|Employer:||Posterity Group, LLC
|Type:||FULL TIME, CONTRACTOR
|Specialties:||Family Practice, Pediatrics, OB/GYN, PT/OT, Radiology, Lab, Nutrition
|Required Certifications:||CPC or CCS-P
|Preferred Certifications:||RHIT or RHIA,CCS,COCBLS
|Required Experience:||3 to 4 years
|Preferred Experience:||5 to 7 years
|Location:||4881 Sugar Maple Drive Wright-Patterson AFB 45433, OH, US
An excellent opportunity exists to work for a government contractor with competitive compensation and work-life balance. Posterity Group is seeking experienced Outpatient Medical Coders and Ambulatory Procedure Visit Medical Coders for the Wright-Patterson AFB, OH.
4881 Sugar Maple Drive
Responsibilities of Outpatient Medical Coder:
knowledge of the International Classification of Diseases, Clinical
Common Procedure Coding System (HCPCS); and Current Procedural Terminology
knowledge of reimbursement systems, including, but not limited to, Ambulatory
(APCs); and Resource-Based Relative Value Scale (RBRVS).
knowledge and understanding of industry nomenclature; medical and procedural
terminology; anatomy and physiology; pharmacology; and disease processes.
knowledge of medical specialties; medical diagnostic and therapeutic
procedures; ancillary services (includes, but is not limited to, Laboratory,
Occupational Therapy, Physical Therapy, and Radiology); and revenue cycle
- Minimum of
(3) years of medical coding and/or auditing experience in two (2) or more
medical, surgical and ancillary specialties within the past 10 years.
- A minimum of
one (1) year of performance in the specialty is required to be qualifying.
Associate’s degree or higher in Health Information Management.
- A university
certificate in medical coding.
- At least 30
hours’ university/college credit that includes relevant coursework such as
anatomy/physiology, medical terminology, health information management, and/or
completion of an American Academy of Professional Coders (AAPC) or American
Health Information Management Association (AHIMA) coding certification
preparation course for professional services or facility coding that includes
medical terminology, anatomy and physiology, health information management
concepts, and pharmacology.
Professional Coder (CPC) or Certified Coding Specialist (CCS-P) certification
Evaluation and Management Auditor (CEMA)
- Active Basic
Life Support (BLS)
Role and Responsibilities of Ambulatory Procedure Visit
for assignment of accurate Evaluation and Management (E&M) codes, ICD
diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure
Coding System (HCPCS), modifiers and quantities derived from medical record
documentation (paper or electronic) for ambulatory procedure visits.
- Trains and
educates MTF staff on coding issues and plays a significant role in
departmental and clinic-wide coding compliance activities.
for assignment of accurate E&M, ICD, CPT and HCPCS codes and modifiers from
medical record documentation into the Government computer systems.
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
- Maintains a
delinquency report of missing records in order to facilitate completion of work
within the required thresholds.
closely with the Coding Supervisor/auditor during audit process.
- Ensures all
required component parts of the medical record that pertain to coding are
present, accurate and compile with DoD and JCAHO requirements.
- Works with
Coding Compliance-Editor software to ensure records are accurately coded.
Mandatory knowledge and skills:
requires excellent computer/communication skills for provider and staff
- Knowledge of
anatomy/physiology and disease process, medical terminology, coding guidelines
(outpatient and ambulatory surgery), documentation requirements, familiarity
with medications and reimbursement guidelines; and encoder experience.
must have ability to handle multiple projects and appropriately prioritize
tasks to meet deadlines.
Education/Certification - the following are recognized
Health Information Technologist (RHIT) or Registered Health
Information Administrator (RHIA),
Professional Coder (CPC), Certified Outpatient Coder (COC), Certified
Coder Specialist (CCS),
Coder Specialist – Physician (CCS-P) are preferred for
outpatient/ambulatory surgery medical coders as long as candidate has a minimum
of three (3)-year experience in the outpatient setting (physician’s office or
ambulatory care centers) within the last five (5) years.
accrediting institution recognized by the American Health Information Management.
- Association (AHIMA) and/or
American Academy of Professional Coders (AAPC) must accredit
education and certification.
- A minimum of
three years' experience in the outpatient setting (ambulatory care centers)
within the last five years is required or a minimum of two years if experience
if that experience was in a military treatment facility.
specialties encompass different medical specialties (i.e. Family Practice,
Pediatrics, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes.
Ancillary specialties (PT/OT, Radiology, Lab, Nutrition, etc.) that usually do
NOT use E&M codes do not count as qualifying experience.
coding, auditing and training exclusively for specialties such as home health,
skilled nursing facilities, and rehabilitation care will not be considered as
qualifying experience. Coding experience limited to making codes conform to
specific payer requirements for the business office (insurance billing,
accounts receivable) is not a qualifying factor.
- The work is primarily sedentary. Requirements may include
prolonged walking, standing, sitting or bending. Carrying or lifting of medical
records may be required daily. Use of one or more computer programs and
monitors may be required daily.