|Location: Tacoma, Washington
||Date Posted: 8/13/2018
|Wage: Based on experience
|Job Code: MC-00182018
|Number Of Openings: 9
Reviews and verifies component parts of medical record to ensure completeness of documentation requirement and accurate assignment of medical codes for diagnosis, operations, and special therapeutic procedures that must conform to the Official Guidelines for Coding and Reporting, MHS Coding Guidelines. Codes primary diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, drugs, modifiers, and units of service etc. with ICD-10-CM, CPT, HCPCS, all Evaluation and Management (E/M) levels, and any other coding specific to MHS that may be required by the DOD, including local MTF policy.
Identifies the correct primary diagnosis and primary procedure based on physician's medical record documentation and established sequencing rules and applicable guidelines. Ensure proper sequencing of ICD-10- CM codes and CPT/HCPCS to obtain proper resource for outpatient records and ICD-10 CM/PCS for inpatient procedure codes. Identify additional diagnoses/procedures; i.e., complications, co-morbidities, therapeutic procedures and diagnostic procedures.
Contacts MTF-specific COR or Coding Supervisor for clarification and to request additional information to ensure accurate coding assignment. Analyzes and verifies the reason for the encounter, including cause(s), primary diagnosis, primary procedure(s), performed and significant related conditions to assure record contents meet the CMS Physician Documentation Guidelines (95 and 97), Joint Commission, and Army regulation requirements for the highest attainable quality.
Validates and manages code corrections of the diagnosis, evaluation and management, procedures or any other codes required for the complete and accurate coding of records in CCE (Coding Compliance Editor) or MHS GENESIS. Records not coded properly will be
corrected by the contractor within 24 hours of notification at no additional cost to the government.
When documentation of the medical record is not adequate to identify the appropriate code, the contactor shall contact the MTF-specific COR or Coding Supervisor in cases related to missing operation/procedure reports and documentation such as outpatient or inpatient procedure reports to ensure proper coding of visit/record. The contract coder may initiate a coding query to the provider using MHS GENESIS when clarification of documentation is necessary. On a daily or weekly basis as specified by the COR, the contractor shall provide the MTF-specific COR with a report of encounters determined to have incomplete information.
Clinic encounters unable to be coded due to administrative errors shall be put on hold in CCE (Coding Compliance Editor) or returned to the MTF-specific COR or Coding Supervisor who will return them to the specific Departments for correction. The specific Department administrative staff shall make corrections and return the case to the MTF-specific COR for final coding.
You shall provide internal monitoring and feedback to the MTF-specific COR for coding related issues. The contractor shall perform data quality checks and ensure all work is performed according to qualitative and quantitative production standards in all functional areas IAW appropriate Army Regulations and current MHS Coding Guidelines.
You shall provide a written list to the MTF-specific COR or Coding Supervisor at least once per week of records coded, and by the fifth workday after the end of the month for reconciliation and billing. Additionally, you shall provide to each MTF-specific COR the list of records returned for additional documentation/unable to code and queried records/not coded at least once per week.
Maintain current reference materials. You shall ensure accurate coding and analysis of medical records as any updates or changes are received. The MTF-specific COR will also inform the contractor of local MTF policy for coding.
Any worksheets with individually identifiable information in possession of the contractor shall be disposed of in accordance with MEDCEN regulation 40-52 and AR 40-66, Medical Records. The contractor shall comply with the Privacy Act, 38 USC 5701 and USC 7332.
Respond to workload fluctuations (volume and complexity). Contract Service Providers (CSPs) shall be responsible for processing and coding Outpatient Clinic (OP) Records within three (3) business days from date of assignment within MHS GENESIS. MTF-specific COR will communicate on a weekly basis, or on a needed basis, with the contractor to identify coding workload requirement.
Contract Service Providers (CSPs) shall be responsible for processing and coding Ambulatory Procedure Visits (APVs), Emergency Room Department and Inpatient Professional Service Rounds (IPSR), and other records within MHS GENESIS within seven (7) business days from date of assignment. COR will communicate on a weekly basis, or on a needed basis, with the contractor to identify coding workload requirement.
