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Outpatient Medical Coder - Malmstrom AFB, Montana

The primary purpose of this position is to serve as a outpatient medical coder who?s responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.


Essential Functions




  • Responsible for assignment of accurate E&M, ICD, CPT and HCPCS codes and modifiers from medical record documentation.


  • Identifies and abstracts information from medical records (paper or electronic) for special studies and audits, internal and external.


  • Interacts with MTF staff to ensure documentation is clear and supports coding assignments. Educates MTF staff through individual or group in-services and training sessions.


  • Maintains a delinquency report of missing records in order to facilitate completion of work within the required thresholds.



Education and Experience




  • Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) CCS-P (Certified Coder Specialist ? Physician (CCS-P) with the appropriate level of experience.


  • An accrediting institution recognized by the American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) must accredit education.


  • High School diploma or General Educational Development (GED) equivalency. Basic medical terminology required.


  • A minimum of three year experience in the outpatient setting (physician?s office or ambulatory surgery centers) within the last five years, including assignment of E&M, CPT, and HCPCS codes. Multiple specialties encompass different medical specialties (i.e. Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes. Ancillary specialties (PT/OT, Radiology, Lab, Nutrition, etc.) that usually do NOT use E&M codes do not count as qualifying experience. Additionally, coding, auditing and training exclusively for specialties such as home health, skilled nursing facilities, and rehabilitation care will not be considered as qualifying experience. Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, accounts receivable) is not a qualifying factor. Two years of outpatient/ambulatory surgery experience may be qualifying if received in a military medical facility.





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