Certified Inpatient/Outpatient Medical Coder

Jamison•North Chicago, IL

9d•Remote

About The Position

Jamison Professional Services, Inc. (“Jamison”) is currently seeking a qualified and motivated candidate for the position of Certified Inpatient/Outpatient Medical Coder. This is a remote position supporting 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.

Requirements

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.
United States citizenship.
Proficiency in spoken and written English.
At least three years of continuous medical coding experience.
Coding experience in a hospital or healthcare facility with a large and diverse patient population.
Demonstrated inpatient and outpatient medical coding experience.
Ability to review and code complex medical, surgical, diagnostic, and procedural records.
Knowledge of Oracle Cerner, 3M/Solventum, ICD-10-CM/PCS, CPT, E/M, and HCPCS.

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.
Maintain current knowledge of CMS, VA, VHA, HIPAA, coding, billing, and regulatory requirements.
Protect patient information and comply with all privacy, cybersecurity, and information-security requirements.