Medical Records Technician Coder III

Koniag Government Services, LLC•Oklahoma City, OK

1d•Hybrid

About The Position

Koniag Advisory Business Solutions (KABS) is seeking detail-oriented, highly capable, and motivated Medical Records Coder III professionals to support a large-scale healthcare mission serving hospitals and clinics. This is an opportunity to contribute to a team responsible for coding and billing more than 300,000 patient visits, where accuracy, compliance, accountability, and sound judgment are essential. In this role, you will support the integrity of clinical documentation, help ensure compliant reimbursement, and contribute to continuity of patient care by accurately reviewing records, assigning diagnostic and procedural codes, and abstracting key clinical information into the appropriate systems. We are looking for coding professionals who are analytical, dependable, and committed to quality, with the ability to work productively in a collaborative healthcare environment. This position is well suited for coding professionals who have a strong foundation in medical coding principles and who are ready to apply their skills in a high-volume, mission-driven setting while continuing to deepen their expertise.

Requirements

High school diploma or equivalent plus 3 or more years of experience in medical coding, medical records, or health information management; or an associate or bachelor degree in Health Information Management, Medical Coding, or a related field with 1 or more years of relevant coding experience.
Completion of an accredited Health Information Management or Medical Coding program.
Working knowledge of ICD-10-CM/PCS, CPT, HCPCS, and related coding systems.
Understanding of coding guidelines, reimbursement principles, and documentation standards.
Proficiency with electronic health record systems and coding and encoder applications.
Strong attention to detail, analytical skills, and organizational ability.
Must be able to obtain and maintain a favorable Tier II background investigation determination, as required by IHS.
Must successfully complete all required fingerprinting, identity proofing, credentialing, badge, and access steps.
Must complete required privacy, HIPAA, and IT security training within required timeframes and maintain current status thereafter.
Must comply with all IHS, HHS, facility, and company privacy, confidentiality, records management, and cybersecurity requirements.
Must protect PHI and other sensitive information in both paper and electronic form using required administrative, technical, and physical safeguards.
Must immediately report suspected privacy breaches, improper disclosures, security incidents, malware events, lost devices, or unauthorized access.
Must use only authorized systems, accounts, devices, software, and remote-access methods.
Must maintain workstation, password, and badge security at all times.
Must be able to support periodic access reviews, audits, and compliance checks.
If telework is approved, the employee must maintain a dedicated, private workspace suitable for handling confidential information and must use only authorized equipment, approved connections, and secure access methods.
Final candidates will be required to provide documentation and information necessary to support background investigation, credentialing, and access processing, which may include: Government-issued identity documents for identity proofing. Information needed for fingerprinting and background investigation processing. Current address and prior residence history, as requested. Employment history and related verification information, as requested. Professional certification and training documentation, as required. Any other forms or supporting materials required by IHS, HHS, or authorized security officials.

Nice To Haves

Current coding certification such as CCS, CPC, RHIT, or equivalent preferred.
Experience working in Indian Health Service or other federal, tribal, or hospital-based healthcare environments.
Familiarity with RPMS/EHR, health information management workflows, and outpatient and inpatient coding operations.
Knowledge of Medicare and Medicaid billing and reimbursement principles.
Familiarity with HIPAA regulations and healthcare compliance requirements.
Ability to develop positive working relationships with providers, business office staff, and fellow coding professionals.
Possess sufficient initiative, interpersonal relationship skills, and social sensitivity such that he or she can relate constructively to Native American communities.

Responsibilities

Reviews written, dictated, and electronic clinical documentation to ensure required components of the ambulatory or inpatient visit record are present.
Performs quantitative and qualitative analysis of medical records for consistency, adequacy, and completeness.
Reviews records to confirm diagnoses, procedures, and supporting documentation are present and appropriately reflected.
Identifies inconsistencies, omissions, or discrepancies in the medical record and escalates questions as appropriate.
Assists with provider queries related to clarification, specificity, medical necessity, and documentation completeness.
Supports documentation quality improvement efforts through accurate review and consistent application of coding rules and standards.
Applies knowledge of anatomy and physiology, disease processes, pharmacology, diagnostic and procedural terminology, and coding guidelines to assign accurate diagnosis and procedure codes.
Utilizes encoder tools, coding books, approved references, and system resources to assign and sequence ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes.
Reviews records to ensure diagnoses and procedures documented by the provider are valid, complete, and appropriately related.
Identifies secondary diagnoses, complications, and co-morbid conditions to support complete and accurate code assignment.
Reviews provider documentation to support appropriate Evaluation and Management (E&M) level assignment and correct CPT and HCPCS coding.
Participates in coding quality reviews, internal audits, and peer review activities as assigned.
Maintains required productivity and accuracy standards.
During peak workloads, supports health information management operations to promote efficiency and continuity.
Maintains accurate logs of completed work and related productivity records.
Assists with weekly error reports and correction of orphaned visits and related database issues.
Collaborates with supervisors, coding staff, and related personnel to support efficient workflows.
Communicates professionally with business office staff and other stakeholders regarding coding and reimbursement matters, as directed.
Assists providers and staff, as appropriate, with record completion and correction of documentation deficiencies.