Inpatient Medical Coder

COMPANY OVERVIEW: Health Partners Management Group, Inc (HPMG) is a government contracting company in Poplar Bluff, Missouri. HPMG currently bidding on a contract with the Federal Government for several coding positions. You would be a W-2 employee for HPMG and NOT a government employee.

SUMMARY: Responsible for assignment of accurate ICD codes for diagnoses and procedures. Medical Severity - Diagnostic Related Group (MS-DRG) is automatically assigned by the grouper software) for inpatient stays. Inpatient coders may also be responsible for the assignment of accurate ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities from medical record documentation (paper or electronic) for inpatient professional services (a.k.a., rounds or IBWA encounters).

Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.

MANDATORY KNOWLEDGE AND SKILLS:

• Position requires excellent computer/communication skills for provider and staff interactions.
• Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (inpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience.
• Candidate must have the ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.

EDUCATION/CERTIFICATION: The following are recognized certifications:
Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), and Certified Coder Specialist (CCS) are acceptable for inpatient coders.

A Registered Health Information Technician (RHIT) and Registered Health Information Administrator (RHIA) from AHIMA may be counted towards either the professional services or institutional coding certification requirement, but NOT both, unless the individual possesses the required institutional and professional services experience for the specific position sought.

The E&M coding certifications requirement for a Certified Evaluation and Management Coder (CEMC), or National Alliance of Medical Auditing Specialists’ (NAMAS) Certified Evaluation and Management Auditor (CEMA), are waived for personnel in this contract.

Coding certifications other than those listed will be considered by the government on a case-by-case basis.

CONTINUED EDUCATION REQUIREMENTS: Medical coders will obtain the required continued education hours to maintain the current and proper national certification(s) required for the position.

EXPERIENCE: Coding personnel in this position are required to possess a minimum of five (5) years of medical coding and/or auditing experience in two (2) or more medical, surgical, and ancillary specialties within the past 10 years; OR a minimum of three (3) 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.

PERFORMANCE OUTCOMES:

• Accurately assigns diagnosis and procedure codes for inpatient facility and professional services to include, but not limited to; inpatient stays, surgical procedures, dental surgical procedures, anesthesia services, ancillary services, and inpatient external resource sharing agreement (ERSA) encounters IAW DHA accuracy, completeness, productivity, and timeliness standards IAW DoDI 6040.42. Work may involve areas such as Laboratory, Radiology, and Dental services. Ensures correct assignment of DRGs for inpatient stays.
  
  Codes inpatient discharge records with correct and optimal DRG assignment, Relative Weighted Product (RWP) and Relative Value Units (RVUs) in order for the Center to receive correct reimbursement or workload credit. Performs necessary tasks within MHS GENESIS and other military coding systems (to include, but not limited to, 3M Encompass 360, Joint Legacy Viewer (JLV)) to complete encounters. May be tasked with assisting with ambulatory and outpatient coding.
  
  Researches and resolves coding edit failures as assigned.
• Applies ICD codes…