Medical Coder III Job at 3500 Square LLC, Puerto Rico

bzVnZE9TYU93akhXdDVsS2dTRHBveXQ4bVE9PQ==
  • 3500 Square LLC
  • Puerto Rico

Job Description

Job Description

Job Description

Job Description: We are seeking an experienced Medical Coder III with advanced expertise in coding medical services for inpatient coding. This role involves assigning codes for professional and institutional services in inpatient discharges, consultations, and surgical procedures. The ideal candidate will review documentation, correct discrepancies, and collaborate closely with auditors and clinical staff to ensure coding accuracy and compliance with health regulations.

Minimum Qualifications:

  • Education : Completion of one of the following:

    • Associate’s degree or higher in Health Information Management, Healthcare Administration, or biological sciences.
    • University certificate in medical coding.
    • At least 30 semester hours of university/college credits that include relevant coursework (anatomy/physiology, medical terminology, health information management, and/or pharmacology).
    • Completion of an AAPC or AHIMA coding certification preparation course for professional services or facility coding.
    • Advanced training course for medical technicians, hospital corpsmen, medical service specialists, or military training obtained in the Armed Forces or U.S. Maritime Service.
  • Certification :

  • At least one recognized professional coding certification, such as:

    • Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA),

    • or Certified Coding Specialist – Physician (CCS-P ). and ONE of the following:

      • Certified Outpatient Coder (COC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA),

    • or Certified Coding Specialist (CCS), AND ONE of the following recognized E&M coding certifications:

      • Certified Evaluation and Management Coder (CEMC), or National Alliance of Medical Auditing Specialists’ (NAMAS) Certified Evaluation and Management Auditor (CEMA).

  • Additional Requirements :

    • U.S. Citizenship.
    • Bilingual in English and Spanish.

Core Duties:

  • Accurately assigns Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, ICD-10 Procedure Coding System (ICD-10-PCS), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of inpatient facility discharges (stays); inpatient professional services to include attending (also known as “Rounds”), consultations, and concurrent services, and inpatient surgical and anesthesia procedures; and inpatient External Resource Sharing Agreement (ERSA) encounters. May also code ambulatory (i.e. Coder II) or outpatient (i.e. Coder I) encounters as directed.

    • Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care.

    • Identifies any problems with legibility, abbreviations, etc., and brings to the provider’s attention.

    • Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance.

    • Assigns accurate codes to encounters based upon provider responses to coding queries.

    • Acts as a source of reference to medical staff having questions, issues, or concerns related to coding. Responds to provider questions and provides examples of appropriate coding and documentation reference(s) to provide clarity and understanding. Collaborates with and supports medical coding auditors, trainers, and compliance specialists in providing education and feedback to providers and staff.

    • Supports DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification through appropriate channels.

    • Upon DHA-MCPB direction, utilizes MHS computer systems to remotely access patient records and assign codes for patient encounters in support of other MTFs.

    • Achieve and maintain DHA coding productivity and accuracy standards for the position.

Job Tags

Remote job,

Similar Jobs

Usa Swimming

Old Dominion Aquatic Club - Multiple Coaching Positions Available Job at Usa Swimming

Help Wanted: Part-Time Coaching Staff Members for Old Dominion Aquatic ClubOld Dominion Aquatic Club (ODAC), the oldest year-round competitive swim team on the Southside of...  ..., while also becoming the 11th and 4th fastest 17-18-year-old in history in the 200 and 100... 

Chick-fil-A

Restaurant High School Team Member Job at Chick-fil-A

 ...excellent stepping-stone to a successful future in the world of business. This posting is for high school students who are 16 or 17 years old. Applicants 18 and older may apply on the Hospitality Team Member or the Kitchen Team Member postings. Responsibilities:... 

Legato, LLC

Software Engineer with C (RC-2-CO) Job at Legato, LLC

 ...Legato, LLC recruiters (****@*****.***) would love to speak with you regarding the following position: Software Engineer with C in Aurora, CO. Security Clearance Required : TS/SCI w/ Polygraph Salary Range: $180,000-$225,000, depending on experience.... 

Pye-Barker Fire & Safety

Fire Sprinkler Designer Job at Pye-Barker Fire & Safety

 ...achieve your dreams. Build your career with the industry-leading fire, life safety and security company. Base salary plus...  ...field) Vehicle Allowance This position is responsible for designing and developing sprinkler systems to prevent or aid fires. Their... 

Addison Kenway.

Aesthetics Physician Assistant or Nurse Practitioner Job at Addison Kenway.

Job Opportunity: Aesthetics Injectables PA or NP - New York City, NY Job #16549522Attractive Compensation Package for a Talented Physician Assistant or Nurse Practitioner! Includes major benefits like a 401K plan!Are you an aesthetics professional seeking recognition...