Lead Outpatient Medical Coder – Plus
The Lead Outpatient Medical Coder – Plus provides support to the US Air Force Medical Support Services. This position is responsible 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 outpatient encounters. This position trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. In addition to coding duties, serves as a point of contact between CNI Management, other coding professionals, and the Contracting Officer Representative.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Essential duties and responsibilities include the following. Other duties may be assigned.
Responsible for the integration of CNI Core Competencies into daily functions, including: commitment to integrity, knowledge / quality of work, supporting financial goals of the company, initiative / motivation, cooperation / relationships, problem analysis / discretion, accomplishing goals through organization, positive oral / written communication skills, leadership abilities, commitment to Affirmative Action, reliability / dependability, flexibility and ownership / accountability of actions taken.
Responsible for assignment of accurate E&M, ICD, 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 sessions.
Maintains a delinquency report of missing records in order to facilitate completion of work within the required Air Force thresholds.
May also be responsible for the assignment of accurate ICD diagnoses, CPT and HCPCS, modifiers, and quantities from medical record documentation (paper or electronic) for inpatient professional services (IPPS encounters – a.k.a, rounds).
Responsible for aiding in own self-development by being available and receptive to all training made available by the company.
Plans daily activities within the guidelines of company policy, job description and supervisor’s instruction in such a way as to maximize personal output.
Responsible for keeping own immediate work area in a neat and orderly condition to ensure safety of self and coworkers. Will report any unsafe conditions and/or practices to the appropriate supervisor and human resources. Will immediately correct any unsafe conditions to the best of own ability.
A minimum of one of the following: An associate’s degree in health information management or a university certificate in medical coding, OR at least 20 quarter/30 semester hours university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology.
A minimum of five (5) years’ experience in the outpatient setting (physician’s office or ambulatory surgery centers). Experience in the business office (insurance billing, accounts receivable) is not a qualifying factor. Three years of outpatient/ambulatory surgery experience may qualify if received in a military medical facility.
CERTIFICATES / LICENSES / REGISTRATION
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.
Basic Life Support-Provider (BLS)
This position requires having the following immunizations, with accompanying proof copies of such records, prior to an offer of employment. The responsibility of purchasing these immunizations and/or gathering these records is the responsibility of each interested candidate.
Hepatitis B (3-shot series for immunity)
Measles / Mumps / Rubella (MMR) (2-shot series for immunity)
Varicella (Chicken Pox) (2-shot series for immunity)
TDap (with Tetanus booster if over ten years)
TB Skin Test with negative results (if positive, proof of negative chest results within the past 12 months)
Influenza (current strain)
JOB SPECIFIC KNOWLEDGE / SKILLS / ABILITIES
Ability to operate standard office equipment such as computers, typewriters, copiers, fax machines, telephone systems and office automations systems
Skilled proficiency in the use of Microsoft Windows and Office programs (i.e., Word, Excel, Outlook, PowerPoint, etc.)
Ability to plan, organize, schedule, and coordinate activities such as appointments, meetings and timelines
Skilled proficiency in general medical ethics and telephone etiquette
Excellent verbal and written communications skills with ability to prepare written documents and reports
Knowledgeable and proficient in the use of the English language as to professional business grammar, spelling, punctuation and capitalization in the preparation of correspondence
Solid organizational skills relevant to carrying out day-to-day responsibilities
Exceptional customer service, listening and relationship-building skills
Detail-oriented with ability to effectively multitask
Ability to learn and apply new knowledge in a fast-paced environment
Ability to interact, demonstrate tact and communicate effectively at all levels and across diverse cultures in a variety of situations
Ability to work effectively both individually and in a team environment
Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience.
Ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.
Ability to read, analyze, and interpret general business periodicals, professiona1journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
SPECIAL PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job. Work is primarily performed in an office environment. Regularly required to sit. Regularly required use hands to finger, handle, or feel, reach with hands and arms to handle objects and operate tools, computer, and/or controls. Required to speak and hear. Occasionally required to stand, walk and stoop, kneel, crouch, or crawl. Must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, depth perception, and ability to adjust focus. Exposed to general office noise with computers printers and light traffic