Medical Inpatient Coder

COHO Integrated Solutions is seeking an experienced Medical Inpatient Coder to support the Defense Health Agency Medical Coding Program Branch (DHA-MCPB) as well as the Continental Defense Health Network (DHN). This position is fully remote. In this important role, you’ll help to improve the accuracy and quality of medical coding and documentation across DHA in support of the DHA mission. 

Responsibilities (include but are not limited to):

• Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), and Procedural Coding System (PCS); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT), as used in institutional and professional services medical coding.

• Advanced knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and Resource-Based Relative Value Scale (RBRVS).

• Advanced knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.

• Practical knowledge of medical specialties; medical diagnostic and therapeutic procedures; ancillary services (includes, but is not limited to: Laboratory, Dental, Occupational Therapy, Physical Therapy, and Radiology); and revenue cycle management concepts related to medical coding.

• Practical knowledge and understanding of Government rules and regulations regarding medical coding, reimbursement guidelines, and healthcare fraud; commercial reimbursement guidelines and policies; coding audit principles and concepts, and potential areas of risk for fraud and abuse. Includes, but not limited to: The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage Determinations and National Coverage Determinations (LCD and NCD), National Correct Coding Initiative (NCCI) guidance, manual, and edits, Internet-Only Manuals (IOMs), and HHS-OIG publications and reports.

• Practical knowledge of clinical documentation improvement and continuous process improvement processes.

• Practical knowledge of EHR systems and workflows pertaining to medical coding.

• Accurately assigns diagnosis and procedure codes for inpatient facility and professional services to include, but not limited to; inpatient stays, surgical procedures, dental surgical procedures, anesthesia services, ancillary services, and inpatient external resource sharing agreement (ERSA) encounters IAW DHA accuracy, completeness, productivity, and timeliness standards IAW DoDI 6040.42.

• Work may involve areas such as Laboratory, Radiology, and Dental services.

• Ensures correct assignment of DRGs for inpatient stays.

• Codes inpatient discharge records with correct and optimal DRG assignment, Relative Weighted Product (RWP) and Relative Value Units (RVUs) in order for the Center to receive correct reimbursement or workload credit.

• Reviews and resolves coding edit failures in MHS GENESIS.

Essential Job Requirements:

• Citizenship:
  • Proof of US Citizenship is required to work on this contract.

• Education/Certifications:
  • A Registered Health Information Technician (RHIT) and Registered Health Information Administrator (RHIA) from AHIMA may be counted towards either the professional services or institutional coding certification requirement, but NOT both unless the individual possesses the required institutional and professional services experience for the specific position sought.
  • The E&M coding certifications requirement for a Certified Evaluation and Management Coder (CEMC), or National Alliance of Medical Auditing Specialists’ (NAMAS) Certified Evaluation and Management Auditor (CEMA), are waived for personnel in this contract.
  • Contract employees must achieve a minimum 80% passing score on Government provided test.

• Required Knowledge/Experience:
  • Minimum of five (5) years 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 three (3) years of medical coding or auditing experience if that experience was in a Military Treatment Facility (MTF).
  • A minimum of one (1) year of performance in the specialty is required to be documented to be considered qualifying.

About Copper River & The Native Village of Eyak:

Owned by the Native Village of Eyak (NVE), a federally recognized Alaska Native Tribe, the Copper River Family of Companies are a collection of entities that deliver a complementary set of solutions and services to support the diverse missions and requirements of our clients. Proud participants of the Small Business Administration’s (SBA) 8(a) Business Development Program since 2006, our companies consist of both current and graduation SBA 8(a) entities. It is our collective purpose to support the Tribe and diversify the NVE’s ability to facilitate economic advancement.

The income generated from our companies helps the Native Village of Eyak fund health and social services, economic development, natural resource/environmental education, jobs, job training, and other benefits to the NVE in a manner that is consistent with Alaskan Native cultural values and traditions.

Copper River’s Culture

The Copper River Family of Companies has a positive, supportive, and thriving culture. At the foundation of our culture is a focus on collaboration. No matter your role or which operating company you work for, we are ONE TEAM working toward the same goals for our customers and for our collective owner- The Native Village of Eyak. How we treat each other is just as important as the work we deliver.

Benefits

• Comprehensive medical, dental, and vision coverage
• Flexible Spending Account - healthcare and dependent care
• Health Savings Account - high deductible medical plan
• Retirement 401(k) with employer match
• Open leave policy and paid holidays
• Additional benefits including tuition reimbursement, transportation expense account, employee assistance program, and more! 

Note: These benefits are only applicable to full time, regular associates at Copper River.

Disclaimer:

The Copper River Family of Companies provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.