Role Description
Jamison Professional Services, Inc. (“Jamison”) is currently seeking a qualified and motivated candidate for the position of Certified Inpatient/Outpatient Medical Coder.
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:
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Review complete electronic medical records for coding completeness, accuracy, and compliance.
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Review operative reports, anesthesia records, progress notes, discharge summaries, diagnostic reports, and other supporting documentation.
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Identify and assign appropriate principal and secondary diagnoses and procedures.
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Apply ICD-10-CM, ICD-10-PCS, CPT, HCPCS, Evaluation and Management, and other applicable coding standards.
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Ensure diagnoses and procedures are properly documented, coded, and sequenced.
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Identify complications, comorbid conditions, present-on-admission indicators, CC/MCC conditions, and other factors affecting reimbursement and reporting.
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Review inpatient and outpatient records across a wide range of medical specialties.
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Determine appropriate codes for routine, complex, new, or unusual diagnoses and procedures.
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Review documentation for multiple procedures, staged procedures, revisions, returns to the operating room, and device replacements.
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Apply MS-DRG logic and coding conventions to inpatient cases.
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Clarify and correct provider coding when necessary.
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Prepare compliant physician or clinician queries when documentation is conflicting, incomplete, or ambiguous.
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Communicate with providers through approved encrypted email and Government systems.
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Coordinate with Clinical Documentation Integrity personnel, medical claims personnel, Government auditors, and other healthcare team members.
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Maintain accurate diagnostic and procedural information used for clinical, statistical, billing, and reimbursement purposes.
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Complete assigned coding activities with at least 95% accuracy.
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Participate in audits, scheduled and unscheduled reviews, performance monitoring, corrective actions, and retraining when required.
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Provide reports and briefings to designated Government representatives as requested.
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Maintain current knowledge of CMS, VA, VHA, HIPAA, coding, billing, and regulatory requirements.
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Protect patient information and comply with all privacy, cybersecurity, and information-security requirements.
Qualifications
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United States citizenship.
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Proficiency in spoken and written English.
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At least three years of continuous medical coding experience.
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Coding experience in a hospital or healthcare facility with a large and diverse patient population.
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Demonstrated inpatient and outpatient medical coding experience.
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Ability to review and code complex medical, surgical, diagnostic, and procedural records.
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Knowledge of Oracle Cerner, 3M/Solventum, ICD-10-CM/PCS, CPT, E/M, and HCPCS.
Requirements
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Candidates must hold at least one current certification from AHIMA or AAPC, including:
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Registered Health Information Technician - RHIT
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Certified Coding Specialist - CCS
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Certified Coding Specialist–Physician Based - CCS-P
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Registered Health Information Administrator - RHIA
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Certified Professional Coder - CPC
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Candidates must provide documentation verifying their current certification.
Benefits
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This is an off-site, remote position using Government-approved remote-access methods.
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Schedule: Monday through Friday, 7:30 a.m.–4:00 p.m. Central Standard Time.
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Employment is contingent upon successfully completing any required background checks, in accordance with applicable law.