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Medical Coder II
Department of Defense (DoD)
Defense Health Agency (DHA)
Specifically supporting the DHA Medical Coding Program Branch (DHA-MCPB)

Place of Performance: Remote / Off-site performance

Period of Performance: One (1) year base period, with the possibility of one (1) additional option year.

Schedule: Coding services may be performed Monday–Friday, excluding federal holidays

Requirements:

• Coding contract personnel in this position are required to possess a minimum of four (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 a minimum of two (2) years of medical coding or auditing experience if that experience was in Military Treatment Facility (MTF). A minimum of one (1) year of performance in the specialty is required to be documented to be considered qualifying.
• Professional AND facility coding certification, such as: • CCS® (AHIMA) • CPC® + COC® (AAPC) • CCS-P® + CCS®
• Experience must include two or more medical, surgical, or ancillary specialties

Duties and Responsibilities will include, but are not limited to the following:
• Accurately assigns diagnosis and procedure codes for facility and professional services for Day Surgery (a.k.a. Ambulatory Procedure Visit (APV)), Dental surgical procedures, Observation, Emergency Department (ED), outpatient ERSA, outpatient procedures, outpatient specialty encounters, and any outpatient primary care encounters billable to a third party IAW DHA accuracy, completeness, productivity, and timeliness standards contained in DoDI 6040.42, Management Standards for Coding of DoD Health Records.
• Work may involve areas such as Laboratory, Radiology, and Dental services. Codes records with correct Ambulatory Payment Classifications (APCs); and Relative Value Units (RVUs) in order for the center to receive correct reimbursement or workload credit.
• Performs necessary tasks within MHS GENESIS® and other military coding systems (to include, but not limited to, 3M Encompass 360, Joint Legacy Viewer (JLV)) to complete encounters.
• Researches and resolves MHS GENESIS coding edit failures as assigned.
• Review medical documentation and codes for compliance with federal coding regulations and DoD guidelines.
• Obtain clarification of conflicting, ambiguous, or non-specific documentation.
• Maintain required productivity standards per DoD requirements. Contractor productivity requirement will be to complete 80% or more of assigned workload within a performance period (quarter). Maintain timeliness standards per DoD requirements.
• Maintain accuracy standards per DoD requirements. Accuracy standards will be 97% overall accuracy of diagnosis, Evaluation & Management (E&M), and procedure codes; modifiers; and quantities or units of service.


For additional information and compensation information, please email your most recent resume/CV to opportunities@cadgov.com. Thank you for your time and we look forward to speaking with you soon!

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