You shall review and/or code assigned records per task order. A weekly or monthly data report will be used to verify the number of records coded by each coder, specialty, and type of record. You shall include this data for each task order in the monthly status report (PWS 5.2.9).
You shall maintain qualified/experienced staffing to effectively respond to workload variations.
You shall code 100% of records assigned at a 97% coding accuracy rate in each of the following areas:
E&M (modifier utilization will impact accuracy rate)
CPT (modifier and unit of service utilization will impact accuracy rate)
You shall provide qualified medical records personnel with a minimum of 3 years of recent outpatient or inpatient coding experience with 2 years current production coding in multiple specialties in the clinical setting (physicians practice/office or ambulatory surgery centers) including assignment of ICD-10 CM/PCS, evaluation and management (E/M) leveling for professional services, CPT, HCPCS codes, modifiers and units of service. Coding experience limited to ancillary services (i.e. Radiology or Lab) or other specialties that did not provide experience in E/M leveling is not considered as acceptable experience. Coding experience in the role of billing services will not be considered qualifying experience. Two years of outpatient/inpatient/ambulatory surgery experience may be qualifying if received in a military medical treatment facility. Experience with MHS DoD coding is preferred.
Contract personnel with no Department of Defense (DoD) experience must provide copies of certificates and a resume to include three years of coding experience within the last five years prior to assignment at the MTF.
If you have DoD experience you must provide copies of certificates and a resume to include two years of coding experience within the last five years prior to assignment at the MTF.
You must have extensive knowledge of medical terminology and usage, including general medical, surgical, pharmaceutical, hospital terms and abbreviations, and abstracting techniques
You are required to have extensive knowledge of the official ICD-9/10-CM, ICD-10-PCS, CPT, APC, and CC/CACS Coding Guidelines for coding and reporting.
You must have working knowledge of legal and regulatory requirements of medical records.
You must be able to code outpatient encounters at a rate of 15 per hour or 120 per day.
Emergency Department, Ambulatory Procedure Visits (APVs) and Inpatient Service Rounds (IPSR) coders must be able to code encounters at a rate of 10 per hour or 80 per day.
You must have extensive knowledge for understanding and applying the official coding clinic guidelines, as well as DoD coding guidelines.
You must be skilled in effective oral and written communication.
Contract personnel shall provide proof of U.S. Citizenship.
The required credentials for medical coding professionals performing the coding services of this contract will be either by the American Health Information Management Association (AHIMA) as a Registered Health Information Administrator (RHIA); or Registered Health Information Technician (RHIT); Certified Coding Associate (CCA); or Certified Coding Specialist (CCS); or Certified Coding Specialist-Physician Based (CCS-P); or certified by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) or Certified Outpatient Coder (COC). Annual coding credentials shall be maintained.
You shall provide proof of certification and maintain at least one of the following certificates from either AHIMA or AAPC:
Certified Coding Specialist (CCS)
Certified Coding Associate (CCA)
Certified Coding Specialist Physician Based (CCS-P)
Certified Professional Coder (CPC)
Certified Outpatient Coder (COC)
Certified Professional Coder Payer (CPC-P)
Registered Health Information Administrator (RHIA)
Registered Health Information Technician (RHIT)
Start Date: October 1, 2018
Position Type: Contractor
Years of Experience Required: 2
Overnight Travel: None
Vacation Time: Less Than 2 weeks / year
Health/Dental Benefits, Paid Holidays, Vacations, and Sick Leave
Entourage Consulting supports the US government. We provide comprehensive civilian staffing solutions to contract and procurement offices of US Government installations around the world. With our Headquarters in San Antonio, TX and our APAC office in Tokyo, Japan we effectively help the U.S. government with contract staff augmentation and locum services of civilian professionals. Entourage is a veteran owned fully licensed total service Provider with more than 40 years experience working with the US military and government.
Web Site: http://entouragellc.com
|Contact Name: Anthony Hughes
||Company Type: Staffing Agency
|Company: Entourage Consulting LLC
|City: Live Oak