Certified Inpatient/Outpatient Medical Coder
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Jamison Professional Services, Inc. (“Jamison”) is currently seeking a qualified and motivated candidate for the position of Certified Inpatient/Outpatient Medical Coder.
Job Title: Certified Inpatient/Outpatient Medical Coder (Medical Records Technician)
Candidates must hold at least one current certification from AHIMA or AAPC, including:
- Registered Health Information Technician - RHIT
- Certified Coding Specialist - CCS
- Certified Coding Specialist–Physician Based - CCS-P
- Registered Health Information Administrator - RHIA
- Certified Professional Coder - CPC
Candidates must provide documentation verifying their current certification.
DESCRIPTION OF SERVICES:
The Medical Records Technicians - Inpatient/Outpatient Coders will provide remote medical coding services in support of a federal healthcare client. The selected candidates will perform inpatient and outpatient medical records coding, coding validation, documentation review, provider queries, and related health information management functions. The work will support a large federal healthcare facility serving inpatient, outpatient, surgical, and specialty-care populations.
Responsibilities:
- Review complete electronic medical records for coding completeness, accuracy, and compliance.
- Review operative reports, anesthesia records, progress notes, discharge summaries, diagnostic reports, and other supporting documentation.
- Identify and assign appropriate principal and secondary diagnoses and procedures.
- Apply ICD-10-CM, ICD-10-PCS, CPT, HCPCS, Evaluation and Management, and other applicable coding standards.
- Ensure diagnoses and procedures are properly documented, coded, and sequenced.
- Identify complications, comorbid conditions, present-on-admission indicators, CC/MCC conditions, and other factors affecting reimbursement and reporting.
- Review inpatient and outpatient records across a wide range of medical specialties.
- Determine appropriate codes for routine, complex, new, or unusual diagnoses and procedures.
- Review documentation for multiple procedures, staged procedures, revisions, returns to the operating room, and device replacements.
- Apply MS-DRG logic and coding conventions to inpatient cases.
- Clarify and correct provider coding when necessary.
- Prepare compliant physician or clinician queries when documentation is conflicting, incomplete, or ambiguous.
- Communicate with providers through approved encrypted email and Government systems.
- Coordinate with Clinical Documentation Integrity personnel, medical claims personnel, Government auditors, and other healthcare team members.
- Maintain accurate diagnostic and procedural information used for clinical, statistical, billing, and reimbursement purposes.
- Complete assigned coding activities with at least 95% accuracy.
- Participate in audits, scheduled and unscheduled reviews, performance monitoring, corrective actions, and retraining when required.
- Provide reports and briefings to designated Government representatives as requested.