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Outpatient Coder


Nellis AFB, Nevada


Outpatient Coder Job Opening in Nellis AFB, Nevada - Sterling Medical is Currently seeking an Outpatient Medical Coding to provide services at Nellis Air Force Base.
Summary : Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD-10 diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.
Requirements:
: Must hold one of the following recognized certifications: Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) CCS-P (Certified Coder Specialist ? Physician (CCS-P) with the appropriate level of experience. An accrediting institution recognized by the American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) must accredit education. Must have successfully completed requirements for International Classification of Diseases, Tenth Revision ICD-10-CM/PCS proficiency certification by AHIMA standards or the AAPC ICD-10-CM proficiency test prior to their start date.
Experience: A minimum of three years? experience in a production coding environment in multiple specialties in the outpatient setting (physician?s office or ambulatory surgery centers) within the last five years, including assignment of E&M, CPT, and HCPCS codes. Multiple specialties encompass different medical specialties (i.e. Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes.
Please note: 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. Lastly, coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, accounts receivable) will not be
a qualifying factor.
Unique Military Health Care Systems:
Armed Forces Health Longitudinal Technology Application (AHLTA)
Composite Health Care systems (CHCS)
Defense Enrollment Eligibility Reporting System (DEERS);
Military Filing System - by sponsor social security number, terminal digit order, color-coded and blocked filing system.
Contents of a military medical record, layout, sections, family member prefix designation, forms used in a MTF, and the medical record tracking procedures.
EssentrisTM, the client-server version of the Clinical Information System (CIS)
Coding Compliance Editor (CCE) Systems
Biometric Data Quality Assurance Service (BDQAS) -
AFMS Internal Coding Audit Methodology - AFMOA Audit Tool
MHS Coding Guidelines
Performance Outcomes:
Responsible for assignment of accurate E&M, ICD-9, CPT and HCPCS codes and modifiers from medical record documentation.
Identifies and abstracts information from medical records (paper or electronic) for special studies and audits, internal and external.
Interacts with MTF staff to ensure documentation is clear and supports coding assignments. Educates MTF staff through individual or group in-services and training.
Job Type: Full-time

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