Charge Validation and Reconciliation:
   • Validate that generated charges are appropriate and supported by documentation and coding.
   • Identify discrepancies, investigate, and recommend corrective actions.
4. Compliance and Auditing Support:
   • Adhere to HIPAA and maintain patient confidentiality.
   • Stay current with coding updates, payer rules, and regulations impacting revenue.
5. Collaboration and Process Improvement:
   • Serve as a subject matter expert on coding guidelines.
   • Provide feedback on documentation improvements.
   • Identify trends and contribute to process improvements.
   • Participate in project teams, ensuring objectives and client needs are met.
   • Follow project processes, communicate effectively, and manage time efficiently.
   • Document communications and maintain effective communication with stakeholders.

The “Need-to-Have” Skills & Qualifications:

• Certification: Valid coding credential from AHIMA or AAPC.
• Experience: Minimum 3+ years in medical coding with revenue integrity experience.
• EHR Experience: Proficiency with Cerner Millennium, especially MHS GENESIS.
• Work Queue Management: Proven ability to manage revenue cycle work queues.
• Knowledge: ICD-10-CM, CPT/HCPCS, medical terminology, healthcare revenue cycle, payer requirements, HIPAA.
• Skills: Attention to detail, analytical skills, computer proficiency, communication, independence, prioritization.
• Access: Active security clearance with DHA preferred.

Professional Certifications:

N/A

Education:

Bachelor’s degree required; Master’s preferred.

Clearance:

Ability to Obtain and Maintain a Public Trust

Years of Professional Experience:

2-4+ years in healthcare or consulting, preferably in federal environment.

The “Nice-to-Have” Skills & Qualifications:

• Experience coding in Military Health System, DoD, or VA.
• Experience in multiple specialties or encounter types.
• Bachelor’s in HIM or related field.
• Additional specialty credentials.

Why Tria?

We value our talented team and foster a culture of inclusion, growth, and opportunity. We offer comprehensive benefits to support your well-being and career development. Join us to learn, challenge, and advance your career with a company committed to excellence and diversity.