Medical Coder II

Medical Coder II

Join Decypher and make a direct impact on the health and readiness of America's service members, veterans, and their families. Since 2008 Decypher has offered healthcare industry professionals careers where their expertise is valued, and their work makes a meaningful impact. Decypher partners with the Defense Health Agency to deliver professional services, technology, and management solutions. Our mission is to provide and support quality care for our veterans, service members and their families, across the United States.

Job Summary:

The Medical Coder II is responsible for accurately assigning inpatient facility and professional medical codes, including ICD-CM, CPT, HCPCS, modifiers, and E&M codes, while ensuring compliance with DHA coding standards and documentation requirements. Collaborates with providers and clinical staff to resolve documentation discrepancies, provide coding education and guidance, maintain productivity and accuracy standards, and support coding compliance across military healthcare systems.

Required Qualifications:

Required Experience:

• Four (4) years of medical coding and/or auditing experience in two (2) or more medical, surgical, and ancillary specialties within the past 10 years; OR
• Minimum of two (2) years of medical coding or auditing experience if that experience was in an MTF.
• A minimum of one (1) year of performance in the specialty is required to be documented to be considered qualifying.

Education:

Completion of ONE of the following:

• Associate's Degree or higher in Health Information, Healthcare Administration OR Biological Science
• University Certificate in medical coding
• At least 30 semester hours university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, or pharmacology
• Successful completion of American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology.
• Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training, obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision

• Certification: ONE of the following recognized professional coding certifications:
• Certified Professional Coder (CPC)
• Registered Health Information Technician (RHIT)
• Registered Health Information Administrator (RHIA)
• Certified Coding Specialist –Physician (CCS-P)
• AND ONE of the following recognized institutional coding certifications:
• Certified Coding Specialist (CCS)
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Certified Outpatient Coder (COC)
• Medical Coding Test: minimum 80% passing score

** For Medical Coder II ONLY
** If you are missing the second required certification, Decypher will reimburse up to $495 for the exam post official start date (must pass the exam and be approved by the government before you can start working in this position).

Key Responsibilities:

• Accurately assigns diagnosis and procedure codes for inpatient facility and professional services.
• Performs necessary tasks within MHS GENESIS® and other military coding systems.
• Accurately assign Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic).
• Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies.
• Assigns accurate codes to encounters based upon provider responses to coding queries.
• Supports DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification through appropriate…